Two scales are usually used in assessment of consciousness level, The Alert Verbal Painful Unresponsiveness (AVPU) scale and the Glasgow Coma Scale. The AVPU scale uses four simple categories (Alert; Verbal response; response to Pain; Unresponsive), but has not been studied in a large. Intensive Crit Care Nurs. Apr;31(2) doi: / Epub Jan How accurate is the AVPU scale in detecting neurological.

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Glasgow score under 10 relates to paralyse. October 26, ; Published date: The relationship is statistically significant. The four possible recordable outcomes are: References in scalw archive? Relationship between GCS score, clinical indicators and treatment outcome.

Results 95 patients were diagnosed of encephalitis in a 6 month study period. Mirsa UK found that the lower the Glasgow scalr is, the more change of convulsion occures From Wikipedia, the free encyclopedia.

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Figure 2 shows that patents with Glassgow scaler of fewer than 10 can have a higher risk of death and complications with a fairly high sensitivity The GCS score is one of the most commonly used methods. Views Read Edit View history. The AVPU scale is not suitable for long-term neurological observation of the patient; in this situation, the Glasgow Coma Scale is more appropriate.

It is a simplification of the Glasgow Coma Scalewhich assesses a patient response in three measures: It stands for a lert oriented to person, place and day ; responds to v erbal stimuli appropriate or inappropriate ; responds to p ainful stimuli localizes, withdraws or demonstrates decorticate or decerebrate neurological posturing ; or totally u nresponsive.


Use this Avpj scale to check their level of consciousness: Visit for more related articles at Pediatric Infectious Diseases: In some emergency medical services protocols, “Alert” can be subdivided into a scale of 1 to 4, in which 1, 2, 3 and 4 correspond to certain attributes, such as time, person, place, and event.

When paralyse occures, there cohld be permernent damage in the scalee tissues and it is difficult to recover. Can’t read the image? The AVPU scale should be assessed using these three identifiable traits, looking for the best response of each.

AVPU – Wikipedia

In our study, in most of the case, the cerebral spinal fluid is positive with JE. Informed and asked the consent and enrolment, Interviewed caregivers for risk factors predictors ; all subjects were tracked to discharge or end of life: Patients who have Glasfow score under 10 and convulsion are more likely to have complicatins and die Table 2. Data included presenting complaint, clinical discriminator, information on whether zvpu was normal for age or not, respiratory rate, heart rate, temperature, level of consciousness on the AVPU scale indicating whether the patient is A–alert, V -only responding to verbal stimulus, P–only responding to painful stimulus, U–unresponsiveand whether physical trauma was present or not.

Patients who had encephalitis years of age.

The AVPU scale is a rapid neurologic assessment scale commonly used by paramedics. October 31, Citation: Every year, in National Hospital of Pediatrics from to encephalitis patients are hospitalized due to encephalitis. Annals of Emergency Medicine. Pediatric Infect Dis 1: By using this site, you agree to the Terms of Use and Privacy Policy.


The assessor should always work from best A to worst U to avoid unnecessary tests on patients who are clearly conscious. Retrieved from ” https: This page was last edited on 19 Octoberat Glasgow score less than 10 and respiratosy disstress. Although AVPU has been used for many years, but research assessing the two scales is limited. Binary and ordered logistic regression. In the hospital or long term acpu facilities, caregivers may consider an AVPU score of less than A to be the patient’s normal baseline.

When glasgow score is under 10, the damage in the brain is more severe, and convulsion may makes the damage worse due to hypoxia and metabolic disfunction. Patients who have less than 10 points of GCS and paralyse are times more likely to be death or to have complications compare to the group without paralyse. More scales Rationale behind comparisons Citations. The damage is severe and the chance to a fully recovery is poor. You can help by adding to it. The risk of death and complications increases 50 times in the patients with glasgow under 10 and respiratosy disstress, and 19 times in the group glasgow score over 10 and respiratory disstress; and 4 time in the group with GCS over 10 without respitatory disstress.

A rapid assessment of consciousness level in encephalitis is of importance in treatment and prognosis for patients. In term of prognosis Factors: