Outcome of head injured patients clinical assessment scale

ABSTRACT

Analysis of the clinical data of 150 head injured patients showed that a combination of other factors to Glasgow score, i.e., age, presence of multiple trauma and/or hypotension, type of respiration, pupil reflex and occulocephalic response, can provide a simple, but reliable prediction of the outcome. Clinical chart was proposed and its items were tested for its accuracy in predicting prognosis of head injured patients. Favorable outcome increased in patients with higher GCS scores. Most patients who show deteriorating consciousness died. There was a significant relation between age and outcome. Presence of severe associated injuries and hypotension affects the outcome severely and necessitated great attention in early management. Impairment of brain stem reflexes at time of admission were indication of grave prognosis