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| Association between scores of the motor component of the GCS and outcome after severe traumatic brain injury |
| WANG Cun-zu1, XIE Jiang-ning2, CHANG Zhi-ying3, XIE Zheng-xing1, XU Hui-zhong1, DING De-qun4, CHEN Dong-yun5, CHEN Xin-cheng1 |
| 1.Department of Neurosurgery, 2.Department of Emergency， 3.Medical Record Library, 4.Medical Services， the Affiliated Hospital of Jiangsu University, Zhenjiang Jiangsu 212001； 5.Department of Neurosurgery， Danyang TCM Hospital, Zhenjiang Jiangsu 212300， China |
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Abstract Objective: To analyze association between motor scores and outcome after severe traumatic brain injury, and determine motor scores precision and reliability. Methods: A retrospective analysis was performed of severe traumatic brain injury(TBI) patients; the Glasgow coma scale(GCS) of 140 patients arriving to the hospital was recorded. Prognostic indicators included inhospital mortality during intensive care unit (ICU), days staged in ICU, Glasgow outcome score (GOS) at discharge and six-month after injury in survival patients(>1 month). Results: A total of 140 patients were identified, and 65 (46.4%) were died during ICU. The full GCS, the score of motor response, verbal response and eye opening were four independent variables and had significant correlation with mortality. The score of motor response had significant correlation with GOS at discharge and six-month after injury in long time survival patients(>1 month). Conclusion: The motor response score can accurately predict in-hospital death and outcome in severe TBI patients and be used in pre-hospital assessment.
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Received: 12 October 2012
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2012, Vol. 22 
