Reliability and accuracy of the Glasgow coma scale

Retrospective evaluation of prognostic indicators in dogs with head trauma: 72 cases (January–March 2011)

“…Reagent strips f were used for BUN measurements and categories were assigned based on the measured results: category 1 [ All severity scores were calculated using information recorded in the medical record. Recorded findings from a neurological exam performed by either the admitting veterinarian or a board certified neurologist were used to calculate the MGCS score 2 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Mentation score 14 (0-4) and ATT score 13 (0-18) were calculated using history and physical examination findings recorded at hospital admission.…”

“…However, recent reports in the human literature have questioned whether the GCS score is a reliable indicator of neurologic outcome. 9,10 Adapted from the human medical field, veterinary medicine has used the Modified Glasgow Coma Scale (MGCS) score to predict prognosis for dogs after head trauma and TBI. 2,11,12 One retrospective study showed that the MGCS score had a strong association with survival, with scores almost linearly correlated with survival up to 48 hours after hospital admission.…”

“…Scoring systems such as the Glasgow Coma Scale (GCS) score have been widely used in people to monitor neurological progression or deterioration in patients with TBI. However, recent reports in the human literature have questioned whether the GCS score is a reliable indicator of neurologic outcome . Adapted from the human medical field, veterinary medicine has used the Modified Glasgow Coma Scale (MGCS) score to predict prognosis for dogs after head trauma and TBI .…”