Correlation between Glasgow Coma Scale and brain computed tomography-scan findings in head trauma patients

Nayebaghayee, Hossein; Afsharian, Tahmineh

doi:10.4103/1793-5482.165780

Cited by 30 publications

(25 citation statements)

References 20 publications

(32 reference statements)

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“…A strong association was found between CT positivity and severity of head injury based on GCS score with P < 0.05. CT positivity is higher in severe head injury (GCS ≤ 8) with odds ratio [OR] = 54.702 (95% CI: 25.88-116.943) and in moderate head injury (GCS 9-12) with OR = 7.668 (95% CI: 3.336-17.624), compared to MHI (GCS [13][14][15] as the reference group. This is consistent with findings of Schynoll et al, [20] who reported a strong association of abnormal CT findings with patients with GCS <15.…”

Section: Discussionmentioning

confidence: 99%

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Utility of CT in Head Injury- A Prospective Study

Bansal¹,

Gupta²

2020

AJMRR

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Background: Head injury is defined as an impairment in brain function as a result of mechanical force. The dysfunction can be temporary or permanent, and may or may not result in underlying structural changes in the brain. Head injuries are a major public health problem worldwide. A limited amount of neurological damage occurs at the time of impact (primary injury). Subjects and Methods: The study was a prospective observational study took place in the Department of Radiology, over a 8 month period which involves all type of head injuries. Informed consent was obtained by the subjects who participated in the study. All head injury patients attending the emergency department were included, while those with no clear history of trauma as the primary event and neurologic deficit that could not be explained by head trauma were excluded. Results: A total of 1000 patients underwent CT for a head injury. Table 1 shows baseline characteristics as age, gender, referred cases, type of injury, mode of injury and clinical features where we observed 48.2% cases were in the age group between 21-40 years with 80% of male subjects. While observing for the mode of injury, we found most of the cases falls in the category of road traffic accidents (77%) with external injury (83.5%) and loss of consciousness (63.4%) as highly observed clinical features. Conclusion: This study showed a significant association of overall CT positivity with patients sociodemographic and clinical factors such as: male gender, elderly age group (>60 years), history of alcohol consumption, LOC >5 min, history of vomiting, history of seizures, evidence of ear bleed, evidence of nosebleed, and GCS 12 (moderate and Severe head injury). From the results of this study, we recommend the following indications for doing CT in head injury patients: (1) CT is indicated in all patients with moderate and severe head injury (GCS ≤12).

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Section: Discussionmentioning

confidence: 99%

“…[14] Glasgow Coma Scale (GCS) classified head injuries as minor, moderate, and severe. [15] Around 70%-90% of all head injuries fall in the category of minor head injuries. Computed tomography (CT) has prime importance in the investigation of head injury.…”

Section: Introductionmentioning

confidence: 99%

Utility of CT in Head Injury- A Prospective Study

Bansal¹,

Gupta²

2020

AJMRR

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“…If a good correlation between the CT scan appearance and GCS scoring can be found, then the use of follow-up CT scans would only be recommended in patients with clinical deterioration unexplained by intracranial pressure changes alone. Thus, substantially, lowering the radiation dose and also reducing the cost by preventing unwanted CT scans 12 . At present, there is no updated study regarding the correlation of the Glasgow Coma Scale (GCS) and intracranial injuries.…”

Section: Introductionmentioning

confidence: 99%

Correlation of Glasgow Coma Scale (GCS) with Computed Tomography (CT) in Patients of Intra-Cranial Injuries

Farooq¹

2019

jhms

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Objective: To determine the correlation of Glasgow coma scale with Computed Tomography (CT) in patients of intra-cranial injuries. Material and methods: This study is a cross-sectional analytical study with a sample size of 138 patients. Sampling techniques were non-probability convenient sampling. The study was performed in the Department of Radiology in Lahore General Hospital. The study was finished in 3 months after approval of synopsis. Ultrasound was performed with a convex transducer of 3.5 -5MHz frequency. Outcome variables are Prostate volume and post-micturition residual (PMR). The data collection sheet was used to record observed data, and individual patient personal data will not be published. Sections were taken parallel to the canthomeatal. CT machine: Toshiba Scanner Aquilion 16 SLICE, model no: TSX-101A, model no: CGGT-018A, slice thickness: 5-7mm, gap b/w slices: 5mm, window width: 1600, window length: +350, kV: 120, mA: 200, pitch: 5. Result: Total 138 patients were enrolled in the study, in which 54 (39.1%) were females, and 84(69.9%) were males with a mean age of 37 years with a range of 4-85 ± 16.28 years. The present study was conducted for a period of two years in the Department of radiology with association from Department of Emergency medicine and included 138 patients with a history of intra-cranial injuries. The cases were referred from the Emergency unit after clinical and neurological systemic examination and calculating the GCS score. The score was blinded for the radiologist examining the case for avoiding bias in reporting. Conclusion: To conclude from our study, patients with low GCS score were considered as a severity risk factor in association with more intra-cranial injuries CT findings. Patients with low GCS score are affected by severe morbidity and devastating effects as observed from other studies.

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“…[ 1 ] Based on Glasgow Coma Scale (GCS), head injury can be classified as minor, moderate, and severe head injury. [ 2 ] Minor head injury (MHI) constitutes around 70%–90% of all head injuries. [ 3 ] Computed tomography (CT) is the choice of investigation in head injury.…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography Profile and its Utilization in Head Injury Patients in Emergency Department: A Prospective Observational Study

Waganekar

Jagadish

Prabhu

et al. 2018

J Emerg Trauma Shock

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Context:Based on Glasgow Coma Scale (GCS), head injury can be classified as minor (GCS 13–15), moderate (GCS 9–12), and severe (GCS 3–8). There is a lot of controversy in the use of computed tomography (CT) in head injury patients.Aims:This study was intended to estimate the rate of CT positivity in head injury patients and to define the criteria for doing CT in head injury patients.Settings and Design:This was a prospective observational study in the emergency department (ED) over a 12-month period. Subjects andMethods:Study involved all head injury patients attending ED. Risk factors studied were a loss of consciousness (LOC), vomiting, seizures, ear bleed, nosebleed, external injuries, and alcohol intoxication.Statistical Analysis Used:Comparison of CT positivity with the patient's demographics and clinical characteristics was carried out using Chi-square.Results:A total of 1782 patients were included in this study. Overall CT positivity was 50.9%. In minor head injury (MHI), CT positivity rate was 38%. The study showed significant association of CT positivity with five variables: LOC >5 min, vomiting, seizures, ear bleed, and nosebleed.Conclusions:From the study, we recommend following: CT is indicated in all patients with moderate and severe head injury (GCS ≤12). Low threshold for taking CT is advisable in elderly and alcohol-intoxicated patients. In MHI, CT is indicated if any one of the following risk factors are present: LOC >5 min, history of vomiting, history of seizures, history of ear bleed, and history of nosebleed.

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Correlation between Glasgow Coma Scale and brain computed tomography-scan findings in head trauma patients

Cited by 30 publications

References 20 publications

Utility of CT in Head Injury- A Prospective Study

Utility of CT in Head Injury- A Prospective Study

Correlation of Glasgow Coma Scale (GCS) with Computed Tomography (CT) in Patients of Intra-Cranial Injuries

Computed Tomography Profile and its Utilization in Head Injury Patients in Emergency Department: A Prospective Observational Study

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