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Objective: To describe the most important coma scales developed in the last fifty years. Method: A review of the literature between 1969 and 2009 in the Medline and Scielo databases was carried out using the following keywords: coma scales, coma, disorders of consciousness, coma score and levels of coma. Results: Five main scales were found in chronological order: the Jouvet coma scale, the Mos...

conclusions with regards to the predictive strength of the combination of gcs and iss, a predictive system for analyzing the clinical outcome may be provided. results 15496 traumatic patients referred to the hospital and traumatic deaths occurred in 289 patients. blunt trauma accounted for 286 (99%) of death and penetrating trauma for only 1%. our findings concerning the injury pattern, correla...

OBJECTIVE Posttraumatic amnesia is superior to the initial Glasgow Coma Scale score for predicting traumatic brain injury recovery, but it takes days/weeks to assess. Here, we examined whether return of visual fixation-a potential marker of higher cognitive function-within 24 hours of ICU admission could be used as an early predictor of traumatic brain injury recovery. DESIGN Two-phase cohort...

OBJECTIVE The aims of this study were to document the incidence of impaired cerebral autoregulation in children with traumatic brain injury using transcranial Doppler ultrasonography and to examine the relationship between autoregulatory capacity and outcome in children following traumatic brain injury. DESIGN Prospective cohort study. SETTING Harborview Medical Center (level I pediatric tr...

Objective: To define risk factors affecting the outcome in traumatic subarachnoid hemorrhage. Material and Methods: Forty-four patients with traumatic subarachnoid hemorrhage were evaluated retrospectively. They were divided into three groups according to their age: elderly (≥65 years), adult (1664 years), and children (<16 years). The clinical picture on admission was evaluated using the Glasg...

The hospital charts and CT scans of 112 patients with spontaneous supratentorial haemorrhage were retrospectively reviewed to evaluate factors important to prognosis. A low Glasgow Coma Scale score, coma, ataxic respiration, abnormal pupils, acute hypertension, large haemorrhage size and intraventricular extension of blood were associated with a poor outcome. Multivariate analysis using the tec...

Background: Appropriate clinical measures to prevent secondary brain damage in traumatic brain injury are of critical importance. Objectives: This study aims to investigate the relationships between serum electrolyte disturbances and Glasgow Coma Scale (GCS) score in patients with Diffuse Axonal Injury (DAI) at the time of admission and discharge. Materials & Methods: In this retrospective cr...

Methods This is a prospective observational study with institutional review board approval. Patients TBI and a Glasgow Coma Scale score ≤8 were identified on admission. Glasgow Coma Scale (GCS), Injury Severity Score (ISS), radiographic scales based on admission computed tomography (Marshall), IntraCranial Pressure (ICP), pBtO2 and pBtO2/paO2 during first 24 hours were recorded. Patient outcome...