Online ISSN: 2515-8260

Keywords : Glasgow coma scale

“Study of Non-Traumatic Altered Mental Status in Emergency Department of Tertiary Care Centre”

Dr. Vijay Kumar SS MD, Dr. Shabbir Shekhli MD, S. Nijalingappa Dr.Anila Jose MD

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 555-562

BACKGROUND: The assessment of patients presenting with altered mental status (AMS) in the emergency department (ED) is challenging as these patients are characterized by a broad spectrum of illnesses and disease severity. The present study is to determine the etiology and outcome as well as the role of the GCS score as a prognostic value.
 METHODS: This prospective observational study was done in a tertiary care center, in India over a period of two years where patients with AMS were evaluated and subjected to relevant investigations. All available clinical and laboratory data were used to ascertain the cause of the altered sensorium. Patients were followed up until discharge or death.
RESULTS: Among 1000 study participants 57% were males with a mean age of 52.5years. The most common etiology was Metabolic Encephalopathy (32%) followed by poisoning (20%). Mortality was highest in Cerebrovascular accidents (84.4%) and partial recovery was highest in Neuro-infection. Glasgow Coma Scale score <6 was associated with mortality of 44.4%.
CONCLUSION: AMS is a vital warning signal, because of its potentially fatal and irreversible effects. Timely evaluation with the point of care investigation reduces mortality in metabolic and poisoning causes and greatly improves the cost-effective basis for treatment.

Assessment Of Nurses’ Knowledge Regarding Gcs Among Staff Nurses Working In Emergency Department And In-Patient Department In Tertiary Hospitals In Odisha

Minati Das, Nibedita Mohanty, Smrutirekha Bal, Pamela Majumder, Pritilagna Dash, Rajashree Saran

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 9276-9281

The Glasgow coma scale is a tool in medical profession, used to objectively evaluate the degree to which a person is unconscious or comatose. It is essential that every nurse working in the areas which needs critical care such as high dependency units, has enough knowledge to assess and intervene appropriately and he or she should also be able to communicate any changes in the condition for multidisciplinary intervention. Conducted a study “Assessing nurses’ knowledge regarding GCS among staff nurses working in emergency department and inpatient department in the tertiary care hospital, Bhubaneshwar Odisha. The study objective was assessing the previous knowledge level and the association between pretest knowledge and selected demographic variables Off Glasgow coma scale among staff nurses working in emergency and in patient department. Total 100 staff nurses who satisfied the inclusion criteria were present during the study. This is a quantitative descriptive cross-sectional study design using the GCS knowledge questionnaire, convenience sampling method was used. Results showed that 6% of nurses had poor knowledge followed by 28% and 14% with good knowledge and average, 52% of nurses had excellent knowledge respectively. The result on the association between knowledge and professional qualification showed a significant association between the two variables (X2=10.065, df=3, n=100 and p<0.005) level. There was also a significant correlation between knowledge and age (X2=11.086, df=2, and p<0.005) level. The study found that only 19.04% nurses have excellent knowledge GCS. Professional qualification and age have a correlation with satisfaction level towards nurse’s knowledge in GCS. Overall, the study supports that excellent and good knowledge to skills are important in assessing GCS levels