评估意识障碍和昏迷时的观察者变异性。
Observer variability in assessing impaired consciousness and coma.
作者信息
Teasdale G, Knill-Jones R, van der Sande J
出版信息
J Neurol Neurosurg Psychiatry. 1978 Jul;41(7):603-10. doi: 10.1136/jnnp.41.7.603.
Abstract
Head-injured patients were examined by a number of observers whose assessments were compared. Considerable discrepancies occurred when overall "levels" of consciousness and coma were used, and also with some terms which are in common use. More consistent assessments were obtained by employing the "Glasgow Coma Scale," which describes eye opening, verbal behaviour, and motor responsiveness. Nurses and general surgeons were as consistent as neurosurgeons when using this scale, and it was relatively resistant to language or cultural differences between observers. The practical reliability of the Glasgow scale enhances its value, both for monitoring individual cases and for making meaningful comparisons between series of patients with acute brain damage.
摘要
多名观察者对头部受伤患者进行了检查，并对他们的评估结果进行了比较。当使用意识和昏迷的总体“水平”以及一些常用术语时，出现了相当大的差异。采用“格拉斯哥昏迷量表”可获得更一致的评估结果，该量表描述了睁眼、言语行为和运动反应。护士和普通外科医生在使用该量表时与神经外科医生一样一致，并且它相对不受观察者之间语言或文化差异的影响。格拉斯哥量表的实际可靠性提高了其价值，无论是用于监测个体病例还是用于对急性脑损伤患者系列进行有意义的比较。
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