Predictive value of an early Glasgow Outcome Scale score: 15-month score changes

Abstract

Baseline GOS score was a reliable predictor of outcome in patients with an initial score of 5 (no disability) or 4 (mild disability), but not in patients with an initial score of 3 (severe disability). Patients who remained unconscious for more than 24 hours did not have significantly lower outcome scores than those who experienced loss of consciousness for less than 24 hours at 15 months postinjury. Interestingly, the duration of unconsciousness did not affect the likelihood of an improved score during the study period in patients with a GOS score of 3 or 4 at baseline. An updated evaluation conducted after the early phases of treatment is needed to provide a realistic prognosis of severe TBI.

Motorcycle accident injury profiles in Jamaica: an audit from the University Hospital of the West Indies

“…A GOS score 43 was assigned to 10.5% of discharged patients. At best, a GOS score 3 predicts that patients would no longer be capable of engaging in most personal, social or work activities due to limited communication skills, abnormal behavioural or unadjusted emotional responses (King et al, 2005;Miller et al, 2005). In addition, 11.5% of patients were discharged with a GOS score of 2.…”

“…In addition, 11.5% of patients were discharged with a GOS score of 2. Although this predicts independent function in daily living activities, these patients are usually disabled to the extent that they cannot participate in work activities (King et al, 2005;Miller et al, 2005). In total, an estimated 22% of motorcycle accident survivors would not be able to return to work related activities in a timely fashion.…”

“…The GOS is widely used as a reliable indicator of future disability after traumatic brain injuries (King, Carlier, & Marion, 2005;Miller, Schwab, & Warden, 2005). It is based upon the patient's ability to perform activities of daily living and the degree of assistance required (King et al, 2005;Miller et al, 2005).…”

Severe Traumatic Brain Injury in Austria VI: Effects of guideline-based management

“…The extent of general injury was measured by the Injury Severity Score, an anatomical scoring sys- tem which correlates linearly with mortality, morbidity, hospital stay and other measures of severity [16]. The third confounder was GCS, since it is generally recognized to be a powerful predictor of outcome [17,18].…”

Prevalence of Aneurysmal Subarachnoid Hemorrhage Safety Indicators and Their Relation with Health Care Outcomes in a Mexican Population

“…13,14 We also registered the presence or absence of all 8 PSI: decubitus ulcer, pneumothorax, bacteremia, perioperative hematoma, postoperative respiratory failure, DVT, PTE, and accidental puncture or laceration. 12 Statistical Analysis SPSS software version 15.0 (IBM Corp., Armonk, New York, USA) was used for statistical analysis.…”