Role of Glasgow Coma Scale in pediatric nontraumatic coma.

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dc.contributor.authorNayana Prabha, P Cen_US
dc.contributor.authorNalini, Pen_US
dc.contributor.authorTiroumourougane Serane, Ven_US
dc.date.accessioned2003-07-26en_US
dc.date.accessioned2009-05-27T06:09:16Z
dc.date.available2003-07-26en_US
dc.date.available2009-05-27T06:09:16Z
dc.date.issued2003-07-26en_US
dc.description.abstractOBJECTIVE: To assess the relationship between Modified Glasgow Coma Scale (MGCS), its components and survival in children with acute coma. DESIGN: Prospective observational study. SETTING: Tertiary care referral hospital. PATIENTS: Consecutive children (n = 270) with acute nontraumatic coma between 2 months to 12 years. METHODOLOGY: MGCS and brainstem reflexes were assessed at 6 hourly intervals for 72 hours from the time of admission. The lowest score of the MGCS and worst brain stem reflexes were used for the analysis. MAIN OUTCOME MEASURE: Survival. RESULTS: Total score (Spearman rank correlation coefficient IRI = O.577, ocular response (IRI = O.641), motor response (IRI = O.729), verbal response (lRI = 0.608), brain stem response (lRI = O.843) were all found to be associated with adverse outcome. Multivariate regression analysis revealed that ocular response and motor response were individually predictive of short-term outcome. CONCLUSION: A score incorporating the brain stem reflexes, ocular response and motor response in the assessment and prognostication of comatose patients needs to be evaluated.en_US
dc.description.affiliationDepartment of Pediatrics, Jawaharalal Institute of Postgraduate Medical Education and Research, Dhanvantri Nagar, Pondicherry 605 006, India. drnayanap@yahoo.comen_US
dc.identifier.citationNayana Prabha PC, Nalini P, Tiroumourougane Serane V. Role of Glasgow Coma Scale in pediatric nontraumatic coma. Indian Pediatrics. 2003 Jul; 40(7): 620-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/15212
dc.language.isoengen_US
dc.source.urihttps://indianpediatrics.neten_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshComa --mortalityen_US
dc.subject.meshFemaleen_US
dc.subject.meshGlasgow Coma Scaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshMaleen_US
dc.subject.meshOutcome Assessment (Health Care)en_US
dc.subject.meshPredictive Value of Testsen_US
dc.titleRole of Glasgow Coma Scale in pediatric nontraumatic coma.en_US
dc.typeEvaluation Studiesen_US
dc.typeJournal Articleen_US
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