Good Mortality Prediction by Glasgow Coma Scale for Neurosurgical Patients

Abstract

The predictive powers of SAPS II, APACHE II and GCS-mr were the same. The GCS-mr is more convenient for predicting mortality in neurosurgical patients. Both GCS <or= 5 and GCS-M <or= 3 are good indicators of mortality in these patients.

Assessment of Major Outcomes of Emergency Medical Services (EMS) in Relation to Signs and Symptoms at the Time of EMS Call

“…RTA is emerging epidemic in India. 17 In present study, Highest percentage of deaths among severe category were recorded in patients with road traffic accidents (VIII) and seizures (XI) ( Figure 5, 9% and 7% respectively). Globally, it is 8 th leading cause of mortality among young people (15-29 years).…”

“…Globally, it is 8 th leading cause of mortality among young people (15-29 years). 17 44/ 849 patients were in this age group, 15/44 were victims of RTA. When one of the three components of GCS is not testable then a valid total cannot be calculated.…”

“…Mortality among patients with altered sensorium category of chief complaint which had significantly more patients (Table 1, category IV)) with severe GCS (<=8) (Figure 2, category IV) is expected to be more than patients with other categories of chief complaints in absence of EMS as there exists a linear relationship between GCS score and the odds of mortality. 16 But, highest percentage of deaths was noted in EMS patients with road traffic accidents (9%, Figure 5, category VIII) and seizures (7%, Figure 5, Categoty XI ) while mortality among EMS patients with altered sensorium was 4%. Effective utilization of EMS in Golden Hour proved to be successful to decrease mortality especially among patients with altered sensorium subjects.…”

The ability of two scoring systems to predict in-hospital mortality of patients with moderate and severe traumatic brain injuries in a Moroccan intensive care unit

“…The presedation GCS, is a clinical, simple, and practical tool to predict mortality in neurosurgical and head trauma patients. [28293031] In fact, it has been the gold standard for effective assessment in these patients against, which the other grading systems are usually compared. [30] However, TBI remain an extremely heterogeneous disorder with unpredictable evaluative patterns.…”

“…[28293031] In fact, it has been the gold standard for effective assessment in these patients against, which the other grading systems are usually compared. [30] However, TBI remain an extremely heterogeneous disorder with unpredictable evaluative patterns. [202122] Numerous studies documented the superiority of APACHE-II compared with GCS in predicting mortality due to its recognition of age and significant underlying problems.…”