APACHEII评分、SOFA评分、GCS评分详解 APACHE II评分系统 1.APACHE II评分由急性生理评分、年龄评分及慢性健康评分构成。分值越高,表示病情越重,预后越差,病死率越高。2.急性生理评分(acute physiology score,APS)包括12项生理指标,选择入ICU最初24小时内的最差值(最高值或最低值)并根据附表分别进行评分,选择...
1.APACHE II评分由急性生理评分、年龄评分及慢性健康评分构成。分值越高,表示病情越重,预后越差,病死率越高。 2.急性生理评分(acute physiology score,APS)包括12项生理指标,选择入ICU最初24小时内的最差值(最高值或最低值)并根据附表分别进行评分,选择较高的...
Motor response: Obey commands (6 points) Localize pain (5 points) Withdrawal (4 points) Decorticate n (3 points) Decerebrate n (2 points) None (1 point) Coma XXX: A total GCS score of 14 or higher indicates a normal level of usness。while a score of 7 or lower indicates coma。The...
Motor response (M) A maximum possible score of 6 points Score the patient based on thehighest scoring responseyou are able to elicit in anysingle limb(e.g. if they were unable to move their right arm, but able to obey commands with their left arm, they’d receive a score of 6 points...
Glasgow 评分方法:M 运动反应( Motor Response ,M ):6 分:按嘱咐动作:能根据医生吩咐而作各种动作。5 分:定位性运动:刺激病人肢体不同部位,病人能试图去除刺激。4 分:异常反射(屈曲):肢体呈屈曲 11、状,特别是上肢不易拉直。3 分:可拉回肢体:刺激病人肢体,病人迅速将肢体拉回躲避。2 分:伸直反应:刺激肢体...
■ 简化运动评分(simplified motor scale,SMS)虽然评定者间可信度较GCS提高近乎一倍(83% vs 42%)[10],但上述这些工具的共性均在于略为复杂且认可度较低,一直没有获得临床的广泛采用。 GCS之父——Graham Teasdale 始终致力于以GCS评分为基石,围绕其进行进一步的升级。有一次,在他向英国爱丁堡大学临床大脑科学中心...
A focus of training was on the motor component of the GCS. A multiple-choice selection included all motor score choices. Tests were de-identified with a matching number to calculate prescoring and postscoring. Of the 54 nurses tested, 50% incorrectly completed the pretest, of which 37% had...
1.ConsciousLevel NormalConsciouslevel:Eyeopening-spontaneous 自主睁眼 Verbalresponse-oriented 回答切题 Motorresponse-obeycommands遵嘱动作 2.Definedstimuli Astructuredassessment结构性的评估体系Itsetsoutstandardisationinstimulationandanemphasisonreportingofthethreecomponentsratherthanthetotalsum.制定了标准的检查(刺激)...
Overall GCS (p=0.003) and motor score (p=0.013) at presentation was significantly associated with neurological outcome. Only overall GCS was associated with inpatient mortality (p=0.037) but there was no association with mortality at 6 months (p=0.603). Conclusions GCS of 8 or less in ...
,Dealingwithmissinginformation:Assess,communicateandmakedecisionsusingtheremainingcomponents.AlthoughguidelinesareoftenexpressedintermsofatotalGCSscore,thetrendinwhicheverofthecomponents(eye,motororverbal)canbeassessedisstillvaluable.Donotusenumber1torecordmissingcomponent;useNT(Nottestable).Donotreportatotalscorewhen...