Table 2.
Risk of neurosurgical intervention or intracranial pressure management on intensive care unit admission based on Glasgow Coma Score (GCS) ≤ 8; chi square analysis (N = 212)*
| GCS ≤ 8 n (%) |
GCS > 8 n (%) |
RR (95% CI) GCS > 8 = referent |
|
|---|---|---|---|
| ICP measured | |||
| Yes | 10 (17.0) | 7 (4.6) | 3.7 (1.5-9.3) |
| No | 49 (83.1) | 146 (95.4) | |
| Missing | 0 | 0 | |
| Ventriculostomy | |||
| Yes | 7 (11.9) | 11 (7.2) | 1.6 (0.7-4.0) |
| No | 52 (88.1) | 141 (92.1) | |
| Missing | 0 | 1 (0.65) | |
| Craniotomy | |||
| Yes | 6 (10.2) | 10 (6.5) | 1.5 (0.6-4.1) |
| No | 53 (89.8) | 142 (92.8) | |
| Missing | 0 | 1 (0.65) | |
| Barbiturate coma | |||
| Yes | 4 (6.8) | 3 (2.0) | 3.4 (0.8-14.8) |
| No | 55 (93.2) | 148 (96.7) | |
| Missing | 0 | 2 (1.31) | |
| Active Cooling | |||
| Yes | 5 (8.5) | 2 (1.3) | 6.4 (1.2-32.3) |
| No | 54 (91.5) | 150 (98.0) | |
| Missing | 0 | 1 (0.65) | |
| Hyperventilation | |||
| Yes | 4 (6.8) | 0 | ∞ |
| No | 55 (93.2) | 152 (99.4) | |
| Missing | 0 | 1 (0.65) | |
| Intubation | |||
| Yes | 58 (98.3) | 35 (22.9) | 4.2 (3.2-5.7) |
| No | 1 (1.7) | 117 (76.5) | |
| Missing | 0 | 1 (0.65) | |
| Hyperosmolar therapy | |||
| Yes | 20 (33.9) | 11 (7.2) | 4.8 (2.4-9.3) |
| No | 38 (64.4) | 141 (92.2) | |
| Missing | 1 (1.7) | 1 (0.65) | |
| Steroids | |||
| Yes | 5 (8.5) | 1 (0.65) | 13.1 (1.6-109.8) |
| No | 53 (89.8) | 151 (98.7) | |
| Missing | 1 (1.69) | 1 (0.65) |
*
Excludes children without an initial GCS recorded in the medical chart.