Volume 30, Issue 1, 2021
DOI: 10.24205/03276716.2020.2027
Prediction Values of the Simplified Motor Score and the Glasgow Coma Scale Motor Component for the Clinical Outcomes of Intracranial Hemorrhage
Abstract
Objective: To assess the prognostic values of simplified motor score (SMS) and Glasgow
Coma Scale motor component (GCS-M) in predicting the clinical outcomes of intracranial
hemorrhage (ICH).
Methods: A total of 205 patients with ICH were enrolled. The clinical outcomes were
evaluated using the Glasgow Outcome Scale (GOS) at day 30. SMS and GCS-M were evaluated by comparing areas under the receiver operating characteristic curve (AUC) in predicting 30-day mortality, respectively. The linear correlations were evaluated to determine the relationship between different parameters. Comparison of AUC was performed using the Z-test.
Results: No significant difference of AUC was found between GCS-M and GCS in predicting
30-day mortality (0.864 vs. 0.871, P = 0.552), but there was significant difference of AUC between SMS and GCS (0.779 vs. 0.871, P<0.001). The levels of SMS, GCS-M and GCS were significantly higher in good outcomes group (GOS: 4-5) compared with the poor outcomes group (GOS:1-3), while APACHE II was significantly lower. Moreover, there were significant differences on SMS, GCS-M, GCS and APACHE II among different groups based on SMS (Group One: SMS=0, Group Two: SMS =1, and Group Three: SMS=2). Finally, SMS,
GCS-M and GCS were positively correlated with GOS. Whereas SMS, GCS-M, GCS and GOS
were negatively correlated with APACHE II.
Conclusion: Compared with SMS, GCS-M demonstrates test performance similar to GCS for predicting 30-day mortality of ICH. Both SMS and GCS-M could be accurately and reliably as GCS for predicting poor outcomes of ICH.
Keywords
Intracranial Hemorrhage; Glasgow Coma Scale; Simplified Motor Score; Glasgow Outcome Scale; Prognosis