Comparison between the Glasgow Coma Scale and Simplified Motor Score as a Tools to Predict Outcome for Adult Stroke Patients.
- Author:
Do Hyun KOO
1
;
Yong Chul CHO
;
Se Kwang OH
;
Seung RYU
;
Jin Woong LEE
;
Seung Whan KIM
;
In Sool YOO
;
Yeon Ho YOU
Author Information
1. Department of Emergency Medicine, College of Medicine, Chungnam National University, Daejeon, Korea. emfire@cnuh.co.kr
- Publication Type:Original Article
- Keywords:
Severity of illness index;
Stroke;
Glasgow coma scale
- MeSH:
Adult;
Area Under Curve;
Dinucleoside Phosphates;
Emergency Medical Services;
Emergency Medicine;
Glasgow Coma Scale;
Humans;
Intubation;
Prospective Studies;
Severity of Illness Index;
Stroke;
Students, Medical
- From:Journal of the Korean Society of Emergency Medicine
2009;20(1):95-100
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We wanted to evaluate the utility of the Simplified Motor Score (SMS) for prediction of outcome for adult stroke patients. METHODS: This was a prospective study of adult stroke patients from May to October, 2007. Emergency medicine residents independently checked the Glasgow Coma Scale (GCS) for each patient at the same time that interns otherwise, senior medical students (MS) and nurses checked the 3-point SMS within 5 minutes of patients arrival at our emergency care center. We telephoned the patients or their families to inform them of intubation, or death and to check the cerebral performance category (CPC) on the first- day and- first month after the patients' visits. RESULTS: Fifty-eight patients were enrolled in this study. Each SMS of evaluation by interns, MS and nurses was correlated with GCS (Correlation Coefficient=0.63, 0.59, 0.61; p<0.01, respectively). In the case of mortality within 24 hours, the AUC (area under the curve) for GCS was 0.46 and the AUCs for SMS of interns, MS and nurses were 0.94, 0.94, and 0.94. In the case of intubation within 24 hours, the AUC for GCS was 0.81 and the AUCs for SMS of interns, MS and nurses were 0.78, 0.79, and 0.77. In the case of CPC at one month, the AUC for GCS was 0.82 and the AUCs for SMS of interns, MS and nurses were 0.74, 0.75, and 0.73, respectively. CONCLUSION: The accuracy of SMS was equal to that of GCS for predicting outcome for adult stroke patients in such parameters as mortality, intubation and CPC.
