Evaluation of Coma: A Critical Appraisal of Popular Scoring Systems

被引：61

作者：

Kornbluth, Joshua ^{[1
]}

Bhardwaj, Anish ^{[1
]}

机构：

[1] Tufts Univ, Sch Med, Dept Neurol, Boston, MA 02111 USA

来源：

NEUROCRITICAL CARE | 2011年 / 14卷 / 01期

关键词：

Coma; GCS; FOUR score; RLS85; Consciousness; REACTION-LEVEL-SCALE; INTENSIVE-CARE-UNIT; LINEAR-REGRESSION PREDICTION; BRAIN-INJURY OUTCOMES; GLASGOW VERBAL SCORE; EMERGENCY-DEPARTMENT; CARDIAC-ARREST; IMPAIRED CONSCIOUSNESS; ACUTE PHYSIOLOGY; MOTOR SCORE;

D O I：

10.1007/s12028-010-9409-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Numerous scoring scales have been proposed and validated to evaluate coma for rapid pre-hospital assessment and triage, disease severity, and prognosis for morbidity and mortality. These scoring systems have been predicated on core features that serve as a basis for this review and include ease of use, inter-rater reliability, reproducibility, and predictive value. Here we review the benefits and limitations of the most popular coma scoring systems. The methods include search of Medline, databases, and manual review of article bibliographies. Few of the many available coma scales have gained widespread approval and popularity. The best known and widely accepted scale is the Glasgow Coma Scale (GCS). The Reaction Level Scale (RLS85) has utility and proven benefit, but little acceptance outside of Scandinavia. The newer Full Outline of UnResponsiveness (FOUR) score provides an attractive replacement for all patients with fluctuating levels of consciousness and is gradually gaining wide acceptance.

引用

页码：134 / 143

页数：10

共 89 条

[1] Endorsement of the FOUR Score for Consciousness Assessment in Neurosurgical Patients [J].

Akavipat, Phuping .

NEUROLOGIA MEDICO-CHIRURGICA, 2009, 49 (12) :565-571

[2] Initial emergency department trauma scores from the OPALS study: The case for the motor score in blunt trauma [J].

Al-Salamah, MA ;

McDowell, I ;

Stiell, IG ;

Wells, GA ;

Perry, J ;

Al-Sultan, M ;

Nesbitt, L .

ACADEMIC EMERGENCY MEDICINE, 2004, 11 (08) :834-842

[3] Prognostic factors and outcome after drowning in an adult population [J].

Ballesteros, M. A. ;

Gutierrez-Cuadra, M. ;

Munoz, P. ;

Minambres, E. .

ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2009, 53 (07) :935-940

[4] GLASGOW COMA SCALE SCORE IN THE EVALUATION OF OUTCOME IN THE INTENSIVE-CARE UNIT - FINDINGS FROM THE ACUTE PHYSIOLOGY AND CHRONIC HEALTH EVALUATION-III STUDY [J].

BASTOS, PG ;

SUN, XL ;

WAGNER, DP ;

WU, AW ;

KNAUS, WA .

CRITICAL CARE MEDICINE, 1993, 21 (10) :1459-1465

[5]

BAUBY JD, 2007, FRENCH ORIGINAL DIVI

[6] The relationship between pre-hospital and emergency department Glasgow coma scale scores [J].

Bazarian, JJ ;

Eirich, MA ;

Salhanick, SD .

BRAIN INJURY, 2003, 17 (07) :553-560

[7] Why we should be wary of single-center trials [J].

Bellomo, Rinaldo ;

Warrillow, Stephen J. ;

Reade, Michael C. .

CRITICAL CARE MEDICINE, 2009, 37 (12) :3114-3119

[8] END-STAGE ALZHEIMERS-DISEASE [J].

BENESCH, CG ;

MCDANIEL, KD ;

COX, C ;

HAMILL, RW .

ARCHIVES OF NEUROLOGY, 1993, 50 (12) :1309-1315

[9] PREDICTION OF NON-SURVIVAL AFTER TRAUMA - INNSBRUCK COMA SCALE [J].

BENZER, A ;

MITTERSCHIFFTHALER, G ;

MAROSI, M ;

LUEF, G ;

PUHRINGER, F ;

DELARENOTIERE, K ;

LEHNER, H ;

SCHMUTZHARD, E .

LANCET, 1991, 338 (8773) :977-978

[10] THE GLASGOW COMA SCALE - A MATHEMATICAL CRITIQUE [J].

BHATTY, GB ;

KAPOOR, N .

ACTA NEUROCHIRURGICA, 1993, 120 (3-4) :132-135

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