Prognostic Value of Pediatric GCS-Pupil Score in Pediatric Patients With Traumatic Brain Injury
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- Death rate
研究概览
简要总结
There are studies reporting that the survival rate in pediatric patients with abnormal pupillary response is 23% and that pupillary response is effective on mortality and patient outcomes. Studies in the literature examining the effect of pupillary response on mortality and outcome in pediatric patients with traumatic brain injury reported that bilaterally dilated pupils were associated with a higher mortality rate.
Considering the literature results, we believe that obtaining the GCS-Pupil score by combining GCS and pupillary reaction in pediatric patients with traumatic brain injury will be effective in predicting patient outcomes.
详细描述
Obtaining a GCS-Pupil score using the total GCS score: 0 points are given for pupillary reaction if both pupils react to light, 1 point if one pupil does not react to light, and 2 points if both pupils do not react to light. Total GCS-P score is calculated by the formula of Eye Response + Verbal Response + Motor Response - Pupil Reaction and scores between 1-15.
In the study, the worst GCS and current pupillary light reaction score in the first 24 hours will be evaluated.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Be under the age of 18,
- •Not having mental and motor developmental retardation,
- •Having had a traumatic brain injury,
- •Alive at admission and followed up for at least 24 hours
排除标准
- •Eye trauma or severe facial trauma that will affect the assessment,
- •Those under deep sedation,
- •Those who have been administered drugs (Atropine and mydriatic) that will affect the pupillary response.
结局指标
主要结局
Death rate
时间窗: one year
Death
次要结局
- Adverse functional outcomes(one year)
研究者
AKİF BULUT
Principal Investigator
Uludag University