Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?

Melo, José Roberto Tude; Lemos-Júnior, Laudenor Pereira; Reis, Rafael; Araujo, Alex Oliveira de; Menezes, Carlos W; Santos, Gustavo Pina dos; Barreto, Bruna Brandão; Menezes, Thomaz; Oliveira‐Filho, Jamary

doi:10.1590/s0004-282x2010000300010

Cited by 14 publications

(14 citation statements)

References 17 publications

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“…Melo et al . [ 19 ] also indicated that of patients with mild brain injury, neurosurgery was performed in 6.7% and 9.2% had neurological disabilities. In fact, mild brain injury based on GCS score may be associated with significant abnormalities in CT scan, require of neurosurgical procedure and Intensive Care Unit admission.…”

Section: Discussionmentioning

confidence: 99%

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

Nayebaghayee

Afsharian

2016

Asian J Neurosurg

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Background:The study aimed to assess the relationship between computed tomography (CT) scan findings and Glasgow Coma Scale (GCS) score with the purpose of introducing GCS scoring system as an acceptable alternative for CT scan to clinically management of brain injuries in head trauma patients.Materials and Methods:This study was conducted on hospitalized patients with the complaints of head trauma. The severity of the head injury was assessed on admission by the GCS score and categorized as mild, moderate, or severe head injury.Results:Of all study subjects, 80.5% had GCS 13–15 that among those, 45% had GCS 15. Furthermore, 10.5% had GCS ranged 9–12 and 9% had GCS <8. Of all subjects, 54.5% had abnormal CT findings that of them, 77.1% categorized as mild head injury, 11.0% had a moderate head injury, and 11.9% had a severe head injury. Furthermore, of those with GCS 15, 41.0% had abnormal CT scan. Of all patients with abnormal CT findings, 33.0% underwent surgery that 61.1% categorized in mild head injury group, 13.9% categorized in moderate head injury group, and 22.2% categorized in severe head injury group. Of those with GCS equal to 15, only 27.0% underwent surgery.Conclusion:The use of GCS score for assessing the level of injury may not be sufficient and thus considering CT findings as the gold standard, the combination of this scoring system and other applicable scoring systems may be more applicable to stratify brain injury level.

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Section: Discussionmentioning

confidence: 99%

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

Nayebaghayee

Afsharian

2016

Asian J Neurosurg

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“…Whereas measures of injury severity such as the Glasgow Coma Scale (GCS) and duration of post-traumatic amnesia (PTA) have been shown to be significant predictors of outcome following moderate and severe TBI, research examining their predictive utility in the mTBI population has yielded mixed findings (Carroll, Cassidy, Peloso, et al, 2004). This may be due to the heterogeneous nature of mTBI samples, poor sensitivity of the GCS in this population [i.e., 90% have a GCS of 15/15; Melo et al (2010)], or unreliable assessment of PTA (Shores et al, 2008). However, advanced neuroimaging techniques such as diffusion tensor imaging (DTI), have demonstrated an association between pathophysiological changes following mTBI and persistent PCS (Bigler, 2008;Wilde et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Post-concussive Symptoms in Young Children: InjuryversusNon-injury Related Factors

Bernard

Ponsford

McKinlay

et al. 2016

J Int Neuropsychol Soc

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“…In a study by Joseph et al, 15 a mild GCS score (GCS 13-15) in patients with an intracranial injury does not preclude progression on repeat head CT and the need for neurosurgical intervention. Melo et al 16 also indicated that of patients with mild brain injury, neurosurgery was performed in 6.7% and 9.2% had neurological disabilities. In fact, mild brain injury based on GCS score may be associated with significant abnormalities in CT scan, require neurosurgical procedure and Intensive Care Unit admission.…”

Section: Discussionmentioning

confidence: 98%

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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Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?

Cited by 14 publications

References 17 publications

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

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

Predictors of Post-concussive Symptoms in Young Children: InjuryversusNon-injury Related Factors

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

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