APACHE III Neurologic Subscore

The neurologic subscore is based on whether the patient's eyes open or not, the verbal response and the motor response.

Scoring:

(1) The points are assigned for the most abnormal (worst) value in a 24 hour period.

(2) If a value is not available, then score as if normal.

Eyes open spontaneously or to painful/verbal stimuli

	verbal response
motor response	oriented and converses	confused conversation	inappropriate words and incomprehen-sible sounds	no response
obeys verbal command	0	3	10	15
localizes pain	3	8	13	15
flexion withdrawal or decorticate rigidity	3	13	24	24
decerebrate rigidity or no response	3	13	29	29

Eyes do not open spontaneously or to painful/verbal stimuli

	verbal response
motor response	oriented and converses	confused conversation	inappropriate words and incomprehen-sible sounds	no response
obeys verbal command	unlikely	unlikely	unlikely	16
localizes pain	unlikely	unlikely	unlikely	16
flexion withdrawal or decorticate rigidity	unlikely	unlikely	24	33
decerebrate rigidity or no response	unlikely	unlikely	29	48

where:

• unlikely indicates the combination of findings would not be expected to occur clinically

Interpretation:

• minimum subscore: 0

• maximum subscore: 48

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