In-hospital mortality and the Glasgow Coma Scale in the first 72 hours after traumatic brain injury

Authors

  • Cristina Helena Costanti Settervall Universidade de São Paulo; Escola de Enfermagem
  • Regina Marcia Cardoso de Sousa Universidade de São Paulo; Escola de Enfermagem
  • Silvia Cristina Fürbringer e Silva Universidade Paulista

DOI:

https://doi.org/10.1590/S0104-11692011000600009

Keywords:

Brain Injuries, Trauma Severity Indices, Glasgow Coma Scale, Prognosis, Mortality

Abstract

This study verifies and compares the performance of three different scores obtained in the Glasgow Coma Scale (GCS) in the first 72 hours post trauma in predicting in-hospital mortality. The studied scores included those obtained after initial care was provided at the hospital, and the worst and best scores obtained in the scale in the first 72 hours post trauma. The scales predictive ability was assessed by the Receiver Operator Characteristic (ROC) curve. A total of 277 victims with different severity levels of blunt traumatic brain injuries were studied. The performance of the three scores that were analyzed to predict hospital mortality was moderate (0.74 to 0.79) and the areas under the curve did not present statistically significant differences. These findings suggest that any of the three studied scores can be applied in clinical practice to estimate the outcome of victims with blunt traumatic brain injuries, taking into consideration the instruments moderate discriminatory power.

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Published

2011-12-01

Issue

Vol. 19 No. 6 (2011)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

In-hospital mortality and the Glasgow Coma Scale in the first 72 hours after traumatic brain injury . (2011). Revista Latino-Americana De Enfermagem, 19(6), 1337-1343. https://doi.org/10.1590/S0104-11692011000600009