[논문]Performance of the Pediatric Glasgow Coma Scale in Children with Blunt Head Trauma

Holmes, James F.; Palchak, Michael J.; MacFarlane, Thomas; Kuppermann, Nathan

doi:10.1111/j.1553-2712.2005.tb00956.x

[해외논문] Performance of the Pediatric Glasgow Coma Scale in Children with Blunt Head Trauma 원문보기

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, v.12 no.9, 2005년, pp.814 - 819

Holmes, James F. , Palchak, Michael J. , MacFarlane, Thomas , Kuppermann, Nathan

Abstract ▼ AI-Helper

OBJECTIVES: To compare the accuracy of a pediatric Glasgow Coma Scale (GCS) score in preverbal children with blunt head trauma with the standard GCS score in older children. METHODS: The authors prospectively enrolled children younger than 18 years with blunt head trauma. Patients were divided into cohorts of those 2 years and younger and those older than 2 years. The authors assigned a pediatric GCS score to the younger cohort and the standard GCS score to the older cohort. Outcomes were 1) traumatic brain injury (TBI) on computed tomography (CT) scan or 2) TBI in need of acute intervention. The authors created and compared receiver operating characteristic (ROC) curves between the age cohorts for the association of GCS scores and TBI. RESULTS: The authors enrolled 2,043 children, and 327 were 2 years and younger. Among these 327, 15 (7.7%; 95% confidence interval [CI] = 4.4% to 12.4%) of 194 who underwent imaging with CT had TBI visible and nine (2.8%; 95% CI = 1.3% to 5.2%) had TBI needing acute intervention. In children older than 2 years, 83 (7.7%; 95% CI = 6.2% to 9.5%) of the 1,077 who underwent imaging with CT had TBI visible and 96 (5.6%; 95% CI = 4.6% to 6.8%) had TBI needing acute intervention. For the pediatric GCS in children 2 years and younger, the area under the ROC curve was 0.72 (95% CI = 0.56 to 0.87) for TBI on CT scan and 0.97 (95% CI = 0.94 to 1.00) for TBI needing acute intervention. For the standard GCS in older children, the area under the ROC curve was 0.82 (95% CI = 0.76 to 0.87) for TBI on CT scan and 0.87 (95% CI = 0.83 to 0.92) for TBI needing acute intervention. CONCLUSIONS: This pediatric GCS for children 2 years and younger compares favorably with the standard GCS in the evaluation of children with blunt head trauma. The pediatric GCS is particularly accurate in evaluating preverbal children with blunt head trauma with regard to the need for acute intervention.

참고문헌 (15)

Teasdale, G., Jennett, B.. ASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS - A Practical Scale. The Lancet, vol.304, no.7872, 81-84.

상세보기
Sternbach, George L. The Glasgow Coma Scale. The Journal of emergency medicine, vol.19, no.1, 67-71.

상세보기
Childs Brain. Raimondi AJ 12 11 1984

상세보기
Simpson, D., Reilly, P.. PAEDIATRIC COMA SCALE. The Lancet, vol.320, no.8295, 450-.

상세보기
Gedeit, R.. Head Injury. Pediatrics in review, vol.22, no.4, 118-124.

상세보기
Am J Dis Child. Yager JY 1088 144 1990

상세보기
Arch Dis Child. Tatman A 519 77 1997 10.1136/adc.77.6.519

상세보기
Simpson, D.A., Cockington, R.A., Hanieh, A., Raftos, J., Reilly, P.L.. Head injuries in infants and young children: the value of the Paediatric Coma Scale : Review of literature and report on a study. Child’s nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, vol.7, no.4,

상세보기
Childs Nerv Syst. Reilly PL 30 4 1988
MORRAY, JEFFREY P., TYLER, DONALD C., JONES, THOMAS K., STUNTZ, JAMES T., LEMIRE, RONALD J.. Coma scale for use in brain-injured children :. Critical care medicine, vol.12, no.12, 1018-1020.

상세보기
Pediatric Ann. James HE 16 15 1986 10.3928/0090-4481-19860101-05

상세보기
Palchak, Michael J., Holmes, James F., Vance, Cheryl W., Gelber, Rebecca E., Schauer, Bobbie A., Harrison, Mathew J., Willis-Shore, Jason, Wootton-Gorges, Sandra L., Derlet, Robert W., Kuppermann, Nathan. A decision rule for identifying children at low risk for brain injuries after blunt head trauma. Annals of emergency medicine, vol.42, no.4, 492-506.

상세보기
Statistical Methods for Rates and Proportions Fleiss JL 1981
J Neurosurg. Choi SC 381 69 1988 10.3171/jns.1988.69.3.0381

상세보기
J Neurosurg. Levati A 779 57 1982 10.3171/jns.1982.57.6.0779

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

[해외논문] Performance of the Pediatric Glasgow Coma Scale in Children with Blunt Head Trauma 원문보기

Abstract ▼ AI-Helper

참고문헌 (15)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트