TY  - JOUR
PY  - 2010//
TI  - The motor response to stimulation predicts outcome as well as the full Glasgow Coma Scale in children with severe head injury
JO  - Pediatric critical care medicine
A1  - Fortune, Peter-Marc
A1  - Shann, Frank
SP  - 339
EP  - 342
VL  - 11
IS  - 3
N2  - OBJECTIVES:: To evaluate how well the full Glasgow Coma Scale and the motor response, which is a subscore of the Glasgow Coma Scale, predict the outcome in children who have sustained a traumatic brain injury. The best scores in the first 24 hrs were used. DESIGN:: A retrospective observational study. SETTING:: A pediatric intensive care unit. PATIENTS:: Children admitted between January 1997 and December 1999. INTERVENTIONS:: None. MEASUREMENTS AND MAIN RESULTS:: Recovery with independent function (good outcome), or death, persistent coma, or dependent (bad outcome) at 6 months after the injury. Complete information was available for 130 patients. Both the full Glasgow Coma Scale and the motor response predicted outcome well: the area under the receiver operating characteristic plot was 0.88 (95% confidence interval, 0.82-0.95) for the full score and 0.89 (0.82-0.95) for the motor response. CONCLUSIONS:: Both the full Glasgow Coma Scale score and the motor response provide a useful indication of long-term outcome, although neither score is sufficiently accurate to be used to limit treatment. The full Glasgow Coma Scale does not have a linear relationship with mortality, and there is poor interobserver agreement. The motor response should be used in children in preference to the full Glasgow Coma Scale; the predictive power is equivalent to the full Glasgow Coma Scale, there is a linear relationship to mortality, and it is easier to collect accurately.<p />  <p>Language: en</p>
LA  - en
SN  - 1529-7535
UR  - http://dx.doi.org/10.1097/PCC.0b013e3181c014ab
ID  - ref1
ER  -