The Full Outline of UnResponsiveness score is more efficient than the Glasgow Coma Scale in the prognosis of stroke

Authors : Samad Shams VAHDATI, Mehdi FARHOUDI, Mustafa CICEK, Mohsen SALEHI, Respina JALILIAN, Hamed HOJJATPANAH

Pages : 97-101

Doi:10.5472/marumj.637561

View : 8 | Download : 5

Publication Date : 2019-10-31

Article Type : Research Paper

Abstract :Objectives: After being a solid method of measuring consciousness for decades,the Glasgow Coma Scale insert ignore into journalissuearticles values(GCS); was offered to be replaced with a better option: The Full Outline of Unresponsiveness insert ignore into journalissuearticles values(FOUR); score, which several studies later confirmed to be superior due to its independence from verbal response and ability to consider brain stem reflexes. In this study, we decided to compare the two scales in the prognosis of stroke, which has never been conducted before. Patients and Methods: We conducted both methods on 150 stroke patients during admission to the emergency service and assessed them during a 3-month follow-up after discharge. Results: The type of stroke was 80% ischemic and 20% hemorrhagic. 55.3% survived after a 3-month follow-up. The FOUR score had a significant converse relation with hospitalization, a relation with the GCS lacked. The FOUR score also had a stronger correlation with the outcome of stroke than the GCS. Additionally, the receiver operating characteristic insert ignore into journalissuearticles values(ROC); curve showed greater sensitivity and specificity in the FOUR score in the prognoses of stroke patients. Conclusion: We recommend using the FOUR score as the first priority.
Keywords : Glasgow Coma Scale, Full Outline of Unresponsiveness score, Stroke, Consciousness, Emergency medicine