Role of Glasgow Coma Scale in pediatric nontraumatic coma.
Indian Pediatr
;
2003 Jul; 40(7): 620-5
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Feminino
/
Humanos
/
Masculino
/
Escala de Coma de Glasgow
/
Criança
/
Pré-Escolar
/
Valor Preditivo dos Testes
/
Avaliação de Resultados em Cuidados de Saúde
/
Coma
/
Lactente
Tipo de estudo:
Estudos de avaliação
/
Estudo observacional
/
Estudo prognóstico
Idioma:
Inglês
Revista:
Indian Pediatr
Ano de publicação:
2003
Tipo de documento:
Artigo
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