A Comparison of the Glasgow Coma Scale Score with Full Outline of Unresponsiveness Scale to Predict Patients’ Traumatic Brain Injury Outcomes in Intensive Care Units

Background. Neurological assessment is an essential element of early warning scores used to recognize critically ill patients. We compared the performance of the Glasgow Coma Scale (GCS) with Full Outline of Unresponsiveness (FOUR) scale as an alternative method in the identification of clinically r...

Full description

Saved in:
Bibliographic Details
Main Authors: Rostam Jalali, Mansour Rezaei
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Critical Care Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/289803
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832566425413222400
author Rostam Jalali
Mansour Rezaei
author_facet Rostam Jalali
Mansour Rezaei
author_sort Rostam Jalali
collection DOAJ
description Background. Neurological assessment is an essential element of early warning scores used to recognize critically ill patients. We compared the performance of the Glasgow Coma Scale (GCS) with Full Outline of Unresponsiveness (FOUR) scale as an alternative method in the identification of clinically relevant outcomes in traumatic brain injury. Objective. The purpose of this study was to compare the performance of GCS with FOUR scale. Methods. For this study 104 patients with brain injury were recruited from the ICU of Taleghani Hospital, a major teaching hospital in Kermanshah in the western part of Iran. Data was collected concurrently from the ICU admissions by three well-educated nurses and then checked for accuracy by the researcher. Patients were followed up until two weeks or hospital discharge to record their survival status. As a final point expected risk of mortality was calculated using the original formulas for each scale. Results. The mean age of 104 participants was 41.38 ± 18.22 (rang 17 to 86 years) mostly (81 patients 77.9%) males. The FOUR scale has a better prediction for death than GCS. Conclusion. It appears that FOUR scale had better predictive power for mortality and may be a suitable alternative or complementary tool for GCS.
format Article
id doaj-art-9d5161d2c6fe465d99c87fd8d031f9fd
institution Kabale University
issn 2090-1305
2090-1313
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Critical Care Research and Practice
spelling doaj-art-9d5161d2c6fe465d99c87fd8d031f9fd2025-02-03T01:04:15ZengWileyCritical Care Research and Practice2090-13052090-13132014-01-01201410.1155/2014/289803289803A Comparison of the Glasgow Coma Scale Score with Full Outline of Unresponsiveness Scale to Predict Patients’ Traumatic Brain Injury Outcomes in Intensive Care UnitsRostam Jalali0Mansour Rezaei1Kermanshah University of Medical Sciences, Kermanshah 67189-74589, IranKermanshah University of Medical Sciences, Kermanshah 67189-74589, IranBackground. Neurological assessment is an essential element of early warning scores used to recognize critically ill patients. We compared the performance of the Glasgow Coma Scale (GCS) with Full Outline of Unresponsiveness (FOUR) scale as an alternative method in the identification of clinically relevant outcomes in traumatic brain injury. Objective. The purpose of this study was to compare the performance of GCS with FOUR scale. Methods. For this study 104 patients with brain injury were recruited from the ICU of Taleghani Hospital, a major teaching hospital in Kermanshah in the western part of Iran. Data was collected concurrently from the ICU admissions by three well-educated nurses and then checked for accuracy by the researcher. Patients were followed up until two weeks or hospital discharge to record their survival status. As a final point expected risk of mortality was calculated using the original formulas for each scale. Results. The mean age of 104 participants was 41.38 ± 18.22 (rang 17 to 86 years) mostly (81 patients 77.9%) males. The FOUR scale has a better prediction for death than GCS. Conclusion. It appears that FOUR scale had better predictive power for mortality and may be a suitable alternative or complementary tool for GCS.http://dx.doi.org/10.1155/2014/289803
spellingShingle Rostam Jalali
Mansour Rezaei
A Comparison of the Glasgow Coma Scale Score with Full Outline of Unresponsiveness Scale to Predict Patients’ Traumatic Brain Injury Outcomes in Intensive Care Units
Critical Care Research and Practice
title A Comparison of the Glasgow Coma Scale Score with Full Outline of Unresponsiveness Scale to Predict Patients’ Traumatic Brain Injury Outcomes in Intensive Care Units
title_full A Comparison of the Glasgow Coma Scale Score with Full Outline of Unresponsiveness Scale to Predict Patients’ Traumatic Brain Injury Outcomes in Intensive Care Units
title_fullStr A Comparison of the Glasgow Coma Scale Score with Full Outline of Unresponsiveness Scale to Predict Patients’ Traumatic Brain Injury Outcomes in Intensive Care Units
title_full_unstemmed A Comparison of the Glasgow Coma Scale Score with Full Outline of Unresponsiveness Scale to Predict Patients’ Traumatic Brain Injury Outcomes in Intensive Care Units
title_short A Comparison of the Glasgow Coma Scale Score with Full Outline of Unresponsiveness Scale to Predict Patients’ Traumatic Brain Injury Outcomes in Intensive Care Units
title_sort comparison of the glasgow coma scale score with full outline of unresponsiveness scale to predict patients traumatic brain injury outcomes in intensive care units
url http://dx.doi.org/10.1155/2014/289803
work_keys_str_mv AT rostamjalali acomparisonoftheglasgowcomascalescorewithfulloutlineofunresponsivenessscaletopredictpatientstraumaticbraininjuryoutcomesinintensivecareunits
AT mansourrezaei acomparisonoftheglasgowcomascalescorewithfulloutlineofunresponsivenessscaletopredictpatientstraumaticbraininjuryoutcomesinintensivecareunits
AT rostamjalali comparisonoftheglasgowcomascalescorewithfulloutlineofunresponsivenessscaletopredictpatientstraumaticbraininjuryoutcomesinintensivecareunits
AT mansourrezaei comparisonoftheglasgowcomascalescorewithfulloutlineofunresponsivenessscaletopredictpatientstraumaticbraininjuryoutcomesinintensivecareunits