A comparison between the effectiveness of full outline of unresponsiveness and glasgow coma score at neurosurgical intensive care unit patients

Temiz, Nail Çağlar; Köse, Gülşah; Tehli, Özkan; Açıkel, Cengizhan; Hatipoğlu, Sevgi

doi:10.5137/1019-5149.jtn.19504-16.0

Cited by 10 publications

(17 citation statements)

References 15 publications

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“…In line with our findings, the study by Temiz et al also showed that FOUR score has the same prediction value as GCS in evaluating the level of consciousness and follow-up of patient"s status in neurosurgery ICU. 21 In contrast to these findings, the results of the study by Nair et al showed that there is a statistically significant difference between FOUR score and GCS in estimating the severity of injury in head traumas. They reported that FOUR score is a better index for evaluating the level of consciousness in patients with head trauma.…”

Section: Discussionmentioning

confidence: 85%

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Full outline of unresponsiveness versus Glasgow coma scale in predicting mortality in paediatric trauma patients

2019

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Background: Many scoring models have been proposed for evaluating level of consciousness in trauma patients. The aim of this study is to compare Glasgow coma scale (GCS) and full outline of unresponsiveness (FOUR) score in predicting the morbidity and mortality of trauma paediatric patients.Methods: In this diagnostic accuracy study trauma paediatric patients hospitalized in emergency room (ER) of Menoufia University hospital were evaluated. GCS and FOUR score of each patient were simultaneously calculated on admission as well as 6, 12 and 24 hours after that. The predictive values of the two scores and their area under the receiver operating characteristics (ROC) curve were compared.Results: 100 patients were included in the present study (mean age 7.6±5.1; 77% male). Comparing the area under the ROC curve of GCS and FOUR score showed that these values were not different at any of the evaluated times: on admission (p=0.68), and 6 hours (p=0.13), 12 hours (p=0.18). However, The values of FOUR score was high accuracy than GCS score in predicting mortality in paediatric patients with ROC; 0.97, 0.89 respectively.Conclusions: The results of our study showed that, GCS and FOUR score have the same value in predicting the mortality of trauma patients in first 24 hours. However, FOUR score has high accuracy than GCS score after 24 hours. Both tools had high predictive power in predicting the outcome at the time of discharge.

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Section: Discussionmentioning

confidence: 85%

“…Area under the curves reported for GCS and FOUR score have been 0.78 and 0.84, respectively in previous study. 21 Therefore, by considering 95% confidence interval (α=5%) and power of 90% (β=10%), sample size is calculated as about 100 patients. Data were analysed using SPSS version 22.0.…”

Section: Discussionmentioning

confidence: 99%

Full outline of unresponsiveness versus Glasgow coma scale in predicting mortality in paediatric trauma patients

2019

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“…All of the above together with numerous studies convincingly proving a high inter-rater agreement of the FOUR Scale using [4,5,10,13,16] makes this scale more useful and preferable than the GCS for the assessment of midline shift clinical signs severity in patients in the acute period of SSICH.…”

Section: Discussionmentioning

confidence: 86%

Analysis of diagnostic informative value of the Full Outline of UnResponsiveness Scale in patients with spontaneous supratentorial intracerebral hemorrhage

Kuznietsov

2019

ZMJ

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Цель работы-анализ диагностической информативности шкалы Full Outline of UnResponsiveness (FOUR) у пациентов со спонтанным супратенториальным внутримозговым кровоизлиянием (ССВМК) на основании сопоставления с нейровизуализационными критериями оценки тяжести латеральной дислокации срединных структур мозга. Материалы и методы. Проведено проспективное, когортное исследование 138 пациентов в остром периоде ССВМК, которое включало комплексное клинико-неврологическое исследование (с использованием шкалы FOUR и шкалы комы

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“…[30] Despite all disadvantages, GCS is affirmed as the gold standard for evaluating the consciousness and comatose level of patients. [31] The GCS is limited, especially for assessing verbal response of patients who are intubated and aphasic. [31,32] In this sense, FOUR eliminates these limitations and allows the assessment of respiratory parameters and brain stem reflexes of patients.…”

Section: Discussionmentioning

confidence: 99%

Comparison of two different tools of consciousness assessment in the intensive care unit

Doğu

Terzi̇

Kutlu³

2020

Journal of Contemporary Medicine

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To compare two different consciousness assessment scales used in intensive care units. Material and Method:The prospective observational study was conducted with a total of 29 patients who were followed up in intensive care units. GCS (Glasgow Coma Scale) and FOUR (Full Outline of UnResponsiveness) Scores and modified Rankin Scale (mRS) scores of the patients who were monitored by the same observer for 10 days in the intensive care units were measured and recorded. Mean±standard deviation was used for the values regarding total scale score means. Pearson's correlation analysis was used for comparing total score means.Results: GCS and FOUR scores and the mean total mRS scored of the patients on the first day were 6.95±2.25 (range, 3-11), 8.65±2.45 (range, 4-13), and 4.93±0.25 (range, 4-5) respectively. The mean total scale scores on the 10th day were 6.62±3.27 (range, 3-12), 8.13±3.44 (range, 4-13), and 4.89±0.30 (range, 4-5). A statistically significant high-degree relationship was found between the mean total scores of the patients' GCS and FOUR scores (p<0.001). Conclusion:FOUR can be confidently used instead of GCS for the assessment of consciousness. Comparisons of GCS and FOUR score may be conducted with different patient groups and larger samples. Differences between observers should also be evaluated when comparing the scoring systems.

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A comparison between the effectiveness of full outline of unresponsiveness and glasgow coma score at neurosurgical intensive care unit patients

Cited by 10 publications

References 15 publications

Full outline of unresponsiveness versus Glasgow coma scale in predicting mortality in paediatric trauma patients

Full outline of unresponsiveness versus Glasgow coma scale in predicting mortality in paediatric trauma patients

Analysis of diagnostic informative value of the Full Outline of UnResponsiveness Scale in patients with spontaneous supratentorial intracerebral hemorrhage

Comparison of two different tools of consciousness assessment in the intensive care unit

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