Correlation of Glasgow Coma Scale (GCS) with Computed Tomography (CT) in Patients of Intra-Cranial Injuries
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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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open access

Published: 18 April 2019

Correlation of Glasgow Coma Scale (GCS) with Computed Tomography (CT) in Patients of Intra-Cranial Injuries

Muhammad Abdul Hannan, Arzisha Rafiq, Mudassir Nazir, Dr. Sajid Shaheen Malik, S. Muhammad Yousaf Farooq, Ghulam Murtaza, Hamza Jabbar, Aima Gilani

The University of Lahore, Pakistan

journal of social and political sciences
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doi

10.31014/aior.1994.02.02.31

Pages: 142-152

Keywords: Glasgow Coma Scale, Intra-Cranial Injuries

Abstract

Objective: To determine the correlation of Glasgow coma scale with Computed Tomography (CT) in patients of intra-cranial injuries. Material and methods: This study is a cross-sectional analytical study with a sample size of 138 patients. Sampling techniques were non-probability convenient sampling. The study was performed in the Department of Radiology in Lahore General Hospital. The study was finished in 3 months after approval of synopsis. Ultrasound was performed with a convex transducer of 3.5 - 5MHz frequency. Outcome variables are Prostate volume and post-micturition residual (PMR). The data collection sheet was used to record observed data, and individual patient personal data will not be published. Sections were taken parallel to the canthomeatal. CT machine: Toshiba Scanner Aquilion 16 SLICE, model no: TSX-101A, model no: CGGT-018A, slice thickness: 5-7mm, gap b/w slices: 5mm, window width: 1600, window length: +350, kV: 120, mA: 200, pitch: 5. Result: Total 138 patients were enrolled in the study, in which 54 (39.1%) were females, and 84(69.9%) were males with a mean age of 37 years with a range of 4-85 ± 16.28 years. The present study was conducted for a period of two years in the Department of radiology with association from Department of Emergency medicine and included 138 patients with a history of intra-cranial injuries. The cases were referred from the Emergency unit after clinical and neurological systemic examination and calculating the GCS score. The score was blinded for the radiologist examining the case for avoiding bias in reporting. Conclusion: To conclude from our study, patients with low GCS score were considered as a severity risk factor in association with more intra-cranial injuries CT findings. Patients with low GCS score are affected by severe morbidity and devastating effects as observed from other studies.

References

  1. Ghandour H, Kobeissy F, Abbas HA, El-Sayed M, Tamim H. Traumatic Brain Injury Review: Past Present and Future. Emerg Med Inves: EMIG-175. DOI. 2018;10:2475-5605.

  2. Perel P, Roberts I, Bouamra O, Woodford M, Mooney J, Lecky F. Intracranial bleeding in patients with traumatic brain injury: a prognostic study. BMC Emergency Medicine. 2014; 9(1):15.

  3. Dewan MC, Rattani A, Gupta S, Baticulon RE, Hung YC, Punchak M, Agrawal A, Adeleye AO, Shrime MG, Rubiano AM, Rosenfeld JV. Estimating the global incidence of traumatic brain injury. Journal of neurosurgery. 2018; 27:1-8.

  4. Bhatti JA, Stevens K, Mir MU, Hyder AA, Razzak JA. Emergency care of traumatic brain injuries in Pakistan: a multicenter study. BMC emergency medicine. 2015;15(2):S12.

  5. Teasdale G, Knill-Jones RO, van der Sande JA. Observer variability in assessing impaired consciousness and coma. Journal of Neurology, Neurosurgery & Psychiatry. 2015;1;41(7):603-10.

  6. Braakman R, Gelpke GJ, Habbema JD, Maas AI, Minderhoud JM. Systematic selection of prognostic features in patients with a severe head injury. Neurosurgery. 2014;6(4):362-70.

  7. Poddar U. Approach To Acute Recurrent Pancreatitis In Children. The Child and Newborn. 2016; 20(1-4):49.

  8. Swann IJ, MacMillan R, Strong I. Head injuries at an inner city accident and emergency department. Injury. 2015; J 1;12(4):274-8.

  9. Bricolo AP, Pasut LM. Extradural hematoma: toward zero mortality: A prospective study. Neurosurgery. 2014 1;14(1):8-12.

  10. Waganekar A, Sadasivan J, Prabhu AS, Harichandra kumar KT. Computed Tomography Profile and its Utilization in Head Injury Patients in the Emergency Department: A Prospective Observational Study. Journal of emergencies, trauma, and shock. 2018;11(1):25.

  11. Saba Mushtaq MI, Riasat UB, Malik SS, Yousaf SM, Farooq M. Saudi Journal of Biomedical Research (SJBR) ISSN 2518-3214 (Print).

  12. Nayebaghayee H, Afsharian T. Correlation between Glasgow Coma Scale and brain computed tomography-scan findings in head trauma patients. Asian journal of neurosurgery. 2016 ;11(1):46

  13. Lee TT, Aldana PR, Kirton OC, Green BA. Follow-up computerized tomography (CT) scans in moderate and severe head injuries: Correlation with Glasgow Coma Scores (GCS), and complication rate. Acta Neurochir (Wien) 2017;139:1042–7.

  14. Farshchian N, Farshchian F, Rezaei M. Correlation between Glasgow Coma Scale and brain CT-scan findings in traumatic patients. J Inj Violence Res. 2016;4(3 Suppl 1) Paper No 44.

  15. Joseph B, Pandit V, Aziz H, Kulvatunyou N, Zangbar B, Green DJ, et al. Mild traumatic brain injury defined by Glasgow Coma Scale: Is it really mild? Brain Inj. 2015;29:11–6.

  16. Melo JR, Lemos-Júnior LP, Reis RC, Araújo AO, Menezes CW, Santos GP, et al. Do children with Glasgow 13/14 could be identified as mild traumatic brain injury? Arq Neuropsiquiatr. 2014;68:381–4.

  17. Chieregato A, Martino C, Pransani V, Nori G, Russo E, Noto A, et al. Classification of a traumatic brain injury: The Glasgow Coma Scale is not enough. Acta Anaesthesiol Scand. 2016;54:696–702.

  18. Grigorakos L, Alexopoulou A, Tzortzopoulou K, Stratouli S, Chroni D, Papadaki E, Alamanos I, Sakellaridis N. Predictors of outcome in patients with severe traumatic brain injury. Journal of Neuroscience & Clinical Research. 2017 30;2016.

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