RSS-Feed abonnieren

DOI: 10.1055/s-0045-1810436
The Glasgow Coma Scale and Contemporary Neurotrauma Care

Neurological examination is the mainstay of care of critically ill patients.[1] The Glasgow Coma Scale (GCS) was originally proposed in 1974 by Graham Teasdale and Bryan Jennett and has been a front-running instrument for over four decades to measure the level of consciousness of traumatic brain injury (TBI) patients.[2] Because it is easy to perform, simple, and reproducible, the GCS became a part of emergency departments, intensive care units, and prehospital care in all corners of the world.[3] But with the days of rapidly changing neurocritical care, there are numerous clinicians and scientists questioning now: is GCS still adequate enough to meet the expectations of modern-day practice, or is it not required anymore to be the gold standard?[4]
Publikationsverlauf
Artikel online veröffentlicht:
09. August 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Fisher CM. The neurological examination of the comatose patient. Acta Neurol Scand 1969; 45 (S36): 5-56
- 2 Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974; 2 (7872): 81-84
- 3 Zhang JK, Dinh TU, Teasdale G, Mercier P, Mattei TA. The message of the Glasgow Coma Scale: a comprehensive bibliometric analysis and systematic review of clinical practice guidelines spanning the past 50 years. World Neurosurg 2024; 185: 393-402.e27
- 4 Matis G, Birbilis T. The Glasgow Coma Scale–a brief review. Past, present, future. Acta Neurol Belg 2008; 108 (03) 75-89
- 5 Teasdale G, Maas A, Lecky F, Manley G, Stocchetti N, Murray G. The Glasgow Coma Scale at 40 years: standing the test of time. Lancet Neurol 2014; 13 (08) 844-854
- 6 Wijdicks EF, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: The FOUR score. Ann Neurol 2005; 58 (04) 585-593
- 7 Jalali R, Rezaei M. A comparison of the glasgow coma scale score with full outline of unresponsiveness scale to predict patients' traumatic brain injury outcomes in intensive care units. Crit Care Res Pract 2014; 2014: 289803
- 8 Brun FK, Fagertun VH, Larsen MH, Solberg MT. Comparison of Glasgow Coma Scale and Full Outline of UnResponsiveness score to assess the level of consciousness in patients admitted to intensive care units and emergency departments: a quantitative systematic review. Aust Crit Care 2025; 38 (01) 101057