Using Glasgow Coma Score at Admission to Predict One Year Mortality in Injured Admitted to the Trauma Centre of a North Indian State Lacking an Organized System of Trauma Care
Journal Title: Annual Research & Review in Biology - Year 2015, Vol 7, Issue 4
Abstract
Aim: To investigate whether Glasgow Coma Score at admission can be used to predict one year mortality in a resource constrained scenario lacking prehospital care. Study Design: Prospective observational study Place and Duration of Study: Study was conducted at the King George Medical University trauma centre between January 1st, 2010 to December 31st, 2010 Methodology: Information regarding factors known to affect mortality was recorded. Patients were followed up till death or for a period of one year since injury. Patients that died due to reasons other than injury and those with incomplete data sets were excluded from analysis. Three patients died due to reasons other than injury. Logistic regression, actuarial survival analysis, Cox proportionate Hazard model were used to identify predictors of one year mortality. Results: We enrolled 572 patients (478 males, 94 females, mean age 40.81±16.3 years). One hundred forty three patients died during follow up (140 due to injury and 3 due to other reasons). Thirty six patients had incomplete data sets. Kaplan Meir survival curve showed two distinct phase of mortality namely before and after 6th day of injury. Mortality within six days of injury was predicted by age, ISS, APTT, Glasgow Coma Score at admission and cervical spine injury. Mortality after 6th day was predicted by Glasgow Coma Score at the time of admission. Last death occurred 8 weeks after injury. Conclusion: Glasgow coma score at the time of admission is a valid predictor of one year mortality in trauma care systems lacking in pre-hospital care and an organized system of trauma care. Patients with low Glasgow Coma Score at admission continue to die 8 weeks after injury and therefore should be managed in the hospital for at least 8 weeks.
Authors and Affiliations
Vikas Verma, Girish Kumar Singh, Ajay Singh, Santosh Kumar, Suresh Kumar, Ravi Singh
Keywords
Related Articles
- EP ID EP353530
- DOI 10.9734/ARRB/2015/18159
- Views 107
- Downloads 0
In vitro Development of Chimeric Bovine Embryos Created by Combining a Single Blastomere of SCNT Embryos with an IVF Embryo
In this study, we produced chimeric embryos from a single blastomere of somatic cell nuclear transfer (SCNT) bovine embryo and in-vitro fertilized (IVF) bovine embryo, and examined the rate of blastocyst development and...
Bio-diesel Production from Residual Sunflower Oil by Trans-esterification (Acidic, Alkaline Enzymatic) and Analysis of Some of Its Physico-chemical Parameters
Aims: Recycling of residual sunflower oil for bio-diesel production, determination, and comparison with some of the physico-chemical parameters with the jatropha bio-diesel and ASTM D6751and EN 14214 standards. Study...
Cytology of Morphological Mutants of Vicia faba L. var. vikrant
Mutation breeding is an important tool in bringing genetic variability in plants. Different physical and chemical mutagens are used in mutation breeding to enhance variability. The present experiment was conducted to ind...
Intra-articular Injection of Ascorbic Acid and Dexamethasone for Management of Osteoarthritis in Dogs
Aims: The study was conducted to evaluate the beneficial effects and clinical outcome of intra-articular administration of ascorbic acid and dexamethasone for the management of osteoarthritis in dogs. Study Design: The s...
Effects of Routinely Oxytocin Injection to Induce Milk Ejection on Some Reproductive Parameters of Crossbred Cows in the Tropics of Veracruz
The objective was to assess the effects of routine intramuscular injection ofoxytocin in crossbred milked cows in days to first service (DPS), number of services per conception (SC), percentage of abortions (PA), cumulat...