James' adaptation of the Glasgow @entity772 scale (JGCS) was designed for young @entity1 . Intubated @entity1 are not allocated a verbal score, however, so important changes in a @entity1 's conscious level may be missed. A grimace score was therefore developed and assessed for use in intubated @entity1 . Two observers made a JGCS observation within 15 minutes of each other. One observer was the @entity1 's nurse and the other a trained investigator. Interobserver reliability was determined between the first and second observation for each component of the scale. Reliability was measured using kappa and weighted kappa statistics. Seventy three @entity1 had 104 sets of observations. Interobserver reliability was moderate to good for all components, with the grimace score better than the verbal score. It is concluded that the grimace score is more reliable than the verbal score and may be useful in intubated @entity1 in whom the verbal score cannot be used.

Development of a modified paediatric XXXX scale in intensive care clinical practice.

@entity1 :: ('9606', 'Species') :: ['patient', 'children', 'patients'] @entity772 :: ('MESH:D003128', 'Disease') :: ['coma']
@entity772 :: (MESH:D003128,Disease) :: ['coma']
