Glasgow-Pittsburgh cerebral performance category

GP-CPC, CPC, Pittsburgh cerebral performance category, Glasgow outcome scale?
GP-CPC 1: conscious, alert, and oriented with normal cognitive functions
GP-CPC 2: conscious and alert with moderate cerebral disability
GP-CPC 3: conscious with severe disability
GP-CPC 4: comatose or in persistent vegetative state
GP-CPC 5: certified brain death or dead by traditional criteria.


参考1
  CPC OPC
1 Good cerebral performance:
Conscious, alert, able to work, might have mild neurologic or psycholgic deficit.
Good overall performance:
Healthy, alert, capable of normal life, CPC 1.
2 Moderate cerebral disability:
Conscious, sufficient cerebral function for independent activities of daily life. Able to work in sheltered environment.
Moderate overall disability:
-Conscious (CPC 2), or moderate disability from noncerebral systems dysfunction alone (CPC 1), or both.
-Performs independent activities of daily life, but is disabled for competitive work.
3 Severe cerebral disability:
Conscious, dependent on others for daily support because of impaired brain function. Ranges from ambulatory state to severe dementia or paralysis.
Severe overall disability:
-Conscious (CPC 3), or severe disability from non-cerebral organ systems dysfunction alone (CPC 1 or 2), or both.
-Dependent on others for daily support.
4 Coma or vegetative state:
Any degree of coma without the presence of all brain death criteria. Unawareness, even if appears awake (vegetative state) without interaction with environment; may have spontaneous eye opening and sleep-awake cycles. Cerebral unresponsiveness.
Coma or vegetative state:
Same as CPC 4.
5 Brain death. Apnea, areflexia, EEG silence, etc. Brain death:



参考

  • 1.
<click2in>http://www.mplsheart.org/sites/all/default/userfiles/file/10%20Sendelbach%20-%20Neurocognitive%20090810.pdf</click2in>
  • 2. Assessment of outcome after severe brain damage.
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  • Lancet.Lancet.1975 Mar 1;1(7905):480-4.
  • Persisting disability after brain damage usually comprises both mental and physical handicap. The mental component is often the more important in contributing to overall social disability. Lack of an objective scale leads to vague and over-optimistic estimates of outcome, which obscure the ultimat
  • PMID 46957
  • 3
<click2in>http://www.fdma.go.jp/neuter/topics/houdou/h21/2112/01_houdoushiryou.pdf</click2in>