Drake Angela I, McDonald Eric C, Magnus Nathalie E, Gray Nicola, Gottshall Kim
Department of Neurosciences, Naval Medical Center, San Diego, CA, USA.
Brain Inj. 2006 May;20(5):469-75. doi: 10.1080/02699050600676370.
To examine the efficacy of the Glasgow Coma Scale-Extended (GCS-E) for the prediction of symptoms commonly associated with mild traumatic brain injury (TBI).
Three hundred and sixty-one participants with a mild TBI were evaluated using the GCS-E and the Standardized Assessment of Concussion. A sub-group of 185 participants took part in a more extensive evaluation, which also included measures of depression and vestibular symptoms. All participants had a Glasgow Coma Scale score of 15, but experienced varying lengths of post-traumatic amnesia (PTA) as measured by the GCS-E.
Use of the GCS-E for assessment of PTA duration revealed that longer lengths of amnesia following mild TBI were associated with greater incidence of dizziness, depression and cognitive impairments during the first weeks after injury.
Results suggest that the GCS-E is a useful tool for the prediction of symptoms associated with mild TBI.
探讨格拉斯哥昏迷量表扩展版（GCS-E）对预测轻度创伤性脑损伤（TBI）常见症状的有效性。
使用GCS-E和标准化脑震荡评估对361名轻度TBI患者进行评估。185名参与者的亚组进行了更广泛的评估，其中还包括抑郁和前庭症状的测量。所有参与者的格拉斯哥昏迷量表评分为15，但根据GCS-E测量，经历了不同时长的创伤后遗忘（PTA）。
使用GCS-E评估PTA持续时间显示，轻度TBI后遗忘时间越长，与受伤后第一周内头晕、抑郁和认知障碍的发生率越高相关。
结果表明，GCS-E是预测轻度TBI相关症状的有用工具。
