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Journals / Bakırköy Tıp Dergisi / 2005 / Cilt: 1 - Sayı: 3

Correlation of the modified Glasgow coma scale and Ramsay sedation scale scores with bispectral index monitoring in unconscious critically ill patients

Bilinci kapalı yoğun bakım hastalarında bispektral indeks monitörizasyonu ile modifiye Glasgow koma ve Ramsay sedasyon skala puanları arasındaki ilişki

Elif BOMBACI
Ayşenur BOZTEPE
Ayşenur ÇİZEN
Banu ÇEVİK
Serhan ÇOLAKOĞLU
Yollu Tülin ATAKAN
Pages
90–94
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: It was concluded that BIS is suitable for monitoring the neurologic status in unsedated critically ill patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Monitoring critically ill patients with a decreased level of consciousness is challenging.
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Key Findings & Data:Material and Methods: Thirty-eight patients ranged from 15 to 65 years of age were evaluated for level of consciousness using BIS, GCSC and RSS in addition to standard intensive care monitorization.
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Conclusion & Impact:Conclusion: It was concluded that BIS is suitable for monitoring the neurologic status in unsedated critically ill patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Şuur kapalılığı · Bilinç · Kritik bakım

Abstract

Objective: Monitoring critically ill patients with a decreased level of consciousness is challenging. It is suggested that bispectral index monitoring (BIS) may be useful in the assessment of neurologic functions for critical care patients because simplicity is its essence. The aim of this randomised, prospective study was to assess the correlation of BIS with the Glasgow coma score modified by Cook and Palma (GCSC) and Ramsay sedation scale (RSS) for the measurement of neurologic status in critically ill patients. Material and Methods: Thirty-eight patients ranged from 15 to 65 years of age were evaluated for level of consciousness using BIS, GCSC and RSS in addition to standard intensive care monitorization. Spearman’s correlation coefficient was used to correlate the BIS scores with clinical scales. Results: BIS values correlated significantly with RSS (r= -0,388; p= 0,016) and GCSC (r= 0,629; p= 0,001). GCSC was significantly correlated with RSS (r= -0,518; p= 0,001). Conclusion: It was concluded that BIS is suitable for monitoring the neurologic status in unsedated critically ill patients. BIS was well correlated with the clinical assessment based on various scores.

Özet

Amaç: Bilinci kapalı yoğun bakım hastalarının bilinç durumunun değerlendirilmesi tartışmalı bir konudur. Bununla bağlantılı olarak yoğun bakım hastalarının nörolojik durumlarının belirlenmesinde bispektral indeks monitörizasyonunun uygulama kolaylığı nedeniyle kullanışlı olabileceği ileri sürülmüştür. Bu randomize prospektif çalışmanın amacı bispektral indeks monitörizasyonu (BlS), Cook ve Palma tarafından modifiye edilmiş Glasgow Koma Skalası (MGKS) ve Ramsay Sedasyon Skalası (RSS) puanları arasındaki ilişkinin değerlendirilmesidir. Gereç ve Yöntem: Yoğun Bakım ünitesinde 15-65 yaş arası toplam 38 hastanın bilinç durumları BlS, MGKS ve RSS kullanılarak eş zamanlı olarak değerlendirildi. BlS ölçüm sonuçlarının klinik puanlama sistemleriyle uyumluluğu "Spearman korelasyon" testi ile araştırıldı. Bulgular: BlS değerlerinin RSS ile (r= -0,388; p= 0,016) ve MGKS ile (r= 0,629-, p= 0,001) anlamlı uyumluluk gösterdiği tespit edildi. MGKS ile RSS arasında da anlamlı düzeyde uyum bulundu (r= -0,518-, p= 0,001).Sonuç: Yoğun bakım hastalarında nörolojik durumun belirlenmesinde BİS'in uygun bir monitörizasyon yöntemi olduğu, çeşitli değerlendirme testlerini temel alan klinik uygulamalar ile ilintili değerler gösterdiği kanaatine varıldı.

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Cite This Article

BOMBACI, E., BOZTEPE, A., ÇİZEN, A., ÇEVİK, B., ÇOLAKOĞLU, S., ATAKAN, Y. T. (2005). Correlation of the modified Glasgow coma scale and Ramsay sedation scale scores with bispectral index monitoring in unconscious critically ill patients. Bakırköy Tıp Dergisi, Cilt: 1 - Sayı: 3, 90–94. https://ajindex.com/articles/131788

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