OBJECTIVE To compare the value of Glasgow coma scale (GCS) and cerebral state index (CSI) on predicting hospital discharge status of acute brain-injured patients. METHODS In 60 brain-injured patients who did not receive sedatives, GCS and CSI were measured daily during the first 10 days of hospitalization. The outcome of prognostic cut-off points was calculated by GCS and CSI using receiver o...

BACKGROUND In Argentina, the rate of cadaveric organ donation per million inhabitants has recently increased to 10.5 (it was previously <7). PURPOSE To overcome this challenge, the National Institute for Organ Donation and Transplantation (INCUCAI) created a proactive donor detection plan performed by intensive care unit (ICU) physicians (hospital transplantation coordinators) from 90 selecte...

Although patients with severe multiple injuries may have other reasons for unconsciousness, traumatic brain injury (TBI) in these patients is frequently defined by the Glasgow Coma Scale (GCS). Nevertheless, the diagnostic value of GCS for severe TBI in the multiple-injured patient is unknown. Therefore, we investigated the diagnostic value of GCS to identify severe TBI in multiple-injured pati...

Background: Glasgow Coma Scale (GCS) is the gold standard for neurological assessment in traumatic head injury. Limitations to GCS include variations rater reliability, test setting and sedation/intubation. Serial Neurological Assessments Pediatrics (SNAP) was designed standardize assessment. We examined efficacy of SNAP earlier detection acute decompensation. Methods: Retrospective analysis id...

BACKGROUND In general, measuring the level of consciousness in neurological patients is important. To assess the patient's mental status, the Glasgow Coma Scale (GCS) and the level of consciousness (drowsiness, stupor, and coma) have been used in clinical situations. The aim of the present study was to identify the correlation between bispectral index (BIS) and level of consciousness in brain i...

BACKGROUND AND OBJECTIVES We examined the additive effect of the Ramsay scale, Canadian Neurological Scale (CNS), Nursing Delirium Screening Scale (Nu-DESC), and Bispectral Index (BIS) to see whether along with the assessment of pupils and Glasgow Coma Scale (GCS) it improved early detection of postoperative neurological complications. METHODS We designed a prospective observational study of ...

Methods This is a prospective observational study with institutional review board approval. Patients TBI and a Glasgow Coma Scale score ≤8 were identified on admission. Glasgow Coma Scale (GCS), Injury Severity Score (ISS), radiographic scales based on admission computed tomography (Marshall), IntraCranial Pressure (ICP), pBtO2 and pBtO2/paO2 during first 24 hours were recorded. Patient outcome...

introduction: trauma has been recognized as one of the leading causes of death in many countries for decades. reduction in mortality and morbidity rate of trauma cases is one of the most important attitudes in this field. evaluation of different risk factors have been considered as the main goal of some studies. the purpose of this study was determining potential risk factors of death in trauma...

The Third International Consensus Definitions for Sepsis and Septic Shock has recently defined sepsis as a life-threatening organ dysfunction caused by a dysregulated host response to infection. Organ dysfunctions in this consensus definition were identified as an organ-specific Sequential [Sepsis-related] Organ Failure Assessment (SOFA) score ≥ 2 points. The quick SOFA (qSOFA) considers altere...

AIMS To evaluate the management strategy of extradural hematomas (EDH), particularly with respect to its volume. METHODS AND MATERIALS Two hundred and three patients with EDH and no other significant intracranial injuries were treated over a period of three years. RESULTS The factors influencing management strategy and outcome were the Glasgow coma scale (GCS), volume of extradural hematoma...