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 Release 24.0, April 2009
 
Chapter : ch17. Neurology Section : Coma Scales
  Japan Coma Scale

  Excel Sheet Reference
Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

The Japan Coma Scale (JCS) can be used to evaluate a patient with impaired consciousness.

 

Parameters:

(1) consciousness level

(2) restlessness

(3) incontinence of urine and/or feces

 

Consciousness Level

Additional Features

Code

awake without any stimuli

fully or almost fully conscious

1

 

unable to recognize time, place and person

2

 

unable to recall name or date of brith

3

rousable but reverts to previous state if stimulus stops

easily by being spoken to; responds with purposeful movements, phrases and words

10

 

with loud voice or by shaking of the shoulders; responds with movements or very simple words

20

 

only be repeated mechanical stimuli

30

unrousable using any forceful stimuli

responds to avoid the stimulus

100

 

responds with slight movements, including decerebrate or decorticate postures

200

 

does not respond at all or with change in respiratory rhythm

300

 

 

Parameter

Finding

Code

restlessness

absent

<none>

 

present

R

incontinence

absent

<none>

 

present

I

 

The person is designated by the consciousness level code then the code(s) for restlessness and/or incontinence if present. For example, a person with a consciousness level code of 20, restlessness but no incontinence would be designated "20-R".

 

  References:

Ohta T, Kikuchi H, et al. Nizofenone administration in the acute stage following subarachnoid hemorrhage. J Neurosurg. 1986; 64: 420-426. (Table 2, page 421).

 

 

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