Assessment and prognosis of coma after head injury
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The Glasgow Coma Scale, based upon eye opening, verbal and motor responses has proved a practical and consistent means of monitoring the state of head injured patients. Observations made in the early stages after injury define the depth and duration of coma and, when combined with clinical features such as a patient's age and brain stem function, have been used to predict outcome. Series of cases in comparable depths of coma in Glasgow and the Netherlands showed remarkably similar outcomes at 3 months. Based upon observations made in the first 24 hours of coma after injury, data from 255 previous cases reliably predicted outcome in the majority of 92 new patients. The exceptions were patients with potential to recover who later developed complications: no patient did significantly better than predicted.
KeywordsPublic Health Interventional Radiology Head Injury Brain Stem Glasgow Coma Scale
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- Bond, M. R., Outcome of severe CNS damage (Ciba Found. Symp. 34), p. 141–157. Amsterdam: Elsevier. 1975.Google Scholar
- Jennett, B., Some aspects of prognosis after severe head injury. Scand. J. Rehab. Med.4 (1972), 16–20.Google Scholar
- —, Teasdale, G., Knill-Jones, R., Predicting outcome after head injury. J. Roy. Coll. Phycns. Lond.9 (1975), 231–237.Google Scholar
- Knill-Jones, R., The diagnosis of jaundice by the computation of probabilities. J. Roy. Coll. Phycns. Lond.9 (1975), 205–210.Google Scholar
- MoCance, C., Watt, J. A., Hall, D. J., An evaluation of the reliability and validity of the plantar response in a psychogeriatric population. J. Chron. Dis.21 (1968), 369–374.Google Scholar
- Pagni, C. A., The prognosis of head injured patients in a state of coma with decerebrated posture. J. Neuro. Sci.17 (1973), 289–305.Google Scholar
- —, Posner, J. B., The diagnosis of stupor and coma, 2nd Ed. Philadelphia: F. A. Davis. 1972.Google Scholar
- —, Knill-Jones, R., Jennett, B., Assessing and recording conscious level. J. Neurol. Neurosurg. Psychiat.37 (1974), 1286.Google Scholar
- —, Smith, J., Eye movement and brainstem dysfunction after head injury. J. Neurol. Neurosurg. Psychiat.38 (1975), 822.Google Scholar
- Editorial. Decision in Medicine. New Engl. J. Med.293 (1975), 254–255.Google Scholar