Introduction Glasgow Coma Scale score (GCS) obtained in the hospital has been shown to predict mortality well [1]. However, the performance of GCS in the prehospital setting has not been previously studied. We hypothesized that GCS would be an adequate method for triage and for outcome prediction also when obtained prehospitally. It is crucial to identify lifethreatening emergencies in the very...

Background Acute encephalitis syndrome (AES) is a common cause of coma in Nepali children. The Glasgow coma scale (GCS) is used to assess the level of coma in these patients and predict outcome. Alternative coma scales may have better inter-rater reliability and prognostic value in encephalitis in Nepali children, but this has not been studied. The Adelaide coma scale (ACS), Blantyre coma scale...

OBJECTIVES Our aim was to evaluate the relationship between serum C-reactive protein (CRP) levels and the neurological prognosis and development of vasospasm in patients with aneurysmal subarachnoid hemorrhage (aSAH). METHODS Eighty-two adult patients with aSAH diagnoses were prospectively evaluated. Glasgow Coma Scale (GCS) score, Hunt and Hess grade, Fisher grade, cranial CT scans, digital ...

INTRODUCTION The Glasgow Coma Scale (GCS) is widely applied in the emergency setting; it is used to guide trauma triage and for the application of essential interventions such as endotracheal intubation. However, inter-rater reliability of GCS scoring has been shown to be low for inexperienced users, especially for the motor component. Concerns regarding the accuracy and validity of GCS scoring...

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 Twenty-four patients and three controls (21 men, 6 women, mean age 33.4 years, age range 19-54) were recruited and scanned on 3T or 7T GE Excite scanners. Five TBI patients scanned at 3T received a repeat scan 1 to 12 months after the first scan, for a total of 23 scans at 3T and 9 scans at 7T. Sixteen of the patients had mild TBI (Glasgow Coma Scale (GCS) 13-15), three moderate TBI (GC...

Background. Encephalitis continues to be a significant cause of morbidity and mortality, there are few studies assessing prognostic factors in patients with acute encephalitis. An objective was to evaluate predictors of outcomes at hospital discharge for adult patients with acute encephalitis after inpatient evaluation. Methods. This was a retrospective study done at Memorial Hermann Hospital i...

OBJECTIVE To assess the autonomic nervous system (ANS) in coma by heart rate variability (HRV). METHODS Sixteen comatose patients and 22 normal subjects with comparable ages and genders were studied. Patients were classified in two subgroups according to the Glasgow Coma Scale (GCS). Time, frequency, and informational HRV domain indices were calculated. RESULTS A notable reduction of HRV wa...