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PubMed · 1447002

The Glasgow Coma Scale: time for change.

M Segatore·C Way
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Abstract

OBJECTIVE: To summarize and evaluate evidence on the psychometric properties of the Glasgow Coma Scale (GCS). RESULTS: This instrument attempts to capture the phenomenon of consciousness with three gross indicators of nervous system function. Although the GCS does capture consciousness to a limited extent and has pragmatic utility for practitioners, it suffers serious limitations for clinical monitoring and prediction and is being eclipsed by a variety of other instruments. CONCLUSION: In spite of its acknowledged shortcomings and the emergence of parallel instruments with greater reliability and validity, the GCS continues to enjoy a privileged, but unwarranted, position in clinical and investigational contexts.

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Consciousness DisordersEvaluation Studies as TopicGlasgow Coma ScaleHumansNeurologic ExaminationPrognosisPsychometricsReproducibility of ResultsSensitivity and SpecificityTreatment OutcomeJournal ArticleReview

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M Segatore, C Way. The Glasgow Coma Scale: time for change.. https://pubmed.ncbi.nlm.nih.gov/1447002/

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