Open AccessLimits of the Glasgow Coma Scale When Assessing for Sepsis in Allogeneic Hematopoietic Cell Transplant Recipients
Author(s) -
Margaret Lind,
Steven A. Pergam,
Lindsay McFarland,
Lenise Taylor,
Sandra Kei Olson,
Steven A. Pergam
Publication year - 2021
Publication title -
nursing research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.577
H-Index - 91
eISSN - 1538-9847
pISSN - 0029-6562
DOI - 10.1097/nnr.0000000000000521
Subject(s) - medicine , glasgow coma scale , cohort , hematopoietic stem cell transplantation , altered mental status , sepsis , transplantation , population , intensive care medicine , pediatrics , surgery , environmental health
The well-documented association between acute mental status changes and sepsis development and progression makes acute mental status an attractive factor for sepsis screening tools. However, the usefulness of acute mental status within these criteria is limited to the frequency and accuracy of its capture. The Glasgow Coma Scale (GCS) score-the acute mental status indicator in many clinical sepsis criteria-is infrequently captured among allogeneic hematopoietic cell transplant recipients with suspected infections, and its ability to serve as an indicator of acute mental status among this high-risk population is unknown.