Washington, DC– The undisputed universal measurement tool for mental status assessment, the Glasgow Coma Scale, is unreliable, hard to remember and too non-specific to be useful for emergency patients, according to an editorial published online yesterday in Annals of Emergency Medicine. The editorial accompanies a study comparing the Glasgow Coma Scale to the Simplified Motor Score (SMS) for predicting outcomes for traumatic brain injury patients in the out-of-hospital setting (“Cheerio, Laddie! Bidding Farewell to the Glasgow Coma Scale” and “Validation of the Simplified Motor Score in the Out-of-Hospital Setting for the Prediction of Outcomes Following Traumatic Brain Injury”).
Dr. Green’s editorial responds to a study of 19,408 patient records, which showed little difference between the GCS and the SMS for predicting outcomes in traumatic brain injury in the out-of-hospital setting. The SMS was actually more accurate than the GCS in predicting mortality.
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