Role of Glasgow Coma Scale in pediatric nontraumatic coma.
Indian Pediatr
;
2003 Jul; 40(7): 620-5
Article
Dans Anglais
| IMSEAR
| ID: sea-15212
ABSTRACT
OBJECTIVE:
To assess the relationship between Modified Glasgow Coma Scale (MGCS), its components and survival in children with acute coma.DESIGN:
Prospective observational study.SETTING:
Tertiary care referral hospital. PATIENTS Consecutive children (n = 270) with acute nontraumatic coma between 2 months to 12 years.METHODOLOGY:
MGCS and brainstem reflexes were assessed at 6 hourly intervals for 72 hours from the time of admission. The lowest score of the MGCS and worst brain stem reflexes were used for the analysis. MAIN OUTCOMEMEASURE:
Survival.RESULTS:
Total score (Spearman rank correlation coefficient IRI = O.577, ocular response (IRI = O.641), motor response (IRI = O.729), verbal response (lRI = 0.608), brain stem response (lRI = O.843) were all found to be associated with adverse outcome. Multivariate regression analysis revealed that ocular response and motor response were individually predictive of short-term outcome.CONCLUSION:
A score incorporating the brain stem reflexes, ocular response and motor response in the assessment and prognostication of comatose patients needs to be evaluated.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Femelle
/
Humains
/
Mâle
/
Échelle de coma de Glasgow
/
Enfant
/
Enfant d'âge préscolaire
/
Valeur prédictive des tests
/
/
Coma
/
Nourrisson
Type d'étude:
Études d'évaluation
/
Étude observationnelle
/
Étude pronostique
langue:
Anglais
Texte intégral:
Indian Pediatr
Année:
2003
Type:
Article
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