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Russian Sklifosovsky Journal "Emergency Medical Care"

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Glasgow Coma Scale (GCS): Multicenter Validation Study of Psychometric Properties of the Official Russian Version

https://doi.org/10.23934/2223-9022-2025-14-1-14-22

Abstract

OBJECTIVE. Assessment of patients with impaired consciousness is a priority task in the department intensive care. The Glasgow Coma Scale (GCS), which includes assessment of motor , speech and ocular reactions, was the first scale developed for this purpose. The absence of versions of the GCS that passed validation research, reduces quality of its application in Russia and other Russian-speaking countries and limits the possibility of obtaining objective clinical results during evaluation patients with reduced level of wakefulness, significantly decreased availability of the scale for scientific and clinical use.

AIM OF STUDY. Rating psychometric parameters of the Glasgow Coma Scale as part of the 2nd stage of the multicenter validation research.

MATERIAL AND METHODS. In a group of 171 patients over 18 years old with different levels decreased wakefulness, as well as in clear consciousness, hospitalized in the department resuscitation and intensive care therapy performed assessment psychometric properties (reliability, validity, sensitivity).

RESULTS. For the Russian version of the GCS received high levels of validity (p<0.0001, Spearman correlation coefficient r=0.91), reliability (p<0.001, coefficient correlations Spearman r=0.88; p<0.0001, Cronbach’s alpha coefficient α=0.78; p<0.001, Cohen’s kappa coefficient κ=0.74) and sensitivity (Wilcoxon test p=0.426 in the main group and Wilcoxon test p=0.782 in the group “without speech function assessment”).

CONCLUSION. In the conducted research demonstrated a sufficient level psychometric properties of the Russian version of the Glasgow Coma Scale, which opens up the possibility of its application in Russia and Russian-speaking countries. The scale is available for downloading on the Validation Group website international scales and questionnaires of the Federal State Budgetary Scientific Institution Scientific Center of Neurology.

About the Authors

M. A. Piradov
Scientific Center of Neurology, Institute of Neurorehabilitation and Restorative Technologies
Russian Federation

Mikhail A. Piradov - Academician of the RAS, Vice President of the RAS, Professor, Doctor of Medical Sciences, Director of the Scientific Center of Neurology;

Volokolamskoe Sh. 80, Moscow, 123365


N. A. Suponeva
Scientific Center of Neurology, Institute of Neurorehabilitation and Restorative Technologies
Russian Federation

Natalia A. Suponeva - Corresponding Member of the RAS, Professor, Doctor of Medical Sciences, Chief Researcher, Director of the Institute of Neurorehabilitation and Restorative Technologies, Scientific Center of Neurology;

Volokolamskoe Sh. 80, Moscow, 123365


K. A. Yatsko
Scientific Center of Neurology, Institute of Neurorehabilitation and Restorative Technologies; Lomonosov Moscow State University
Russian Federation

Ksenia A. Yatsko - Neurologist, Institute of Clinical and Preventive Neurology, Scientific Center of Neurology; Postgraduate Student, Faculty of Fundamental Medicine, Lomonosov Moscow State University;

Volokolamskoe Sh. 80, Moscow, 123365; Leninskie Gory 1, Moscow, 119191


D. G. Yusupova
Scientific Center of Neurology, Institute of Neurorehabilitation and Restorative Technologies
Russian Federation

Dzamilya G. Yusupova - Candidate of Medical Sciences, Head of the Validation Group for International Scales and Questionnaires, Institute of Neurorehabilitation and Restorative Technologies, Scientific Center of Neurology.

Volokolamskoe Sh. 80, Moscow, 123365


A. A. Zimin
Scientific Center of Neurology, Institute of Neurorehabilitation and Restorative Technologies
Russian Federation

Alexey A. Zimin - Candidate of Pedagogical Sciences, Researcher, Validation Group for International Scales and Questionnaires, Institute of Neurorehabilitation and Restorative Technologies, Scientific Center of Neurology.

Volokolamskoe Sh. 80, Moscow, 123365


L. A. Legostayeva
Scientific Center of Neurology, Institute of Neurorehabilitation and Restorative Technologies
Russian Federation

Lyudmila A. Legostayeva - Candidate of Medical Sciences, Junior Researcher, Institute of Neurorehabilitation and Restorative Technologies, Scientific Center of Neurology.

Volokolamskoe Sh. 80, Moscow, 123365


E. G. Yazeva
Scientific Center of Neurology, Institute of Neurorehabilitation and Restorative Technologies
Russian Federation

Elizaveta G. Yazeva - Candidate of Medical Sciences, Neurologist, Institute of Neurorehabilitation and Restorative Technologies, Scientific Center of Neurology;

Volokolamskoe Sh. 80, Moscow, 123365


M. A. Domashchenko
Central Clinical Medical and Sanitary Unit
Russian Federation

Maksim A. Domashchenko - Candidate of Medical Sciences, Chief Physician of the Central Clinical Medical and Sanitary Unit;

Naberezhnaya Str. 18/9, Magnitogorsk, Chelyabinsk Region, 455023


V. Yu. Samorukov
S.P. Botkin City Clinical Hospital
Russian Federation

Vladislav Yu. Samorukov - Candidate of Medical Sciences, Head of the Department of Anesthesiology and Resuscitation No. 35, S.P. Botkin City Clinical Hospital.

2nd Botkinsky proezd 5, Moscow, 125284


A. A. Belkin
Clinical Institute of the Brain
Russian Federation

Andrey A. Belkin - Professor, Doctor of Medical Sciences, Director of the Clinical Institute of the Brain.

Yasnaya Str, 38, Yekaterinburg, 620102


E. A. Kondratyeva
V.A. Almazov National Medical Research Center, Professor A.L. Polenov Russian Research Neurosurgical Institute; S.M. Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Russian Federation

Ekaterina A. Kondratyeva - Doctor of Medical Sciences, Senior Lecturer, Department of Physical and Rehabilitation Medicine, S.M. Kirov Military Medical Academy; Leading Researcher, Head of the Group for the Study of Minimal Consciousness, A.L. Polenov Russian Scientific Research Institute, a Branch of the V.A. Almazov National Medical Research Center.

Akkuratova Str. 2, Saint Petersburg, 197341; Academika Lebedeva Str. 6, St. Petersburg, 194044


S. A. Kondratyev
V.A. Almazov National Medical Research Center, Professor A.L. Polenov Russian Research Neurosurgical Institute
Russian Federation

Sergey A. Kondratyev - Candidate of Medical Sciences, Neurologist, Senior Researcher, Group for the Study of Minimal Consciousness, Research Laboratory of Neuroprotection and Neurometabolic Violations of the Professor A.L. Polenov Russian Research Neurosurgical Institute, Branch of the V.A. Almazov National Medical Research Center.

Akkuratova Str. 2, Saint Petersburg, 197341


G. R. Ramazanov
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Ganipa R. Ramazanov - Candidate of Medical Sciences, Deputy Director – Head of the Regional Vascular Center; Head of the Scientific Department of Emergency Neurology and Rehabilitation Treatment, N.V. Sklifosovsky Research Institute for Emergency Medicine.

Bolshaya Sukharevskaya Sq. 1, Moscow, 129090


E. A. Kovaleva
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Ella A. Kovaleva - Candidate of Medical Sciences, Neurologist, Neurological Department for Patients with Acute Cerebrovascular Accidents with the Intensive Care Unit, N.V. Sklifosovsky Research Institute for Emergency Medicine;

Bolshaya Sukharevskaya Sq. 1, Moscow, 129090


S. S. Petrikov
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Sergey S. Petrikov - Corresponding Member of the RAS, Professor of the RAS, Doctor of Medical Sciences, Director of the N.V. Sklifosovsky Research Institute for Emergency Medicine.

Bolshaya Sukharevskaya Sq. 1, Moscow, 129090


K. A. Popugaev
A.I. Burnazyan Federal Medical Biophysical Center
Russian Federation

Konstantin A. Popugaev - Professor of the RAS, Doctor of Medical Sciences, Deputy Chief Physician for Anesthesiology and Resuscitation, Head of the Department of Anesthesiology and Resuscitation and Intensive Care, A.I. Burnazyan Federal Medical Biophysical Center.

Marshala Novikova Str. 23, Moscow, 123098


Yu. V. Ryabinkina
Scientific Center of Neurology, Institute of Neurorehabilitation and Restorative Technologies
Russian Federation

Yulia V. Ryabinkina - Doctor of Medical Sciences, Leading Researcher, Head of the Department of Anesthesiology and Resuscitation with Resuscitation and Intensive Care Units, Scientific Center of Neurology.

Volokolamskoe Sh. 80, Moscow, 123365


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For citations:

Piradov M.A., Suponeva N.A., Yatsko K.A., Yusupova D.G., Zimin A.A., Legostayeva L.A., Yazeva E.G., Domashchenko M.A., Samorukov V.Yu., Belkin A.A., Kondratyeva E.A., Kondratyev S.A., Ramazanov G.R., Kovaleva E.A., Petrikov S.S., Popugaev K.A., Ryabinkina Yu.V. Glasgow Coma Scale (GCS): Multicenter Validation Study of Psychometric Properties of the Official Russian Version. Russian Sklifosovsky Journal "Emergency Medical Care". 2025;14(1):14-22. (In Russ.) https://doi.org/10.23934/2223-9022-2025-14-1-14-22

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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)

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