.Coma scales for children with severe falciparum malaria.

CR N, T C, JA S, PA W, D F, N P, FJ K, K M. ".Coma scales for children with severe falciparum malaria.". In: Trans R Soc Trop Med Hyg. 1997 Mar-Apr;91(2):161-5. uon press; 1997.


{ The Blantyre coma scale (BCS) is used to assess children with severe falciparum malaria, particularly as a criterion for cerebral malaria, but it has not been formally validated. We compared the BCS to the Adelaide coma scale (ACS), for Kenyan children with severe malaria. We examined the inter-observer agreement between 3 observers in the assessment of coma scales on 17 children by measuring the proportion of agreement (PA), disagreement rate (DR) and fixed sample size kappa (kappa n). We assessed the sensitivity and specificity of the scales in detecting events (seizures and hypoglycaemia) in 240 children during admission and the usefulness of the scales in predicting outcome. There was considerable disagreement between observers in the assessment of both scales (BCS: PA = 0.55




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