Inconsistency in the Application of Glasgow Coma Scale in Pediatric Patients
Objective: The Glasgow Coma Scale (GCS) is widely used to objectively describe the extent of patients’ impaired consciousness. However, there are known variations in scoring GCS both in adults and children which may impact patient management. The aim of this audit was to assess the application of GCS by medical and nursing staff in pediatric medical patients. Subject and Methods: An online questionnaire was distributed amongst doctors and nurses working in the Department of Child and Adolescent Health at Mater Dei Hospital in Malta. The participants assigned GCS for 8 case scenarios involving children of different ages with varying levels of consciousness. Results were analyzed by calculating percentage agreement and by Cronbach’s alpha. Results: Sixty-six participants were studied, with a response rate of 52%. Performance was poor overall, with Cronbach alpha 0.53. Correlation was better at the upper and lower ends of the scale and the worst performance was for verbal response. Only respondents with 5–10 years of experience achieved acceptable consistency in the application of the GCS (Cronbach alpha 0.78). Conclusion: There is considerable variation in application of GCS in pediatric patients, highlighting the need for education and training to improve consistency for this commonly used neurological assessment tool.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Inconsistency in the Application of Glasgow Coma Scale in Pediatric Patients ; volume:33 ; number:1 ; year:2023 ; pages:41-46 ; extent:6
Medical principles and practice ; 33, Heft 1 (2023), 41-46 (gesamt 6)
- Creator
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Caruana, Maria
Hackenbruch, Sophie Noelle
Grech, Victor
Farrugia, Ruth
- DOI
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10.1159/000534797
- URN
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urn:nbn:de:101:1-2024031323333234602967
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:48 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Caruana, Maria
- Hackenbruch, Sophie Noelle
- Grech, Victor
- Farrugia, Ruth
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Evaluation einer Lernsoftware zur Glasgow Coma Scale
Levetiracetam Dosing Based on Glasgow Coma Scale Scores in Pediatric Traumatic Brain Injury Patients
Neuropsychological assessment through Coma Recovery Scale-Revised and Coma/Near Coma Scale in a sample of pediatric patients with disorder of consciousness
Development and Implementation of an e-Learning Program on Glasgow Coma Scale
Comparison of APACHE II, MEES and Glasgow Coma Scale in patients with nontraumatic coma for prediction of mortality
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Teaching Glasgow Coma Scale Assessment by Videos: A Prospective Interventional Study among Surgical Residents
Correlation between Glasgow Coma Scale and brain computed tomography-scan findings in head trauma patients
Der Stellenwert von COHb und Glasgow Coma Scale bei der Einschätzung der Intensität einer Kohlenmonoxid-Intoxikation
Comparison of the prognostic validity of three simplified consciousness assessment scales with the Glasgow Coma Scale
Isolated traumatic acute subdural haematoma: outcome in relation to age, Glasgow Coma Scale, and haematoma thickness
Impact of Epileptic Seizures in the Neurological Intensive Care Unit (NICU) on Glasgow Coma Scale (GCS)
Evaluation einer Lernsoftware zur Glasgow Coma Scale
Levetiracetam Dosing Based on Glasgow Coma Scale Scores in Pediatric Traumatic Brain Injury Patients
Neuropsychological assessment through Coma Recovery Scale-Revised and Coma/Near Coma Scale in a sample of pediatric patients with disorder of consciousness
Development and Implementation of an e-Learning Program on Glasgow Coma Scale
Comparison of APACHE II, MEES and Glasgow Coma Scale in patients with nontraumatic coma for prediction of mortality
Awareness of Glasgow Coma Scale in anaesthesiology post-graduates in India: A survey
Teaching Glasgow Coma Scale Assessment by Videos: A Prospective Interventional Study among Surgical Residents
Correlation between Glasgow Coma Scale and brain computed tomography-scan findings in head trauma patients
Der Stellenwert von COHb und Glasgow Coma Scale bei der Einschätzung der Intensität einer Kohlenmonoxid-Intoxikation
Comparison of the prognostic validity of three simplified consciousness assessment scales with the Glasgow Coma Scale
Isolated traumatic acute subdural haematoma: outcome in relation to age, Glasgow Coma Scale, and haematoma thickness