Study of Glasgow Coma Scale in Neurological Patients
The assessment of the level of consciousness in patients admitted to intensive care units (ICU) can be complicated because the variables that are evaluated can be interpreted in a different way by different observers.
The main objective is to determine interobserver agreement of the Glasgow Coma Scale (GCS) among ICU nurses and assess whether professional experience change the results. Secondary objective: to determine interobserver agreement in each of the three components (motor response, verbal and eye opening) of the GCS
|Study Design:||Time Perspective: Prospective|
|Official Title:||Study of Interobserver Correlation of Glasgow Coma Scale in Critical Neurological Patients|
- Interobserver Correlation [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]interobserver agreement of the Glasgow Coma Scale (GCS) among ICU nurses measured by the intraclass correlation coefficient (ICC) with confidence interval (CI) 95%
- Severity in Glasgow Coma Scale (GCS) by Groups. [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
The Glasgow Coma Scale is divided into three components which are scored separately: ocular response (assessment 1-4 points), motor response (assessment 1-6 points) verbal response (evaluation of 1-5 points).
Scores for each component are added together to get the total that will range between a minimum of 3 points (which corresponds to a patient who does not open his eyes and no motor response to stimulation or verbal response) and a maximum value of 15 points (corresponding to a patient with open eyes, obeying orders and maintaining a consistent language).
It has been considered that the GCS score between 15 and 13 points corresponds to a slight alteration of consciousness, a score of 12-9 points with moderate impairment and 8 points or less with a serious deterioration in level of consciousness.
- Years of Professional Experience for Nurses in Critical Care [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]Influence of professional experience in the evaluation of neurological patients
|Study Start Date:||January 2012|
|Study Completion Date:||January 2013|
|Primary Completion Date:||January 2012 (Final data collection date for primary outcome measure)|
neurological level in critical patients
Please refer to this study by its ClinicalTrials.gov identifier: NCT01641978
|Hospital Universitario de Getafe|
|Getafe, Madrid, Spain, 28009|
|Principal Investigator:||Susana Arias, RN||Hospital Universitario de Getafe|