Author: Michael Hunt, MD
- Studies have shown that patients with decreasing GCS scores have worse outcomes, however GCS of 4 has worse outcome than GCS 3.
- Alternative scoring system is the GCS-P score which is GCS score – number of non-reactive pupils.
- GCS3 50% mortality 70% poor outcome at 6 months; GCS-P of 1 had mortality 74% and poor outcome at about 90% at 6 months.
- GCS-P score is a better prognostic indicator than GCS score.
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