TY - JOUR AU - Shauka, Nazish AU - Kazi, Waqas Ahmad AU - Ali Shah, Syed Ali Raza AU - Naqvi, Syeda Sarah PY - 2018/04/30 Y2 - 2024/03/29 TI - VALIDITY OF BISPECTRAL INDEX IN DIAGNOSIS OF MILD AND MODERATE HEAD INJURY: Validity of Bispectral Index in Head Injury JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 68 IS - 2 SE - Original Articles DO - UR - https://www.pafmj.org/PAFMJ/article/view/1324 SP - 285-88 AB - <p><em><strong>Objective:</strong></em> The objective of the study is to determine the validity of bispectral in diagnosis of mild and moderate head injury keeping GCS as a gold standard.<br><em><strong>Study Design:</strong></em> A cross sectional validation study.<br><em><strong>Place and Duration of Study</strong></em>: This Study was conducted in main Intensive Care Unit of the Combined Military<br>Hospital Rawalpindi and was carried out over eight months from Dec 2009 to Aug 2010.<br><em><strong>Material and Methods:</strong></em> A minimum of 137 patients were included in study. At the time of admission, Glasgow<br>coma score was calculated by 3 different anesthetists and mean was calculated. At the same time BIS reading was taken using Aspect BIS monitor.<br><em><strong>Results:</strong></em> Mean age of the patients was 29.5 ± 6.2. 108 (78.8%) patients were male while 29 (29.2%) patients were female. Mean glasgow coma score was 12.2 ± 0.9 and mean bispectral index score was 69.9 ± 8.4. A 2 x 2 table was made between GCS and BIS. Sensitivity was found to be 95.65%, specificity 98.53%, positive predictive value 98.50% and negative predictive value 95.7%. ROC curve was drawn and demonstrated area under curve value of 0.999.<br><em><strong>Conclusion</strong></em>: BIS monitor can prove to be a useful adjunct in the diagnosis and management of mild and moderate head injury patients in the intensive care units.<br><br></p> ER -