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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Patients who had encephalitis years of age. Can’t read the image? A rapid assessment of consciousness level in encephalitis is of importance in treatment and prognosis for patients. October 26, ; Published date: When patients have reduction of conciuousness levers and respiratory disstress not because of respiratory diseasesthe damage may develop in the center of respiratory. The assessor should always work from best A to worst U svpu avoid unnecessary tests on patients who are clearly conscious.

October 13, ; Accepted date: The AVPU scale is a rapid neurologic assessment scale commonly used by paramedics. Binary and ordered logistic regression. Views Read Edit View history.

Patients who have Glasfow score under 10 and convulsion are more likely to have complicatins and die Table 2.

Comparison of AVPU Scale and the Glasgow Coma Scale Score in Assessing Encephalitis in Children

A study of Bhutto E assessing patients with acute encepalitis by Glasgow demonstrates a score wvpu less than 10 points accounting for The damage includes edema, buise, heamorrhage, necrotise, grey tissues.

Every year, in National Hospital of Pediatrics from to encephalitis patients are hospitalized due to encephalitis. Battlefield documentation of tactical combat casualty care in Afghanistan.


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. Retrieved from ” https: A descriptive study was prospectively candid and patients were monitored at the hospital vertically until discharge or death [ 12 ]. Relationship between GCS score, clinical indicators and treatment outcome. Procedures A descriptive study was prospectively candid and patients were monitored at the hospital vertically until discharge or death [ 12 ].

The GCS score is one of the most commonly used methods. Vital signs for children at triage: The AVPU scale should be assessed using these three identifiable traits, looking for the best response of each.

AVPU scale

The AVPU scale an acronym from “alert, voice, pain, unresponsive” is a system by which a health care professional scalee measure and record a patient’s level of consciousness. 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 Results 95 patients were diagnosed of encephalitis in a 6 month study period.

Vietnam is a developing country with tropical climate where infectious diseasesespecially encephalitis are common. Mirsa UK found that the lower the Glasgow abpu is, the more change of convulsion occures AVPU scale is a simple method for assessment of consciousness.

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AVPU scale – WikEM

A study of Mackey demonstrates similar results [ 34 ]. Children with motor and mental retardation, and mental illnesses: Although AVPU has been used for many years, but research assessing the two scales is limited. 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.


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Data included presenting complaint, clinical discriminator, information on whether mobility 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. In our study, in most of the case, the cerebral spinal fluid is positive with JE.

AVPU scale | definition of AVPU scale by Medical dictionary

In the hospital or long term healthcare facilities, caregivers may consider an AVPU score of less than A to be the patient’s normal baseline. Select your language of interest to view the total sdale in your interested language. The damage is severe and the chance to a fully recovery is poor. Glasgow score less than 10 and respiratosy disstress.

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