gcs-calculation

Calculate Glasgow Coma Scale scores by extracting motor, verbal, and eye components from ICU datasets and applying deterministic SQL logic for intubation handling. The skill sets verbal scores to zero during intubation, yielding a total GCS of 15, and forward-fills missing components within six hours to produce robust per-chart trajectories.

Compute GCS trajectories for ICU stays by processing MIMIC-IV chart data with SQL-based component reconciliation. The skill aggregates motor, verbal, and eye observations per chart, forward-fills values within a six-hour window, and handles missing data to output continuous per-stay GCS timelines suitable for clinical analytics.

Intubation logic affects GCS calculation by setting the verbal component to zero, which results in a maximum total GCS score of 15 rather than the standard 3. This approach prevents artificially depressed scores for intubated ICU patients and flags uncertain values for clinical review.

Yes, you can use this skill with electronic health record feeds containing missing chart components. It applies deterministic forward-fill logic within a six-hour window to carry forward existing GCS component values, ensuring continuous neuro-status monitoring even when individual observations are incomplete.

The skill handles sedation by using pre-sedation GCS values where available and flagging uncertain scores for review. This sedation policy ensures that neuro-status scores used for cohort definitions and outcome studies reflect baseline patient condition rather than medication-induced suppression.

Provide an ICU dataset containing GCS components—motor, verbal, and eyes—along with corresponding charttimes. The skill processes these inputs to compute total GCS for each observation, applying intubation rules and forward-fill logic to generate per-chart and per-stay trajectories without requiring additional dependencies.