• Hum Exp Toxicol · Apr 2004

    Reliability of the Glasgow Coma Scale for the emergency department evaluation of poisoned patients.

    • Kennon Heard and Vikhyat S Bebarta.
    • The University of Colorado Health Sciences Center, Division of Emergency Medicine, Denver, CO 80262, USA. Kennon.Heard@uchsc.edu
    • Hum Exp Toxicol. 2004 Apr 1;23(4):197-200.

    UnlabelledThe Glasgow Coma Scale (GCS) was developed for monitoring the mental status of head-injured patients in the intensive care unit. The purpose of this study is to determine the inter-rater reliability of the GCS for poisoning patients in the emergency department.MethodsThis was a prospective, observational study. Two observers used a standard assessment checklist to determine the GCS of suspected poisoning patients. Inter-rater reliability was assessed with a weighted Kappa score.ResultsA total of 39 patients were enrolled. Weighted kappa for the total GCS demonstrated excellent agreement. Agreement was also good for each component of the score.ConclusionThe GCS is a reliable tool for the evaluation of mental status of poisoning patients in the emergency department.

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