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Related Experiment Video

Updated: May 18, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
11:05

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

Published on: February 6, 2021

Does a prehospital Glasgow Coma Scale score predict pediatric outcomes?

Jo-Ann O Nesiama1, Ronald G Pirallo, E Brooke Lerner

  • 1Division of Emergency Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX 75235, USA. jo-ann.nesiama@utsouthwestern.edu

Pediatric Emergency Care
|October 2, 2012
PubMed
Summary

The prehospital Glasgow Coma Scale (GCS) score strongly agrees with the emergency department GCS score and predicts outcomes in pediatric traumatic brain injury (TBI) patients.

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Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...

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Area of Science:

  • Pediatric neurology
  • Traumatic brain injury research
  • Emergency medicine assessment

Background:

  • The Glasgow Coma Scale (GCS) is crucial for assessing neurological outcomes.
  • Limited research exists on the predictive value of prehospital (P) GCS in pediatric traumatic brain injury (TBI).

Purpose of the Study:

  • To assess agreement between prehospital (P) GCS and emergency department (ED) GCS scores.
  • To evaluate the association between P GCS and hospital discharge outcomes in pediatric TBI patients (ages 5-18).

Main Methods:

  • Retrospective review of medical records for pediatric TBI patients (ages 5-18).
  • Inclusion criteria: documented P GCS and ED GCS scores.
  • Analysis of Glasgow Outcome Scale and Disability Rating Scale scores; agreement calculated using Kappa statistic (κ).

Related Experiment Videos

Last Updated: May 18, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
11:05

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

Published on: February 6, 2021

Main Results:

  • Strong agreement observed between P GCS and ED GCS scores (κ = +0.69).
  • Improved GCS scores correlated with better Glasgow Outcome Scale categories.
  • Similar median Disability Rating Scale scores for P GCS and ED GCS, with scores increasing as GCS decreased.

Conclusions:

  • Prehospital GCS scores demonstrate strong agreement with ED GCS scores in pediatric TBI.
  • P GCS scores are strongly associated with short-term neurological outcomes.
  • Findings support utilizing P GCS for prehospital transport guidelines in pediatric TBI cases.