Glasgow outcome scale at hospital discharge as a prognostic index in patients with severe traumatic brain injury

• Main Authors: Rosmari A.R.A. Oliveira, Sebastião Araújo, Antonio L.E. Falcão, Silvia M.T.P. Soares, Carolina Kosour, Desanka Dragosavac, Eliane A. Cintra, Ana Paula D. Cardoso, Rosana A. Thiesen
• Format: Article
• Language: English
• Published: Academia Brasileira de Neurologia (ABNEURO) 2012-08-01
• Series: Arquivos de Neuro-Psiquiatria
• Subjects: traumatismos encefálicos; escala de coma de Glasgow; escala de resultado de Glasgow; prognóstico
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000800009&lng=en&tlng=en

OBJECTIVE: Evaluate the Glasgow outcome scale (GOS) at discharge (GOS-HD) as a prognostic indicator in patients with traumatic brain injury (TBI). METHOD: Retrospective data were collected of 45 patients, with Glasgow coma scale <8, age 25±10 years, 36 men, from medical records. Later, at home visit, two measures were scored: GOS-HD (according to information from family members) and GOS LATE (12 months after TBI). RESULTS: At discharge, the ERG showed: vegetative state (VS) in 2 (4%), severe disability (SD) in 27 (60%), moderate disability (MD) in 15 (33%) and good recovery (GR) in 1 (2%). After 12 months: death in 5 (11%), VS in 1 (2%), SD in 7 (16%), MD in 9 (20%) and GR in 23 (51%). Variables associated with poor outcome were: worse GOS-HD (p=0.03), neurosurgical procedures (p=0.008) and the kind of brain injury (p=0.009). CONCLUSION: The GOS-HD was indicator of prognosis in patients with severe TBI.