Reliability and accuracy of the Glasgow Coma Scale with experienced and inexperienced users.
To investigate whether the Glasgow Coma Scale (GCS) can be used reliably and accurately by inexperienced observers, ratings made by observers grouped by level of experience were examined for within-group interobserver disagreements and for discrepancies with scores given by an expert. The GCS was us...
| Publicado en: | Lancet Vol. 337; no. 8740; pp. 535 - 539 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lancet
3/2/1991
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107508090&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107508090 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01406736 LAN jtl: Lancet issn: 01406736 maglogo: N pubinfo: dt: 3/2/1991 vid: 337 iid: 8740 pid: 1297 pub: Lancet place: Philadelphia, Pennsylvania artinfo: ui: 107508090 107508090 NLM1671900 1991130716 10.1016/0140-6736(91)91309-i NLM1671900 107508090 ppf: 535 ppct: 4 formats: fmt: @attributes: type: T tig: atl: Reliability and accuracy of the Glasgow Coma Scale with experienced and inexperienced users. aug: au: Rowley G Fielding K Rowley, G Fielding, K affil: School of Graduate Studies, Faculty of Education, Monash University, Melbourne, Victoria, Australia sug: subj: Glasgow Coma Scale Neuroscience Nursing Reliability Evaluation Evaluation Research Reproducibility of Results Neurologic Examination Standards Neurologic Examination Equipment and Supplies Human ab: To investigate whether the Glasgow Coma Scale (GCS) can be used reliably and accurately by inexperienced observers, ratings made by observers grouped by level of experience were examined for within-group interobserver disagreements and for discrepancies with scores given by an expert. The GCS was used accurately by experienced and highly trained users, but inexperienced users made consistent errors. The errors were such that they would not be detectable by studies that examine only interobserver agreement, and they were substantial, averaging in some cases more than one point on the four-point and five-point scales of the GCS. Also, the error rates were highest at the intermediate levels of consciousness, for which the detection of changes in condition is vital. The findings support the continued use of the GCS by appropriately qualified personnel, but call into question much of the conventional wisdom about its reliability when used by untrained or inexperienced staff. The findings also suggest that interobserver comparisons are insufficient for establishing the viability of the GCS. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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