Prehospital versus Emergency Department Glasgow Coma Scale in Blunt Traumatic Brain Injury: A Retrospective Review of the National Trauma Data Bank

Division

Far West

Hospital

Riverside Community Hospital

Document Type

Manuscript

Publication Date

10-1-2025

Keywords

Humans, Glasgow Coma Scale, Retrospective Studies, Male, Adult, Female, Emergency Service, Hospital, Middle Aged, Brain Injuries, Traumatic, Emergency Medical Services, Databases, Factual, Injury Severity Score, Wounds, Nonpenetrating, Young Adult, Aged, United States, Adolescent

Disciplines

Medicine and Health Sciences | Surgery | Trauma | Wounds and Injuries

Abstract

IntroductionPrevious studies have demonstrated variability between prehospital (PH) and Emergency Department (ED) Glasgow Coma Scale (GCS) for patients suffering traumatic brain injuries (TBIs). Understanding the relationship between PH and ED GCS, as well as the factors that may contribute to any observed differences, is crucial for optimizing trauma triage protocols and resource allocation.MethodsThe National Trauma Data Bank (NTDB) was surveyed for adults aged ≥18 years following blunt TBI. PH and ED GCS scores were compared, including subgroup analysis of different TBI severities, Injury Severity Score (ISS), transport time, trauma verification level, intoxication, ICP monitor use, and mortality.Results419 145 patients were included. Overall, there was no difference in median PH and ED GCS (15 vs 15, z = 0.00,

Publisher or Conference

The American Surgeon

Link to Full Text

Share

COinS