The value of early & post resuscitation Glasgow Coma Scale in prediction of prognosis of blunt trauma patients: A pilot study

Changiz Gholipour, Samad Shams Vahdati, Ali Irandoust, Mehran Jalilzadeh Binazar, Mohammad Oliaei Motlagh

Abstract


Abstract:

Purpose:

There are so many controversies about prediction value of GCS in trauma patients. The aim of this pilot study is to assess the prognosis predictor value of early and post resuscitation GCS.

Patients and methods:

In a retrospective cross-sectional study all blunt trauma patients transported to two referral hospital's emergency departments (ED) within 6 months that were not dead on arrival were include. Patient demographics (age and sex), mechanism of injury, associated injury, Pre and Post resuscitation GCS and TRISS scores, and patients outcome were all recorded.

Results:

200 patients met our inclusion criteria. The mean GCS in patients with morbidity, well discharged and with mortality were 12.42±2.14, 13.02±2.71 and 6.66±3.65 respectively.

The mean pre and post resuscitation GCS were 11.81(CI: 95, 11.36-12.26) and 13.69 (CI: 95, 13.24-14.14) P=0.226. Pearson Correlation Test showed relationship between GCS and TRISS as following: pre-resuscitation GCS and TRISS (P: 0.000 r=0.781), post-resuscitation GCS and TRISS (P: 0.000 r=0.882).

Discussion:

A very strong positive relationship between pre-resuscitation GCS and TRISS, and also post-resuscitation GCS and TRISS, indicated that we could use GCS as a prognosis predictor like TRISS.

A significant relationship between pre & post resuscitation GCS and prognosis was obvious.

Despite an increase in GCS scores in response to resuscitation, there wasn't a significant relationship between response to resuscitation and patients' prognosis.

Conclusion:

We can consider both Pre and post resuscitation GCS as a good prognosis predictor in blunt trauma patients. The higher pre and post resuscitation GCS score, the better prognosis.

 


Keywords


Glasgow Coma Scale, Prognosis Predictor, Resuscitation

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References


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