Artikel
Neurological monitoring in multiple injuries – results of a multicenter study
Suche in Medline nach
Autoren
Veröffentlicht: | 20. Mai 2009 |
---|
Gliederung
Text
Objective: The predictive value of the Glasgow Coma Score (GCS) has been questioned recently. This study aims to explore the value of GCS and other neurological parameters in predicting survival of patients with multiple injuries.
Methods: 1000 comatose patients with suspected multiple injuries were analysed. GCS, pupillary function, hemiparesis, and posturing were recorded 12, 24, and 48 hours after admission. Outcome was assessed with Glasgow Outcome Score (GOS) 6 months after injury. Statistical tests included Shapiro Wilk, Wilcoxon and Chi square. P<0.05 was supposed to be statistically significant.
Results: There was no significant correlation of the GCS at 12, 24 or 48 hours after admission with 6 month mortality. A significant correlation with 6 month mortality was detected for pupillary function, hemiparesis and posturing.
Conclusions: As the GCS is not clearly related with survival, it is not an adequate score for clinical monitoring. The clinical monitoring of pupillary function, hemiparesis and posturing proved to be of high predictive value.