Inter-observer Variability in Assessing GCS in Emergency department of a level I Trauma Centre in India
Neurosurgical patients,particularly of severe head
injuries require frequent assessment of Glasgow coma
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.
This was a prospective study carried out
over one month period from 1st June 2013
to 30th June
As a protocol, the GCS of head injury
patients has been observed by ED junior
residents, nurse/triage nurse and
•This data was compiled for all patients
triaged as red and yellow in the study period.
Y TO R
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).