Inter-observer Variability in Assessing GCS in Emergency department of a level I Trauma Centre in India

258 views
172 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
258
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Inter-observer Variability in Assessing GCS in Emergency department of a level I Trauma Centre in India

  1. 1. 9/30/2013
  2. 2. 9/30/2013 Neurosurgical patients,particularly of severe head injuries require frequent assessment of Glasgow coma score (GCS).
  3. 3. 9/30/2013 As fresh residents are regularly posted in the Emergency department (ED), there is a possibility of inter-observer variability between the GCS assessed by Ed resident, ED nurse & Neurosurgery resident.
  4. 4.  This was a prospective study carried out over one month period from 1st June 2013 to 30th June 2013 .  As a protocol, the GCS of head injury patients has been observed by ED junior residents, nurse/triage nurse and neurosurgeons independently. 9/30/2013
  5. 5. 9/30/2013 • •This data was compiled for all patients triaged as red and yellow in the study period.
  6. 6. 9/30/2013 6
  7. 7. 9/30/2013 7 Red =68 [60%] Y TO R =22 [19.29% ] Yellow =24 [21.05% ]
  8. 8. The patients whose initial GCS score assessed by ED junior resident did not correlate with neurosurgeons were 32 [28.07%]. Discordance between nurses & neurosurgeons assessment were seen in only 5 patients [4.38%] (p<0.001). 9/30/2013
  9. 9. 9/30/2013
  10. 10.  Nurses being more experienced than fresh junior residents can play a vital role in correctly assessing the GCS of patients coming to ED, thereby preventing wrong triage of patients. 9/30/2013
  11. 11. 9/30/2013 THANK YOU

×