The Glasgow Coma Scale at 40 years: standing the test of time
The Glasgow Coma Scale at 40 years: standing the test of time
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DOI：
10.1016/s1474-4422(14)70120-6
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发表时间：
2014-08-01
期刊：
影响因子：
48
通讯作者：
Murray, Gordon
中科院分区：
文献类型：
--
作者：
Teasdale, Graham;Maas, Andrew;Murray, Gordon
自1974年以来，格拉斯哥昏迷量表提供了一种床旁评估意识水平损害的实用方法，这是急性脑损伤的临床标志。该量表的设计是为了便于在一般和专业单位的临床实践中使用，并取代以前的定义不清和不一致的方法。40年后，格拉斯哥昏迷量表已成为全球临床实践和研究的一个组成部分。使用该量表的结果显示与使用其他早期严重程度和结局指标获得的结果有很强的相关性。然而，预测性陈述只能与多变量模型中的其他变量结合使用。个体患者最好用昏迷量表的三个组成部分来描述;而导出的总昏迷评分应用于分组。坚持这一原则，并通过对卫生专业人员的继续教育、不同环境的标准化以及对解决混杂因素的方法的共识来增强量表的可靠实际使用，将在未来的临床实践和研究中保持其作用。
Since 1974, the Glasgow Coma Scale has provided a practical method for bedside assessment of impairment of conscious level, the clinical hallmark of acute brain injury. The scale was designed to be easy to use in clinical practice in general and specialist units and to replace previous ill-defined and inconsistent methods. 40 years later, the Glasgow Coma Scale has become an integral part of clinical practice and research worldwide. Findings using the scale have shown strong associations with those obtained by use of other early indices of severity and outcome. However, predictive statements should only be made in combination with other variables in a multivariate model. Individual patients are best described by the three components of the coma scale; whereas the derived total coma score should be used to characterise groups. Adherence to this principle and enhancement of the reliable practical use of the scale through continuing education of health professionals, standardisation across different settings, and consensus on methods to address confounders will maintain its role in clinical practice and research in the future.