Evaluation of the Effectiveness of Glasgow Coma Scale and Parameters in the Decision Phase of Rapid Sequence Intubation in Altered Mental Status Developing During the Emergency Room Follow-up of Non-Traumatic Patients

Osman Sezer Çınaroğlu; Adnan Yamanoğlu; Umut Payza; Ahmet Kayalı; Hüseyin Acar; Rezan Karaali; Fatih Topal

doi:10.7197/cmj.946402

EN

Evaluation of the Effectiveness of Glasgow Coma Scale and Parameters in the Decision Phase of Rapid Sequence Intubation in Altered Mental Status Developing During the Emergency Room Follow-up of Non-Traumatic Patients

Abstract

Abstract: Glasgow coma scale (GCS) is one of the most important parameters in deciding rapid sequential intubation (RSI) in emergency department (ED). The aim of this study is to determine the effectiveness of the GCS and each of its parameters in making RSI decisions in non-traumatic patients brought to the ED.

Methods: This prospective observational study was conducted in an ED of a tertiary training and research hospital, which accepts approximately 250.000 patients annually. The value of GCS and GCS parameters in deciding to intubation in patients with an RSI indication was compared with the Pearson χ2 test. Multivariate logistic regression analysis was used for assessment of combinations of GCS parameters.

Results: A total of 276 patients were included in the study. It was found that the mortality rates was statistically significantly higher in the cases with GCS 4-10 (including) in the combinations with the low motor response. Motor scoring was more statistically significant for mortality in the evaluation made by creating 120 combinations between the remaining 4-14 GCS scores after the 3 and 15 GCS scores of the cases were removed from the GCS scores.

Conclusion: It was found that the motor response showed more linear progress compared to the verbal response and eye response evaluation, and the other parameters were not linear in the evaluation between the GCS total score and GCS combinations of the cases. Motor response was determinant in the total GCS score.

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Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Osman Sezer Çınaroğlu
0000-0002-3860-2053
Türkiye

Adnan Yamanoğlu ^*
0000-0003-3464-0172
Türkiye

Umut Payza
0000-0002-5297-1066
Türkiye

Ahmet Kayalı
0000-0003-2557-0600
Türkiye

Hüseyin Acar
0000-0002-1905-7133
Türkiye

Rezan Karaali
0000-0003-1831-2566
Türkiye

Fatih Topal
0000-0002-9941-4224
Türkiye

Yayımlanma Tarihi

30 Haziran 2022

Gönderilme Tarihi

1 Haziran 2021

Kabul Tarihi

12 Haziran 2022

Yayımlandığı Sayı

Yıl 2022 Cilt: 44 Sayı: 2

DOI

https://doi.org/10.7197/cmj.946402

IZ

https://izlik.org/JA23RC95DT

Kaynak Göster

RIS / Bibtex

AMA

1.Sezer Çınaroğlu O, Yamanoğlu A, Payza U, vd. Evaluation of the Effectiveness of Glasgow Coma Scale and Parameters in the Decision Phase of Rapid Sequence Intubation in Altered Mental Status Developing During the Emergency Room Follow-up of Non-Traumatic Patients. CMJ. 2022;44(2):204-210. doi:10.7197/cmj.946402

Öz

Evaluation of the Effectiveness of Glasgow Coma Scale and Parameters in the Decision Phase of Rapid Sequence Intubation in Altered Mental Status Developing During the Emergency Room Follow-up of Non-Traumatic Patients

Abstract

Keywords

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

Kaynak Göster