Pediatric Glasgow Coma Scale

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

The Pediatric Glasgow Coma Scale (also known as Pediatric Glasgow Coma Score or simply PGCS) is the equivalent of the Glasgow Coma Scale (GCS) used to assess the mental state of adult patients. As many of the assessments for an adult patient would not be appropriate for infants, the scale was modified slightly. Similar to GCS, the PGCS comprises three tests: eye, verbal and motor responses. The three values separately, as well as their sum, are considered. The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person).

Pediatric Glasgow Coma Scale Calculator

The scale is composed of three tests: eye, verbal and motor responses. The three values separately, as well as their sum, are considered. The lowest possible GCS (the sum) is 3 (deep coma or death), while the highest is 15 (fully awake person).[1][2]

Calculation of Pediatric Glasgow Coma Scale

Pediatric Glasgow Coma Scale
Variable Score
Motor response Infant moves spontaneously or purposefully 6
Infant withdraws from touch 5
Infant withdraws from pain 4
Abnormal flexion to pain for an infant (decorticate response) 3
Extension to pain (decerebrate response) 2
No motor response 1
Verbal response Smiles, orientated to sounds, follows objects, and interacts 5
Cries but consolable and inappropriate interactions 4
Inconsistantly inconsolable and moaning 3
Inconsolable and agitated 2
No verbal response 1
Eye response Eyes opening spontaneously 4
Eye opening to speech 3
Eye opening in response to pain stimulus 2
No eye opening 1
Pediatric Glasgow Coma Scale:
Interpretation:

Interpretation of Pediatric Glasgow Coma Scale

  • pGCS ≥ 13: Mild Head Injury
  • pGCS 9–12: Moderate Head Injury
  • pGCS ≤ 8: Severe Head Injury and represents a significant risk of mortality

See also

References

  1. James HE (January 1986). "Neurologic evaluation and support in the child with an acute brain insult". Pediatr Ann. 15 (1): 16–22. PMID 3951884.
  2. Borgialli DA, Mahajan P, Hoyle JD, Powell EC, Nadel FM, Tunik MG, Foerster A, Dong L, Miskin M, Dayan PS, Holmes JF, Kuppermann N (August 2016). "Performance of the Pediatric Glasgow Coma Scale Score in the Evaluation of Children With Blunt Head Trauma". Acad Emerg Med. 23 (8): 878–84. doi:10.1111/acem.13014. PMID 27197686.

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