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27-01-2023 | Central Nervous System Trauma | Review Article

Modifications of Glasgow Coma Scale—a Systematic Review

Authors: Jitin Bajaj, Yadram Yadav, Dhananjaya Sharma

Published in: Indian Journal of Surgery | Issue 5/2023

Abstract

Glasgow coma scale has been the mainstay of scoring traumatic brain injury patients for nearly five decades. It has seen several modifications based on various parameters; which include age, pupils, and brainstem reflexes. The objective of this article was to systematically review all the modifications of the Glasgow coma scale in the English literature by searching PubMed and Scopus. We searched using the keywords “Glasgow coma scale modification” and “pediatric coma scales” in the PubMed and Scopus search string from inception until 15 August 2022. The manuscript excludes articles not related to scoring, articles dedicated to non-traumatic brain injury patients, case reports and opinions, and articles lacking full-length and non-English texts. The search yielded 5718 articles of which 54 were eligible. The modifications were based on age, brainstem reflexes, motor score alone, serum factors, etc. The use of the majority of 54 eligible articles was limited to the index centers that have designed them; however, the pediatric Glasgow coma score and the Full Outline of Unresponsiveness score hold promise.

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Title: Modifications of Glasgow Coma Scale—a Systematic Review
Authors: Jitin Bajaj
Yadram Yadav
Dhananjaya Sharma
Publication date: 27-01-2023
Publisher: Springer India
Keywords: Central Nervous System Trauma
Amnesia
Coma
Published in: Indian Journal of Surgery / Issue 5/2023
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-023-03678-3

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Modifications of Glasgow Coma Scale—a Systematic Review

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