意识水平的简单床边评估：两种简单评估量表与格拉斯哥昏迷量表的比较。
Simple bedside assessment of level of consciousness: comparison of two simple assessment scales with the Glasgow Coma scale.
作者信息
McNarry A F, Goldhill D R
机构信息
Department of Anaesthesia and Critical Care, Royal London Hospital, Barts and the London NHS Trust, Alexandra Wing, The Royal London Hospital, Whitechapel, London E1 1BB, UK.
出版信息
Anaesthesia. 2004 Jan;59(1):34-7. doi: 10.1111/j.1365-2044.2004.03526.x.
Neurological assessment is an essential component of early warning scores used to identify seriously ill ward patients. We investigated how two simple scales (ACDU - Alert, Confused, Drowsy, Unresponsive; and AVPU - Alert, responds to Voice, responds to Pain, Unresponsive) compared to each other and also to the more complicated Glasgow Coma Scale (GCS). Neurosurgical nurses recorded patients' conscious level with each of the three scales. Over 7 months, 1020 analysable measurements were collected. Both simple scales identified distinct GCS ranges, although some overlap occurred (p < 0.001). Median GCS scores associated with AVPU were 15, 13, 8 and 6 and for ACDU were 15, 13, 10 and 6. The median values of ACDU were more evenly distributed than AVPU and may therefore be better at identifying early deteriorations in conscious level when they occur in critically ill ward patients.
神经学评估是用于识别病房重症患者的早期预警评分的重要组成部分。我们研究了两种简单量表（ACDU——清醒、困惑、嗜睡、无反应；以及AVPU——清醒、对声音有反应、对疼痛有反应、无反应）相互之间以及与更复杂的格拉斯哥昏迷量表（GCS）相比的情况。神经外科护士用这三种量表记录患者的意识水平。在7个多月的时间里，收集了1020次可分析的测量数据。尽管存在一些重叠（p < 0.001），但两种简单量表都识别出了不同的GCS范围。与AVPU相关的GCS中位数分数分别为15、13、8和6，与ACDU相关的分别为15、13、10和6。ACDU的中位数比AVPU分布更均匀，因此在识别重症病房患者意识水平早期恶化情况时可能更具优势。
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