الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Context: Glasgow Coma Scale (GCS) is considered a corner stone of Neurological assessment to distinguish prognosis of traumatic injury patients.
Aim: The aim of this study was to examine validity of Glasgow coma scale - pupil age charts in predicting discharge outcome for patient with traumatic brain injury.
Methods: Descriptive exploratory research design was utilized to conduct this study at El-Fayoum University Hospitals and EL-Nabawi Mohandas General hospital in the following departments: (a) neurosurgical intensive care unit, and (b) neurosurgical inpatients ward. This research including purposive sample of 100 adults patients with Traumatic Brain Injuries using three tools on the assessment including (Patients Profile Data Form, Glasgow outcome scale, and Glasgow Coma Scale - Pupil Age charts). A criterion validity (with its two types of predictive validity and concurrent validity) was used to validate GCS-Pupil Age.
Results: The study shows that Glasgow Coma Scale-Pupil Age charts is valid in predicting outcome in patients with traumatic brain injury patient with Best cut off value <10.50, Sensitivity 91.5%, and Specificity 98.1%, while Glasgow Coma Scale with Best cut off value <9.50, Sensitivity 87.2%, and Specificity = 94.3%.
Conclusion: Glasgow Coma Scale-Pupil Age charts in addition to Computed tomography finding charts is valid in predicting discharge outcome following Traumatic Brain Injury.
Recommendation: Construct an educational program for nurses about GCS and GCS- PA charts intensive care unit to use in assessment for traumatic brain injured patients , apply the use of GCS- PA charts in the emergency unit and neurosurgical intensive care unit ,and design clinical pathway for traumatic brain injured patients from admission of patients until discharge of them considering age, pupil reactivity response, and CT finding.