Predictive Utility of the Total Glasgow Coma Scale Versus the Motor Component of the Glasgow Coma Scale for Identification of Patients With Serious Traumatic Injuries

Identification of Serious Adverse Events in Patients with Traumatic Brain Injuries, from Prehospital Care to Intensive-Care Unit, Using Early Warning Scores

“…Studies that specifically analyse scores to predict the risk of deterioration in TBI are scarce. The scales most studied are the Revised Trauma Score [36], the GCS [16,18] and different physiological and analytical parameters [37] or scores on spinal damage [38]. Najafi et al [39] analyzed the use of different scores to predict the risk of death within 24 hours, including the NEWS, offering our study (although with a mortality outcome within 48 hours) better AUROC, as well as better sensitivity and specificity.…”

“…The use of EWS in patients with major trauma is well-documented in clinical practice [13][14][15]. Similarly, the Glasgow Coma Scale (GCS) is normally used to establish the severity of the TBI [16][17][18]. There are various scores for predicting adverse outcomes after a TBI, but they are designed for use in the emergency department (ED) and ICU [19,20] where advanced diagnostic equipment is available but there are no specific scores to be used in a prehospital setting.…”

Comparison of two prehospital predictive models for mortality and impaired consciousness after severe traumatic brain injury

“…The original GCS‐RM included the msGCS, pupil reactivity at hospital admission and age as predictors; we used the msGCS and pupil reactivity on scene. This may be criticised, however, it was observed that the msGCS on scene was a predictor of 6 months mortality and a systematic review confirmed that the GCS and the msGCS on scene were predictive for in‐hospital mortality with low differences between GCS scores on scene and at hospital admission …”

“…Some models such as the IMPACT model, validated for 14‐day mortality prediction, used only the subscale motor score of GCS (msGCS) thus simplifying assessment of consciousness. There is evidence that msGCS is equivalent to the prediction with total GCS included in the prehospital period …”

Traumatismo craneoencefálico leve pediátrico en Europa

“…Según un estudio de Thompson et al, la utilización de la escala simplificada obtuvo resultado similares a la GCS en un ambiente extrahospitalario a la hora de evaluar pacientes que habían sufrido un TCE (82). Un metaanálisis posterior concluía que la escala simplificada en la evaluación del paciente politraumatizado era igual de útil y más sencilla de llevar a cabo, fundamentalmente a la hora de la atención a nivel extrahospitalario (83,84).…”