Brain Injuries, Traumatic
Conditions
Keywords
Brain traumatic, GCS-Pupil score, Pediatric
Brief summary
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.
Detailed description
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.
Interventions
OTHERGlasgow coma scale
This scale, which consists of three parameters, includes the best eye response (1-4 points), the best verbal response (1-5 points), and the best motor response (1-6 points). Total score; It is calculated as Eye Response + Verbal Response + Motor Response and takes a value between 3-15 points. The severity of head trauma is evaluated in three categories: mild (GCS 13-15 points), moderate (GCS 9-12 points), and severe (GCS ≤ 8 points).
Sponsors
Uludag University
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Death rate | one year | Death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse functional outcomes | one year | severely crippled or vegetative condition |
Countries
Turkey (Türkiye)
Contacts
Primary ContactAKİF BULUT, MSc
Outcome results
None listed