Abstract Details

Title 24 Hour Glasgow Coma Scale and Its Components Are Better Predictors of Outcome Than Initial GCS Score in Spontaneous Intracerebral Hemorrhage

Topic Interventional Neurology

Presentation(s) P04 - (-)

Poster/Presentation
Number 095

Objective

Background BACKGROUND: Spontaneous intracranial hemorrhage (ICH) comprises approximately a fifth of all strokes. The Glasgow Coma Scale (GCS) is a measure of assessing the depth and duration of impaired consciousness and coma. It has been shown that both initial and 24 hour GCS score are related to poorer outcomes in patients with ICH.

Design/Methods DESIGN/METHODS: We conducted a retrospective analysis of patients who suffered a spontaneous ICH between July 2009 and June 2012 at a community teaching hospital. GCS and its components were recorded at initial presentation and 24 hours. At discharge, mRS was recorded. Of 377 patients, 355 met the inclusion criteria and were included in the study. The data was compiled and was analyzed for strength of associations between total GCS and its components initially and at discharge with mRS, using SPSS software version 20.

Results RESULTS: Of 355 patients (mean age = 68.56 +/- 14.59, 56% male), there was a significant difference between mean initial and 24 hour total GCS score, p < 0.05. The only single component of GCS that significantly differed between initial presentation and 24 hours was the verbal score, p < 0.05. Both initial and 24 hour GCS scores and each of their components were correlated with outcome defined by discharge mRS. Please refer to table for association values.

Conclusions CONCLUSIONS: GCS Score at 24 hours is a better predictor of outcome in comparison to initial GCS score. Furthermore, using the combined score of the three components had a stronger predictive value than any individual component for both initial and 24 hour GCS.

Authors/Disclosures
Siddhart K. Mehta, MD PRESENTER	Dr. Mehta has nothing to disclose.
Mohammad Moussavi, MD	Dr. Moussavi has nothing to disclose.
Punam Dass, MD (Mount Sinai)	Dr. Dass has nothing to disclose.
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Haitham Dababneh, MD	No disclosure on file
	No disclosure on file
Jawad F. Kirmani, MD	Dr. Kirmani has nothing to disclose.

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