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The assessment of the level of consciousness in patients admitted to intensive care units (ICU) can be complicated because the variables that are evaluated can be interpreted in a different way by different observers.
The main objective is to determine interobserver agreement of the Glasgow Coma Scale (GCS) among ICU nurses and assess whether professional experience change the results. Secondary objective: to determine interobserver agreement in each of the three components (motor response, verbal and eye opening) of the GCS
Prospective observational study conducted in a multi-unit 18 beds, neurological and / or neurosurgical patients are included. Variables: Demographic, reason for admission, overall and its components GCS. The neurological assessment was performed by a minimum of 3 nurses. One of them applied algorithm and evaluation technique and all agreed independently valued response to stimuli. Interobserver agreement measured by the intraclass correlation coefficient (ICC) with confidence interval (CI) of 95%. This study was approved by the Ethics Committee of Clinical Trials hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICU patients | neurological level in critical patients |
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| Measure | Description | Time Frame |
|---|---|---|
| Interobserver Correlation | interobserver agreement of the Glasgow Coma Scale (GCS) among ICU nurses measured by the intraclass correlation coefficient (ICC) with confidence interval (CI) 95% | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Severity in Glasgow Coma Scale (GCS) by Groups. | The Glasgow Coma Scale is divided into three components which are scored separately: ocular response (assessment 1-4 points), motor response (assessment 1-6 points) verbal response (evaluation of 1-5 points). Scores for each component are added together to get the total that will range between a minimum of 3 points (which corresponds to a patient who does not open his eyes and no motor response to stimulation or verbal response) and a maximum value of 15 points (corresponding to a patient with open eyes, obeying orders and maintaining a consistent language). It has been considered that the GCS score between 15 and 13 points corresponds to a slight alteration of consciousness, a score of 12-9 points with moderate impairment and 8 points or less with a serious deterioration in level of consciousness. |
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Inclusion Criteria:
Exclusion Criteria:
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neurologic patients
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| Name | Affiliation | Role |
|---|---|---|
| Susana Arias, RN | Hospital Universitario de Getafe | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario de Getafe | Getafe | Madrid | 28009 | Spain |
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neurological and neurosurgical patients
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| ID | Title | Description |
|---|---|---|
| FG000 | Neurologic Level | Neurologic patients |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Neurologic Level | Neurologic patients |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Interobserver Correlation | interobserver agreement of the Glasgow Coma Scale (GCS) among ICU nurses measured by the intraclass correlation coefficient (ICC) with confidence interval (CI) 95% | Posted | Number | 95% Confidence Interval | percentage of correlation | 1 year |
|
|
six months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Neurologic Level | Neurologic patients |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Susana Arias Rivera | Hospital Universitario de Getafe | +34916839360 | 2459 | susana.arias@salud.madrid.org |
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| 1 year |
| Years of Professional Experience for Nurses in Critical Care | Influence of professional experience in the evaluation of neurological patients | 1 year |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Secondary | Severity in Glasgow Coma Scale (GCS) by Groups. | The Glasgow Coma Scale is divided into three components which are scored separately: ocular response (assessment 1-4 points), motor response (assessment 1-6 points) verbal response (evaluation of 1-5 points). Scores for each component are added together to get the total that will range between a minimum of 3 points (which corresponds to a patient who does not open his eyes and no motor response to stimulation or verbal response) and a maximum value of 15 points (corresponding to a patient with open eyes, obeying orders and maintaining a consistent language). It has been considered that the GCS score between 15 and 13 points corresponds to a slight alteration of consciousness, a score of 12-9 points with moderate impairment and 8 points or less with a serious deterioration in level of consciousness. | Neurological and/or neurosurgical patients in ICU | Posted | Number | 95% Confidence Interval | percentage of correlation | 1 year |
|
|
|
| Secondary | Years of Professional Experience for Nurses in Critical Care | Influence of professional experience in the evaluation of neurological patients | Nurses with a minimum experience of three years in intensive care | Posted | Median | Inter-Quartile Range | years | 1 year |
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|
| 0 |
| 125 |
| 0 |
| 125 |
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