Barsić B, Marton E, Himbele J, Ravlić Z
University Hospital for Infectious Diseases, Zagreb, Croatia.
Infection. 1996 Jul-Aug;24(4):297-300. doi: 10.1007/BF01743364.
In this prospective study the Glasgow Coma Scale (GCS) score was evaluated in 107 critically ill infectious disease (ID) patients admitted to the Intensive Care Unit (ICU) during a 1-year period. Patients were separated into two groups: those affected by central nervous system (CNS) infections and those affected by infections other than of the CNS. There were no apparent differences in the first ICU day GCS score values between the two groups (11 +/- 4 vs. 11 +/- 4, p = 0.5318). Univariate logistic regression analysis confirmed a significant relationship between the first ICU day GCS score and the subsequent ICU mortality in the group of patients with CNS infections (r = 0.3152, p = 0.0015) but not in the group with infections not affecting the CNS (r = 0.0919, p = 0.1106). Our preliminary results suggest that the prognostic value of the GCS score is valid only in patients with CNS infections but not in other ID patients.
在这项前瞻性研究中，对107例在1年期间入住重症监护病房（ICU）的重症传染病（ID）患者的格拉斯哥昏迷量表（GCS）评分进行了评估。患者被分为两组：中枢神经系统（CNS）感染患者和CNS以外感染患者。两组患者在入住ICU的第一天GCS评分值无明显差异（11±4 vs. 11±4，p = 0.5318）。单因素逻辑回归分析证实，在CNS感染患者组中，入住ICU第一天的GCS评分与随后的ICU死亡率之间存在显著关系（r = 0.3152，p = 0.0015），而在未影响CNS的感染患者组中则不存在这种关系（r = 0.0919，p = 0.1106）。我们的初步结果表明，GCS评分的预后价值仅在CNS感染患者中有效，而在其他ID患者中无效。
