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Human & Experimental Toxicology
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Reliability of the Glasgow Coma Scale for the emergency department evaluation of poisoned patients

Kennon Heard

The University of Colorado Health Sciences Center, Division of Emergency Medicine and Section of Medical Toxicology, Colorado Emergency Medicine Research Center, and the Rocky Mountain Poison and Drug Center, Denver, CO, USA; University of Colorado Health Sciences Center, Division of Emergency Medicine B215, 4200 E 9th Ave, Denver, CO 80262, USA, Kennon.Heard{at}uchsc.edu

Vikhyat S Bebarta

The University of Colorado Health Sciences Center, Division of Emergency Medicine and Section of Medical Toxicology, Colorado Emergency Medicine Research Center, and the Rocky Mountain Poison and Drug Center, Denver, CO, USA

The 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. Methods: This 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. Results: A 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. Conclusion: The GCS is a reliable tool for the evaluation of mental status of poisoning patients in the emergency department.

Key Words: Glasgow Coma Scale • mental status examination • monitoring

Human & Experimental Toxicology, Vol. 23, No. 4, 197-200 (2004)
DOI: 10.1191/0960327104ht436oa
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