Abstract
Background: National guidelines recommend that patients with Glasgow Coma Scale (GCS) scores of less than 14 be triaged to trauma centers. We hypothesized that the motor component of the GCS (GCSM) would be equally sensitive as the total GCS in head injury triage. Methods: A 2-year retrospective review of 3,235 injured adults transported directly to a Level I trauma center. Results: One thousand four hundred ten patients (44%) had prehospital GCS scores recorded. GCSM was found to have a sensitivity of 0.90 for Abbreviated Injury Scale (AIS) score = 5 head injury and 0.61 for AIS score > 3 injury, whereas the GCS had sensitivities of 0.92 and 0.62, respectively (p = not significant). Specificities were equal at 0.85 for AIS score = 5 and 0.89 for AIS score > 3. Conclusion: GCSM is equivalent to GCS for prehospital triage, and in view of its simplicity it should replace the GCS in triage schemes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 42-44 |
| Number of pages | 3 |
| Journal | Journal of Trauma - Injury, Infection and Critical Care |
| Volume | 45 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 1 1998 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
- Critical Care and Intensive Care Medicine
Cite this
Efficacy of the motor component of the Glasgow Coma Scale in trauma triage. / Ross, Steven E.; Leipold, Catherine; Terregino, Carol; O'Malley, Keith F.
In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 45, No. 1, 01.07.1998, p. 42-44.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Efficacy of the motor component of the Glasgow Coma Scale in trauma triage
AU - Ross, Steven E.
AU - Leipold, Catherine
AU - Terregino, Carol
AU - O'Malley, Keith F.
PY - 1998/7/1
Y1 - 1998/7/1
N2 - Background: National guidelines recommend that patients with Glasgow Coma Scale (GCS) scores of less than 14 be triaged to trauma centers. We hypothesized that the motor component of the GCS (GCSM) would be equally sensitive as the total GCS in head injury triage. Methods: A 2-year retrospective review of 3,235 injured adults transported directly to a Level I trauma center. Results: One thousand four hundred ten patients (44%) had prehospital GCS scores recorded. GCSM was found to have a sensitivity of 0.90 for Abbreviated Injury Scale (AIS) score = 5 head injury and 0.61 for AIS score > 3 injury, whereas the GCS had sensitivities of 0.92 and 0.62, respectively (p = not significant). Specificities were equal at 0.85 for AIS score = 5 and 0.89 for AIS score > 3. Conclusion: GCSM is equivalent to GCS for prehospital triage, and in view of its simplicity it should replace the GCS in triage schemes.
AB - Background: National guidelines recommend that patients with Glasgow Coma Scale (GCS) scores of less than 14 be triaged to trauma centers. We hypothesized that the motor component of the GCS (GCSM) would be equally sensitive as the total GCS in head injury triage. Methods: A 2-year retrospective review of 3,235 injured adults transported directly to a Level I trauma center. Results: One thousand four hundred ten patients (44%) had prehospital GCS scores recorded. GCSM was found to have a sensitivity of 0.90 for Abbreviated Injury Scale (AIS) score = 5 head injury and 0.61 for AIS score > 3 injury, whereas the GCS had sensitivities of 0.92 and 0.62, respectively (p = not significant). Specificities were equal at 0.85 for AIS score = 5 and 0.89 for AIS score > 3. Conclusion: GCSM is equivalent to GCS for prehospital triage, and in view of its simplicity it should replace the GCS in triage schemes.
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U2 - 10.1097/00005373-199807000-00008
DO - 10.1097/00005373-199807000-00008
M3 - Article
VL - 45
SP - 42
EP - 44
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 1
ER -