Assignment of the Verbal Component Score and Addition of Pupil Reaction to the Glasgow Coma Scale

Study Overview
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Brief Summary
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In this study, it is aimed to determine the prognostic value of GCS-P and the GCS-P score, which is formed by assigning a verbal score, in patients with traumatic brain injury, where all parameters can be evaluated. In the model to be created, a new total score will be obtained with Motor score + Eye Response + assigned verbal Score-Pupil score and this score will be compared with GCS and GCS-Pupil score.

Official Title
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Investigation of the Effect of Assigning Verbal Component Score to Glasgow Coma Scale in Patients With Traumatic Brain Injury and Adding Pupil Reaction to Determining Mortality/Morbidity in Patients

Conditions
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Brain Injuries, Traumatic

Intervention / Treatment
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* Diagnostic Test: GCS-Pupil score


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Admitted to hospital due to traumatic brain injury, 18 years and older, who were alive at the time of admission, Patients whose GCS and pupil reactivity can be evaluated completely. Exclusion Criteria: Younger than 18, Not alive at the time of admission, Patients whose GCS score and pupil reactivity are not correctly evaluated (facial trauma, past eye diseases or eye defects, etc.).

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: GCS-Pupil score|GCS+attributed verbal score- Step 1 to obtain pupillary score: Patients with a motor (M) and eye-opening response (E) total score between 2 and 6 are assigned a verbal score of +1 Patients with an M+E score of 7 are assigned a verbal score of +2 Patients with an M+E score of 8-9 are assigned a verbal score of +4 Patients with an M+E score of 10 are assigned a verbal score of +5 GCS+attributed verbal score- Step 2 to obtain the pupillary score: The total score is obtained by subtracting the pupil score from the score obtained in the 1st step. Pupil score is scored as follows; 0 points if both pupils react to light, 1 point if a pupil does not react to light and has anisocoria, 2 points if both pupils do not react to light|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MORTALITY | Death of the patient while in the hospital | From admission to discharge, an average of 1 weeks | 
| MORBIDTIY | Patients with a Glasgow Outcome score of 2 and 3 (Each patient can get 1-5 points from the Glasgow Outcome score. A low score indicates a negative result. | From admission to discharge, an average of 1 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MORTALITY | Death within 3 months after hospital discharge | 3 months after hospital discharge | 
| MORBIDITY | A Glaskow Coma Outcome Score of 2 and 3 at the end of 3 months after discharge from the hospital. (Each patient can get 1-5 points from the Glasgow Outcome score. A low score indicates a negative result) | 3 months after hospital discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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GCS, GCS-Pupil score, Brain trauma, Consciousness