Comparison of Full Outline of Unresponsiveness Score and Glasgow Coma Scale in Medical Intensive Care Unit

被引:23
作者
Ramazani, Jamileh [1 ]
Hosseini, Mohammad [2 ]
机构
[1] Islamic Azad Univ, Sch Nursing & Midwifery, Bojnourd Branch, Bojnurd, North Khorasan, Iran
[2] North Khorasan Univ Med Sci, Sch Nursing & Midwifery, Bojnurd, Iran
关键词
Full outline of unresponsiveness score; Glasgow Coma Scale; Medical Intensive Care Unit; nonsurvivors; survivors; TRAUMATIC BRAIN-INJURY; HEALTH EVALUATION II; INTERRATER RELIABILITY; PREDICTIVE-VALIDITY; ACUTE PHYSIOLOGY; OUTCOMES; GCS; VALIDATION; MORTALITY; CHILDREN;
D O I
10.4103/aca.ACA_25_18
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Context: The Glasgow Coma Scale (GCS) is the most commonly used scale, and Full Outline of Unresponsiveness (FOUR) score is new validated coma scale as an alternative to GCS in the evaluation of the level of consciousness. Aim: The aim of the current study was to evaluate FOUR score and GCS ability in predicting the outcomes (Survivors, nonsurvivors) in Medical Intensive Care Unit (MICU). Setting and Design: This was an observational and prospective study of 300 consecutive patients admitted to the MICU during a 14 months' period. Materials and Methods: FOUR score, GCS score, and demographic characteristics of all patients were recorded in the first admission 24 h. Statistical Analysis Used: A receiver operator characteristic (ROC) curve, Hosmer-Lemeshow test, and Logistic regression were used in the statistical analysis (95% confidence interval). Results: Data analysis showed a significant statistical difference in FOUR score and GCS score between survivors and nonsurvivors (P < 0.0001, P < 0.0001; respectively). The discrimination power was good for both FOUR score and GCS (area under ROC curve: 87.3% (standard error [SE]: 2.1%), 82.6% [SE: 2.3%]; respectively). The acceptable calibration was seen just for FOUR score (chi(2) = 8.059, P = 0.428). Conclusions: Both FOUR score and GCS are valuable scales for predicting outcomes in patients are admitted to the MICU; however, the FOUR score showed better discrimination and calibration than GCS, so it is superior to GCS in predicting outcomes in this patients population.
引用
收藏
页码:143 / 148
页数:6
相关论文
共 30 条
[1]   Glasgow Coma Scale Score in Survivors of Explosion With Possible Traumatic Brain Injury in Need of Neurosurgical Intervention [J].
Ashkenazi, Itamar ;
Schecter, William P. ;
Peleg, Kobi ;
Givon, Adi ;
Olsha, Oded ;
Turegano-Fuentes, Fernando ;
Alfici, Ricardo .
JAMA SURGERY, 2016, 151 (10) :954-958
[2]   Glasgow Coma Scale Scoring is Often Inaccurate [J].
Bledsoe, Bryan E. ;
Casey, Michael J. ;
Feldman, Jay ;
Johnson, Larry ;
Diel, Scott ;
Forred, Wes ;
Gorman, Codee .
PREHOSPITAL AND DISASTER MEDICINE, 2015, 30 (01) :46-53
[3]   Comparison of the Full Outline of UnResponsiveness and Glasgow Liege Scale/Glasgow Coma Scale in an Intensive Care Unit Population [J].
Bruno, Marie-Aurelie ;
Ledoux, Didier ;
Lambermont, Bernard ;
Damas, Francois ;
Schnakers, Caroline ;
Vanhaudenhuyse, Audrey ;
Gosseries, Olivia ;
Laureys, Steven .
NEUROCRITICAL CARE, 2011, 15 (03) :447-453
[4]   Predicting the outcome in children with head trauma: comparison of FOUR score and Glasgow Coma Scale [J].
Buyukcam, Fatih ;
Kaya, Ural ;
Karakilic, Muhamed Evvah ;
Cavus, Umut Tucel ;
Turan Sonmez, Feruza ;
Odabas, Oner .
ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY, 2012, 18 (06) :469-473
[5]   Validation of APACHE II and SOFA scores in 2 cohorts of patients with suspected infection and sepsis, not admitted to critical care units [J].
Cerro, L. ;
Valencia, J. ;
Calle, P. ;
Leon, A. ;
Jaimes, F. .
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2014, 61 (03) :125-132
[6]   The Estimated Verbal GCS Subscore in Intubated Traumatic Brain Injury Patients: Is it Really Better? [J].
Cheng, Katarina ;
Bassil, Ribal ;
Carandang, Raphael ;
Hall, Wiley ;
Muehlschlegel, Susanne .
JOURNAL OF NEUROTRAUMA, 2017, 34 (08) :1603-1609
[7]   Interrater Reliability and Predictive Validity of the FOUR Score Coma Scale in a Pediatric Population [J].
Cohen, Jennifer .
JOURNAL OF NEUROSCIENCE NURSING, 2009, 41 (05) :261-267
[8]   Comparison of the Full Outline of Unresponsiveness Score Coma Scale and the Glasgow Coma Scale in an emergency setting population [J].
Eken, Cenker ;
Kartal, Mutlu ;
Bacanli, Ayse ;
Eray, Oktay .
EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2009, 16 (01) :29-36
[9]   Inter-rater reliability of the Full Outline of UnResponsiveness score and the Glasgow Coma Scale in critically ill patients: a prospective observational study [J].
Fischer, Michael ;
Rueegg, Stephan ;
Czaplinski, Adam ;
Strohmeier, Monika ;
Lehmann, Angelika ;
Tschan, Franziska ;
Hunziker, Patrick R. ;
Marsch, Stephan C. .
CRITICAL CARE, 2010, 14 (02)
[10]   A comparison of the diagnostic power of the Full Outline of Unresponsiveness scale and the Glasgow coma scale in the discharge outcome prediction of patients with traumatic brain injury admitted to the intensive care unit [J].
Gorji, Mohammad Ali Heidari ;
Hoseini, Seyed Hosein ;
Gholipur, Afshin ;
Mohammadpur, Reza Ali .
SAUDI JOURNAL OF ANAESTHESIA, 2014, 8 (02) :193-197