Evaluation of Glasgow Coma Outcome Scale at Hospital Discharge as a Prognostic Index in Patients With Brain Injury

K.KALAICHANDRAN M.O.T(Neuro); M. RAMAKRISHNAN M.O.T

Volume : IV, Issue : XII, December - 2014

Evaluation of Glasgow Coma Outcome Scale at Hospital Discharge as a Prognostic Index in Patients With Brain Injury

K. Kalaichandran M. O. T Neuro , M. Ramakrishnan M. O. T

Abstract :

<p>Objective: To evaluate the Glasgow Coma Outcome Scale (GCOS) at hospital discharge as a prognostic< /> indicator in patients with ain injury< /> Method: Retrospective data were collected of 45 patients, with Glasgow coma scale &le;8, age 30&plusmn;10 years, 36 men and< /> 9 women from medical records. Later, at home visit, two measures were scored GCOS at hospital discharge (according< /> to information from family members) and GCOS &ndash; LATE (10 months after ain injury).< /> Results: At discharge, the ERG showed: Vegetative State (VS) in 2 (4%), Severe Disability (SD) in 27 (60%), Moderate< /> Disability (MD) in 15 (33%) and Good Recovery (GR) in 1 (2%). After 10 months: Death in 5 (11%), VS in 1 (2%), SD in< /> 7 (16%), MD in 9 (20%) and GR in 23 (51%). Variables associated with poor outcome were: worse GOS at hospital discharge (p=0.03), neurosurgical procedures (p=0.008) and the kind of ain injury (p=0.009).< /> Conclusion: The GCOS hospital discharge was indicator of prognosis in patients with ain injury</p>