ArticleNeurological research and practice2019
GCS 15: when mild TBI isn't so mild.
Article in Neurological research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Management and Prognosis of Patients with Mild Traumatic Brain Injury: A Narrative Review.Brain sciences · 2026Review
- Concussion and Head Injuries in Soccer: Research Trends, Knowledge Structure, and Emerging Themes.Orthopedic reviews · 2026Article
- Development and internal validation of the goliat score to predict 48-hour complications after minor/moderate traumatic brain injury in the emergency department: a single-center cohort study.BMC emergency medicine · 2025Article
- Soft-voting classifier for outcome prediction in traumatic brain injury patients with clear consciousness: model development and error pattern analysis.Neurosurgical review · 2025Article
- Use of artificial intelligence in diagnosis and prognosis of traumatic brain injury: a scoping review.International journal of emergency medicine · 2025Review
- One-Year Outcomes After Traumatic Brain Injury and Early Extracranial Surgery in the TRACK-TBI Study.JAMA network open · 2025Observational
- Neuroimaging in traumatic brain injury: a bibliometric analysis.International journal of emergency medicine · 2025Review
- Single Extracellular Vesicle Profiling to Define Brain Specific Traumatic Brain Injury Induced Neuro-Inflammation.Small methods · 2025Article
- What's new: the Glasgow Coma Scale at 50-evolution and future directions.Intensive care medicine · 2025Article
- Predictors of Morbidity and Mortality After Fall-related Traumatic Brain Injury.Orthopedic reviews · 2025Article
- Peri-injury symptomatology as predictors of brain computed tomography (CT) scan abnormalities in mild traumatic brain injury (mTBI).International journal of emergency medicine · 2024Article
- Convergence insufficiency as a predictor of poor prognosis after acute mild traumatic brain injury.International journal of emergency medicine · 2024Article
- Use of the Canadian CT head rule for patients on anticoagulant/anti-platelet therapy presenting with mild traumatic brain injury: prospective observational study.Frontiers in neurology · 2024Article
- Comparison and combined use of NEWS2 and GCS scores in predicting mortality in stroke and traumatic brain injury: a multicenter retrospective study.Frontiers in neurology · 2024Article
- Editorial: Manifestations of mild-to-moderate traumatic brain injury.Frontiers in neuroscience · 2023Article
- Traumatic brain injury: Mechanisms, manifestations, and visual sequelae.Frontiers in neuroscience · 2023Review
- Outcomes in Patients With Mild Traumatic Brain Injury Without Acute Intracranial Traumatic Injury.JAMA network open · 2022Observational
- An initial Glasgow Coma Scale score of 8 or less does not define severe brain injury.Emergency medicine Australasia : EMA · 2022Article
- A look back at 3 years of neurological research and practice (NRP).Neurological research and practice · 2022Article
- Role of Inflammation in Traumatic Brain Injury-Associated Risk for Neuropsychiatric Disorders: State of the Evidence and Where Do We Go From Here.Biological psychiatry · 2022Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe present study characterizes patients with the mildest of mild traumatic brain injury (TBI), as defined by a Glasgow coma score (GCS) of 15.
methodsThis is an IRB approved observational cohort study of adult patients who presented to the emergency department of a Level-1 trauma center, with the primary diagnosis of TBI and a GCS score of 15 on arrival. Data collected included demographic variables such as age, gender, race, mechanisms of injury, signs and symptoms including associated vomiting, seizures, loss of consciousness (LOC), alteration of consciousness (AOC), and post-traumatic amnesia (PTA).Pre- hospital GCS, Emergency Department (ED) GCS, and results of brain CT scans were also collected as well as patient centered outcomes including hospital or intensive care unit (ICU) admission, neurosurgical intervention, and in hospital death. Data were stored in REDCap (Research Electronic Data Capture), a secure, web- based application. Descriptive and inferential analysis was done using JMP 14.0 for the Mac.
resultsUnivariate predictors of hospital admission included LOC, AOC, and PTA, all
conclusionsThis study underscores: 1) the importance of neuroimaging in all patients with TBI, including those with a GCS 15. Fully 10% of our cohort was not imaged. Extrapolating, these would represent 2.5% bleeds, and 1.47% fractures. 2) The limitations of GCS in classifying TBI, as patients with even the mildest of mild TBI have a high frequency of gross CT abnormalities.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.