Glasgow coma scale score before prehospital tracheal intubation in trauma vs. nontrauma patients: A multicentre retrospective observational study
Authors' conclusion
Overall median GCS score before prehospital tracheal intubation was lower than 8.
Study context
- Population
- Adults intubated prehospitally by a Swiss anaesthetist-staffed helicopter EMS, and nonintubated patients with Glasgow Coma Scale (GCS) <9, admitted to three tertiary Swiss hospitals, 2020–2023335 intubated vs
- Participants
- 401 adults
- Exposure
- Trauma vs nontrauma patients
- Outcome
- GCS score before prehospital tracheal intubation
Methodological detailsmulticentre, 35 021 missions screened
- Multicentre
- 35 021 missions screened
Main finding
As reported in the abstract
GCS before prehospital intubation
Nontrauma
4
median · IQR 3–6
Trauma
6
median · IQR 3–8
Observational data: associations, not effects.
Further findings
| Outcome | Values | P value |
|---|---|---|
| GCS before intubation, trauma patients with burns (subgroup) | Trauma with burns 14 (IQR 13–15) | |
| GCS before intubation by sex, trauma cohort (subgroup)Women vs Men | Women median 5 (IQR 3–7) · Men 6 (IQR 3–8) | P = 0.043 |
Association of pre-intubation GCS with outcomes
- Associated with ICU LOS
- P = 0.042
- Associated with survival
- P = 0.036
- Not associated with length of ventilation and hospital stay
Original publication
Glasgow coma scale score before prehospital tracheal intubation in trauma vs. nontrauma patients: A multicentre retrospective observational study. Eur J Anaesthesiol. Published 22 August 2025. doi:10.
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