Difference and efficacy of simplified motor scale compared to Glasgow coma scale

Authors

  • Tammam Mozher Aldarwish Department of Emergency Medicine, King Fahad Genreal Hospital, Jeddah, Saudi Arabia
  • Mohammed Abdulaziz Alowaidhi Department of Intensive Care Unit, Hera General Hospital, Mecca, Saudi Arabia
  • Naish Abdullah Alghamdi Department of Intensive Care Unit, Ahad Rufaidah General Hospital, Abha, Saudi Arabia
  • Ahmed Mohammed Al Hammad Department of Emergency Medicine, Qatif Central Hospital, Qatif, Saudi Arabia
  • Mohammed Ibrahim Aljikhlib Department of Internal Medicine, General Network of Healthcare Providers, Jeddah, Saudi Arabia
  • Mohammad Mosa Alkhadhrawi College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Adil Ibrahim Hanbashi Department of Neurosurgery, King Fahad Central Hospital, Jazan, Saudi Arabia
  • Ammar Yarmohammed Bakhsh Department of Emergency Medicine, King Faisal Hospital, Mecca, Saudi Arabia
  • Fatimah Falah Al Matar College of Medicine, Medical University of Warsaw, Warsaw, Poland
  • Amnah Saeed Al Saffar Department of Emergency Medicine, Dammam Medical Complex, Dammam, Saudi Arabia
  • Ammar Zakaria Faloudah College of Medicine, Umm Al-Qura University, Mecca, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20214787

Keywords:

GCS, SMS, Coma, Emergency

Abstract

There have been many limitations reported with using the Glasgow coma scale (GCS), including complexity, and being difficult to apply among aphasic, intubated, and pediatric patients. Accordingly, many researchers exerted serious efforts to enhance and modify the scale to make it more applicable and easy to interpret in these settings. The simplified motor score (SMS) was reported in the literature in 2012 for the assessment of patients with coma in different traumatic and non-traumatic settings. In the present study, we have discussed the findings of previous studies in the literature that compared the efficacy between the SMS and GCS in the assessment of patients with traumatic brain injuries within the emergency department and out-patient settings. Our results indicate the efficacy of the SMS is similar to that of the GCS score in predicting the different outcomes, including functional performance, need to perform tracheal intubation and hospital admission. Nevertheless, evidence regarding the prediction of mortality seems to be inconsistent across the different investigations. However, the differences between the two scores is not remarkable among these studies, indicating that the SMS is an efficacious tool in this regard within an acceptable test performance results. Furthermore, the SMS score can be easily applied within these without performing complex approaches, which makes it more advantageous than the GCS. However, this evidence is based on a limited number of investigations, and more studies are required.

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Published

2021-12-27

How to Cite

Aldarwish, T. M., Alowaidhi, M. A., Alghamdi, N. A., Hammad, A. M. A., Aljikhlib, M. I., Alkhadhrawi, M. M., Hanbashi, A. I., Bakhsh, A. Y., Matar, F. F. A., Saffar, A. S. A., & Faloudah, A. Z. (2021). Difference and efficacy of simplified motor scale compared to Glasgow coma scale. International Journal Of Community Medicine And Public Health, 9(1), 327–331. https://doi.org/10.18203/2394-6040.ijcmph20214787

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Section

Review Articles