Prehospital versus Emergency Department Glasgow Coma Scale in Blunt Traumatic Brain Injury: A Retrospective Review of the National Trauma Data Bank

IntroductionPrevious studies have demonstrated variability between prehospital (PH) and Emergency Department (ED) Glasgow Coma Scale (GCS) for patients suffering traumatic brain injuries (TBIs). Understanding the relationship between PH and ED GCS, as well as the factors that may contribute to any observed differences, is crucial for optimizing trauma triage protocols and resource allocation.MethodsThe National Trauma Data Bank (NTDB) was surveyed for adults aged ≥18 years following blunt TBI. PH and ED GCS scores were compared, including subgroup analysis of different TBI severities, Injury Severity Score (ISS), transport time, trauma verification level, intoxication, ICP monitor use, and mortality.Results419 145 patients were included. Overall, there was no difference in median PH and ED GCS (15 vs 15, z = 0.00,

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