Glasgow Coma Scale Score, Mortality, and Functional Outcome in Head-Injured Patients

Abstract

Although the P-GCS score is related to functional outcome as measured by the FIM score and mortality in head injury, current mortality prediction models may need to be modified to account for the nonlinear relationship between P-GCS score and mortality. The P-GCS score is not a good clinical tool for outcome prediction in individual head-injured patients, given the variability in mortality rates and functional outcomes at all scores.

Neuropsychology and clinical neuroscience of persistent post-concussive syndrome

“…So this review focuses on the minority of subjects who sustain a concussion, who remain symptomatic after three months. Large-scale studies demonstrate approximately 70% of all head injury cases seen in the emergency room (ER) are in the mTBI category (Udekwu et al, 2004). However, as pointed out by the CDC and other studies (Delaney et al, 2005), a substantial number of concussions is never evaluated in the ER, making it difficult to obtain precise numbers as to the true annual incidence rate.…”

Effecting Factors of Outcome in Head Injury

“…[2,11,13,17,21,[30][31][32] EDH hariçindeki kafa içi lezyonlar KY sonucunda oluşan beyin yaralanmasının ciddiyetinin göstergesi olup sonuç üzerinde önemli etki göstermektedir.…”

Homocystein Levels in Migraine Patients

“…Outcome prediction is not an easy task to achieve after HI, because of complexity of affecting the factors. We described two new predicting models with well described parameter by recent studies for affecting the prognosis of head injured patient (1,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). In differently, the most of these parameters used in our models were simplified present or absent for easy using.…”

“…Currently, prediction of the outcome of patients with HI is not easy to achieve because of the heterogeneity of the patient data, including differences of trauma causes, additional injuries, and personal variables such as age, general health condition, and existence of systemic diseases (3). Presently, the GCS is an important tool in clinical care because of its wide acceptance and ease of application (4). However, determination of the GCS score is often difficult in daily routine, because of early sedation, intubation or bilateral periorbital swelling, etc.…”

“…(1,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). In the literature, more than one hundred recent studies, most of them from developed countries, were designed for predicting the prognosis after HI (15).…”