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Concussion grading systems are sets of criteria used in sports medicine to determine the severity, or grade, of a concussion, the mildest form of traumatic brain injury.At least 16 such systems exist, [1] and there is little agreement among professionals about which is the best to use. [2]
The Glasgow Outcome Scale has also been extensively used in research and clinical trials. In a 2016 review on the management of traumatic brain injury that examined over 160 randomized controlled trials published between 1980 and 2015, the GOS or GOSE was the outcome measurement reported in over two-thirds of the trials. [13] [3]
It is used for measuring the length of PTA following a mild traumatic brain injury (that is, when PTA is less than 24 hours). The AWPTAS is administered according to specific guidelines. A patient is considered to be out of PTA the first time they attain optimal scores of 18 out of 18 (15 out of 15 on the GCS, 3 out of 3 on the picture cards.
The Glasgow Coma Scale [1] (GCS) is a clinical scale used to reliably measure a person's level of consciousness after a brain injury. The GCS assesses a person based on their ability to perform eye movements, speak, and move their body. These three behaviours make up the three elements of the scale: eye, verbal, and motor.
The Revised Trauma Score is made up of three categories: Glasgow Coma Scale, systolic blood pressure, and respiratory rate. The score range is 0–12. In START triage, a patient with an RTS score of 12 is labeled delayed, 11 is urgent, and 3–10 is immediate.
The duration of PTA in brain-injured patients is a useful predictor of the expected long-term effects of the injury, [36] along with the duration of loss of consciousness(LOC), and scores on the Glasgow Coma Scale (GCS), which measures degrees of consciousness, with higher scores indicating higher levels of functioning. A score of three ...
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A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity ranging from mild traumatic brain injury (mTBI/concussion) to severe traumatic brain injury. [ 5 ]