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Published in: Critical Care 1/2011

Open Access 01-02-2011 | Poster presentation

Limitations of the use of the Glasgow Coma Scale in intensive care patients with non-neurological primary disease: a search for alternatives

Authors: PV Dong, OL Cremer

Published in: Critical Care | Special Issue 1/2011

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Excerpt

Numerous scoring systems have been devised to assess the severity of illness and predict outcome in critically ill patients in the ICU, many of which incorporate the Glasgow Coma Scale (GCS) as a key component. However, the GCS requires observation of a verbal score (which is often unavailable in the ICU), must be interpreted in cases of concurrent sedation, and is insensitive to more subtle derangements of consciousness (such as delirium). Furthermore, its relationship with outcome may be nonlinear. In this study we quantified the practical limitations of using the GCS in daily routine. We then aimed to provide alternative methods for neurological assessment scoring in case of missing GCS scores. …
Metadata
Title
Limitations of the use of the Glasgow Coma Scale in intensive care patients with non-neurological primary disease: a search for alternatives
Authors
PV Dong
OL Cremer
Publication date
01-02-2011
Publisher
BioMed Central
Published in
Critical Care / Issue Special Issue 1/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc9926

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