Many scoring systems have included the Glasgow-Coma-Scale (GCS) to describe changes of the central nervous system. Although significant we did not include the GCS in our new scoring system, because the calculation requires several minutes per day and patient. This limits the practicability of a scoring system and the compliance of the staff. Therefore, we constructed a new variable called “Neurologic state”, which is readily available and as significant for mortality as the GCS.
Diffuse neuropathy includes signs or symptoms of ischemic stroke or intracerebral hemorrhage:
Ischemic regions or hemorrhage demontrated by cerebral CT or MRI
Symptoms like unilateral weakness, speech impairment, convulsion, absent pupil, corneal or cough reflex