The Glasgow Coma Scale following Acute Stroke and In-hospital Outcome: An Observational Study

Abstract

Acute stroke is a heterogeneous condition and the risk of death can be gauged by various factors. This study sought to evaluate GCS score on admission as a prognostic tool of outcome among stroke patients, by observing the GCS score following acute stroke and in-hospital outcome at a tertiary level hospital in Bangladesh. Stroke is a major health problem in developed countries as well as developing countries like Bangladesh. This observational study was conducted among 122 consecutive patients, fulfilling the WHO stroke defining criteria, from 1st January 2007 to 30th June 2007. Mean age was 59.28 ± 14.89(SD) years and male female ratio was 2.39: 1. Cerebral infarct was 49.13%. Intracerebral hemorrhage and subarachnoid hemorrhage was 31.89% and 18.96% respectively. Overall in-hospital mortality was 15.57% though mortality in patients with cerebral infarcts was nil. Patients presenting with GCS between 3 and 8 caused 12.07% fatality, whereas, none died with GCS score 13-15.Here GCS score showed an inverse relationship with outcome that varied with type of stroke. We can conclude that GCS score on admission might be incorporated as an valuable prognostic parameter in stroke outcome measurement scale.  doi:10.3329/jom.v10i3.2009  J Medicine 2009; 10 (Supplement 1): 11-14

Prediction of Outcome of 100 Acute Stroke Patients in a Tertiary Level Hospital

“…This finding is similar with that of Hayee et al (1998) where 57.2% were male and rest 42.8% were female. [7] But this result differs with the study of (Miah et al, 2009) where 70.49% were male and 29.51% were female. [8] Hypertension is major risk factor for intracerebral hemorrhage in general, it is commonly considered to be associated with deep hemorrhage.…”

“…[7] But this result differs with the study of (Miah et al, 2009) where 70.49% were male and 29.51% were female. [8] Hypertension is major risk factor for intracerebral hemorrhage in general, it is commonly considered to be associated with deep hemorrhage. In present study 70% of patients had hypertension, which was the commonest risk factor of stroke.…”

Multimodal Monitoring in Large Hemispheric Infarction: Quantitative Electroencephalography Combined With Transcranial Doppler for Prognosis Prediction

“…The GCS score is the most widely used indicator of the severity of consciousness disturbance ( 40 ). Many studies have shown that the GCS score was associated with a poor prognosis ( 41 , 42 ). Patients with LHI usually demonstrate a severe disturbance of consciousness ( 43 ) and for patients with LHI, the baseline GCS score at admission has been significantly associated with death ( 44 ).…”

Development and Validation of a Daily Monitoring Stroke Scale: A Three-Month Follow up Study

“…FOUR score developed for assessment of consciousness in medical illness has been found to be better than GCS because this score also assesses brainstem and respiration in addition to motor and eye response of GCS. Various other Scales like Scandevian Stroke Scale, European Stroke scale, are extensively validated and used for research and clinical use [2][3].…”