GLASGOW COMA SCALE, AGE AND SYSTOLIC BLOOD PRESSURE (GAP) AS IMPAIRMENT PREDICTOR OF HEAD INJURY PATIENTS
DOI:
https://doi.org/10.31674/mjn.2019.v11i01.008Abstract
Background: Pathological conditions that occur in the brain as the result of brain tissue damage may cause changes in brain function. The severity level of brain tissue damage being the description of head injury. Therefore, this requires initial assessment to predict the impairment of head injury patients by using GAP. Purpose: This study aims to understand the accuracy of GAP in predicting impairment head injury patients. Method: This study used analytical observational design with retrospective approach. Total respondents in this study were 245 patients with medical records of head injury. Measurements were conducted by using observation sheet. Data were analyzed using Receiver Operating Characteristic (ROC). Results: The results showed that AUC values of GAP were 0.806 which explained that GAP had good value of discrimination against impairment of head injury patients. Conclusion: GAP could predict the outcome of head injury patients.
Keywords:
Head Injury, GAP, ImpairmentDownloads
References
Ahun, E., Koksal, O., Sigirli, D., Torun, G., Donmez, S.S. & Armagan, E. (2014). Value of the Glasgow coma scale, age, and arterial blood pressure score for predicting the mortality of major trauma patients presenting to the emergency department. Ulus Travma Acil Cerrahi Derg, 20(4), pp 241-247.
Badan Pusat Statistik (BPS) (2017). How Many Traffic Accidents in Indonesia? Jakarta: Badan Pusat Statistik. Retrieved from: https://databoks.katadata.co.id/datapublish/2017/05/24/berapa-jumlah-kecelakaan- lalu-lintas-di-indonesia
Centre of Disease Control Prevention (CDC) (2015). Rates of TBI-related Emergency Departement Visits, Hospitalizations and Deaths. USA: Center for Disease Control and Prevention. Retrieved from: https://www.cdc.gov/traumaticbraininjury/data/rates.html
Damkliang, J., Considine, J., Kent, B. & Street, M. (2014). Initial emergency nursing management of patients with severe traumatic brain injury: Development of an evidence-based care bundle for the Thai emergency department context. Australasian Emergency Nursing Journal, 17(4), pp 152-160.
Dhandapani, S., Manju, D., Sharma, B. & Mahapatra, A. (2012). Prognostic significance of age in traumatic brain injury. Journal of Neurosciences in Rural Practice, 3(2), pp 131-135.
Djaja, S., Widyastuti, R., Tobing, K., Lasut, D. & Irianto, J. (2016). Gambaran Kecelakaan Lalu Lintas Di Indonesia Tahun 2010-2014. Jurnal Ekologi Kesehatan, 15(1), pp 30-42.
Hasler, R.M., Mealing, N., Rothen, H.U., Coslovsky, M., Lecky, F. & Juni, P. (2014). Validation and reclassification of MGAP and GAP in hospital settings using data from the Trauma Audit and Research Network. Journal of Trauma and Acute Care Surgery, 77(5), pp 757-763.
Irawan, H., Setiawan, F., Dewi, D. & Dewanto, G. (2010). Comparison of Glasgow Coma Scale and Revised Trauma Score to Predict Disability of Head Trauma Patient in Atma Jaya Hospital. Journal of the Indonesian Medical Association, 60(10), pp 437-442.
Kochanek, P.M. & Clark, R.S.B. (2016). Traumatic brain injury research highlights in 2015. The Lancet Neurology, 15(1), pp 13-15.
Kondo, Y., Abe, T., Kohshi, K., Tokuda, Y., Cook, E.F. & Kukita, I. (2011). Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score. Critical Care, 15(4), pp 1-8.
Kung, W.-M., Tsai, S.-H., Chiu, W.-T., Hung, K.-S., Wang, S.-P., Lin, J.-W. & Lin, M.-S. (2011). Correlation between Glasgow coma score components and survival in patients with traumatic brain injury. Injury, 42(9), pp 940-944.
Laytin, A.D., Kumar, V., Juillard, C.J., Sarang, B., Lashoher, A., Roy, N. & Dicker, R.A. (2015). Choice of injury scoring system in low- and middle-income countries: Lessons from Mumbai. Injury, 46(12), pp 2491-2497.
Lingsma, H.F., Yue, J.K., Maas, A.I., Steyerberg, E.W., Manley, G.T. & Investigators, T.-T. (2015). Outcome prediction after mild and complicated mild traumatic brain injury: external validation of existing models and identification of new predictors using the TRACK-TBI pilot study. Journal of Neurotrauma, 32(2), pp 83-94.
Noble, K.A. (2010). Traumatic Brain Injury and Increased Intracranial Pressure. Journal of Peri Anesthesia Nursing, 25(4), pp 242-250.
Okasha, A.S., Fayed, A.M. & Saleh, A.S. (2014). The FOUR score predicts mortality, endotracheal intubation and ICU length of stay after traumatic brain injury. Neurocritical Care, 21(3), pp 496-504.
Rapsang, A.G. & Shyam, D.C. (2015). Scoring systems of severity in patients with multiple trauma. Cirugía Española, 93(4), pp 213-221.
Roy, N., Gerdin, M., Schneider, E., Kizhakke Veetil, D.K., Khajanchi, M., Kumar, V., Saha, M.L., Dharap, S., Gupta, A., Tomson, G. & von Schreeb, J. (2016). Validation of international trauma scoring systems in urban trauma centres in India. Injury, 47(11), pp 2459-2464.
Salama, D.I., Maray, A.G. & Hamed, W. (2015). Identification of clinical and radiological predictors of outcome in head trauma patients in the emergency departement. Biolife, 3(3), pp 644-652.
Salim, C. (2015). Sistem Penilaian Trauma. CDK, 42(9), pp 702-709.
Sartorius, D., Le Manach, Y., David, J. S., Rancurel, E., Smail, N., Thicoipe, M., Wiel, E., Ricard-Hibon, A., Berthier, F., Gueugniaud, P.Y. & Riou, B. (2010). Mechanism, glasgow coma scale, age, and arterial pressure (MGAP): a new simple prehospital triage score to predict mortality in trauma patients. Critical Care Medicine, 38(3), pp 831-837.
Sherwood, L. (2016). Fisiologi Manusia Dari Sistem ke Sistem. Edisi 8, EGC: Jakarta.
Shoko, T., Shiraishi, A., Kaji, M. & Otomo, Y. (2010). Effect of pre-existing medical conditions on in-hospital mortality: analysis of 20,257 trauma patients in Japan. Journal of the American College of Surgeons, 211(3), pp 338-346.
Teasdale, G. & Jennett, B. (1974). Assessment of coma and impaired consciousness. A practical scale. Lancet, 2(7872), pp 81-84.
Urden, L.D., Stacy, K.M. & Lough, M.E. (2014). Critical Care Nursing: Diagnosis and Management Seventh Edition. Mosby: St Louis.
Valente, S.M., & Fisher, D. (2011). Traumatic Brain Injury. The Journal for Nurse Practitioners, 7(10), pp 863-870.
Walker, B.R., Colledge, N.R., Ralston, S. H., & Penman, I.D. (2014). Davidson's Principle & Practice of Medicine 22nd Edition. Elsevier: British.
Wells, A.J. & Hutchinson, P.J.A. (2018). The management of traumatic brain injury. Surgery (Oxford), 36(11), pp 613-620.
