التفاصيل البيبلوغرافية
| العنوان: |
Meta-analysis of Glasgow Coma Scale and Simplified Motor Score in predicting traumatic brain injury outcomes. |
| المؤلفون: |
Singh, Balwinder, Murad, M. Hassan, Prokop, Larry J., Erwin, Patricia J., Wang, Zhen, Mommer, Shannon K., Mascarenhas, Sonia S., Parsaik, Ajay K. |
| المصدر: |
Brain Injury; Mar2013, Vol. 27 Issue 3, p293-300, 8p |
| مصطلحات موضوعية: |
BRAIN injuries, COMPARATIVE studies, CONFIDENCE intervals, CONSCIOUSNESS, HEALTH, INFORMATION storage & retrieval systems, MEDICAL databases, MEDICAL information storage & retrieval systems, PSYCHOLOGY information storage & retrieval systems, MEDLINE, META-analysis, MOTOR ability, NEUROSURGERY, PROBABILITY theory, SCALES (Weighing instruments), STATISTICS, TRACHEA intubation, MEDICAL triage, SYSTEMATIC reviews, BIBLIOGRAPHIC databases, INTER-observer reliability, RECEIVER operating characteristic curves, RESEARCH methodology evaluation, DESCRIPTIVE statistics, GLASGOW Coma Scale, PROGNOSIS |
| مستخلص: |
Objective: To perform a systematic review and meta-analysis to compare the Simplified Motor Score (SMS) and Glasgow Coma Scale (GCS) in predicting outcomes in patients with traumatic brain injury (TBI). Data sources and study selection: Ovid EMBASE, Ovid Medline, Ovid PsycInfo, evidence-based medicine reviews and Scopus and related conference proceedings were searched through 28 February 2012 for studies comparing SMS and GCS in predicting the outcomes [emergency tracheal intubation (ETI), clinically significant brain injuries (CSBI), neurosurgical intervention (NSI) and mortality] in patients with TBI. A random-effects model was used for meta-analysis. Data synthesis: Five retrospective studies were eligible, enrolling a total of 102 132 subjects with TBI (63.4% males), with 14 670 (14.4%) ETI, 16 201 (15.9%) CSBI, 4730 (4.6%) NSI and 6725 (6.6%) mortality. Pooled AUC of the GCS and SMS were as follows: CSBI 0.79 and 0.75 ( p = 0.16), NSI 0.83 and 0.81 ( p = 0.34), ETI 0.85 and 0.82 ( p = 0.31) and mortality 0.90 and 0.87 ( p = 0.01). The difference in AUC for mortality was 0.03. Large heterogeneity between the studies was observed in all analyses (I2 > 50%). Conclusion: In patients with TBI, SMS predicts different outcomes with similar accuracy as GCS except mortality. However, due to heterogeneity and limited numbers of studies, further prospective studies are required. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
