Reliability of Glasgow Coma Score in pediatric trauma patients
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In brief
In brief
Retrospective study of 5,306 pediatric trauma patients comparing prehospital and emergency department Glasgow Coma Score assessments. Found moderate correlation (0.57-0.77) with lowest reliability in children under 3 years, highlighting age-dependent challenges in accurate neurological assessment during trauma triage.
Written by the GCMD Library team from the article.
Background
Discordant assessments of Glasgow Coma Score (GCS) following trauma can result in inappropriate triage. This study sought to determine the reliability of prehospital GCS compared to emergency department (ED) GCS.
Methods
We conducted a retrospective review of traumas from 01/2000 to 12/2015 at a Level-1 pediatric trauma center. We evaluated reliability between field and ED GCS using Pearson's correlation. We ascertained the difference between prehospital and ED GCS (delta-GCS). Associations between patient characteristics and delta-GCS were modeled using Poisson and linear regression, adjusting for demographic and clinical covariates.
Results
We identified 5306 patients. Pearson's correlation for GCS measurements was 0.57 for ages 0–3, and 0.67–0.77 for other age groups. Mean delta-GCS was highest for age