Acta clinica Croatica, Vol. 40 No. 3, 2001.
Professional paper
Correlation between Glasgow Coma Scale Score and Intracranial Pressure in Patients with Severe Head Injury
Mladen Novkoski
Aleksandra Gvozdenović
Mijo Kelečić
Aleksandar Gopčević
Branka Mazul-Sunko
Mladen Širanović
Antun Fotivec
Miroslav Vukić
Lucijan Negovetić
Mladen Perić
Abstract
Patients sustaining severe head injury require use of standardized treatment protocols, most of them focused on the maintenance of cerebral perfusion pressure. Among other goals, neurologic recovery can be expected if a satisfactory level of cerebral perfusion pressure has been achieved. The aim of the study was to assess the correlation between neurologic findings expressed as Glasgow Coma Scale (GCS) score, and intracranial cerebral perfusion and mean arterial pressure. Results obtained in 24 study patients pointed to negative correlation between GCS score and intracranial pressure (p=0.006), and positive correlation between GCS score and cerebral perfusion pressure (p=0.016). There was no statistically significant correlation between GCS score and mean arterial pressure, which could be explained by use of iatrogenic procedures for the maintenance of mean arterial pressure. In conclusion, the intracranial and cerebral perfusion pressures appear to correlate well with GCS score, thus monitoring of these pressures may be highly useful in the follow-up of patients with severe brain injury.
Keywords
Brain injuries, therapy; Monitoring, physiologic; Intracranial pressure, physiology
Hrčak ID:
14868
URI
Publication date:
3.9.2001.
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