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2015 ; 5
(2
): 92-5
Nephropedia Template TP
gab.com Text
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English Wikipedia
Which score should be used in intubated patients Glasgow coma scale or full
outline of unresponsiveness?
#MMPMID26097814
Gorji MA
; Gorji AM
; Hosseini SH
Int J Appl Basic Med Res
2015[May]; 5
(2
): 92-5
PMID26097814
show ga
BACKGROUND AND AIMS: Today Glasgow coma scale (GCS) is the most well-known and
common score for evaluation of the level of consciousness and outcome predict
after traumatic brain injuries in the world. Regarding to some advantages of the
full outline of unresponsiveness (FOUR) score over GCS in intubated patients,
we're going to compare the precision of these two scores in predicting the
outcome predict in intubated patients. METHODS: This research was a
diagnostic-based study, which was conducted prospectively on 80 patients with
Traumatic brain injury who were intubated and admitted to Intensive Care Unit
(ICU) of Educational Hospitals of Mazandaran University of Medical Science during
February 2013 to August 2013. The scores of FOUR and GCS were measured by the
researcher in the first 24 h of admission in ICU. The information's recorded in
the check list including the mortality rate of early and late inside of the
hospital interred to excel. The findings were analyzed using SPSS software,
through descriptive statistics and regression logistic. RESULTS: The results
showed of 80 patients 21 patients (20%) were female and 59 patients (80%) were
male. The age average of the samples was 33.80 ± 12.60 ranging from 16 to 60
years old. 21 patients (26.2%) died during treatment. Of 21 patients, 15 patients
died during first 14 days (18.7%) and 6 patients died after 14 years (7.5%). The
area under curve (AUC) of FOUR score in early mortality was 0.90 (C1 = 0.95,
0.88-0.90). The amount AUC for GCS was 0.80 (C1 = 0.95, 0.78-0.84), which in
delayed mortality it was ordered as 0.86 (C1 = 0.95, 0.84-0.90) and 0.89 (C1 =
0.95, 0.78-0.88). CONCLUSION: The research results indicated that FOUR score is
more exact and more practical in intubated patients regarding lack of verbal
response factor in early mortality prediction in GCS. Hence, it is recommended
for health professionals to use the FOUR score to predict the early outcome of
intubated patients with traumatic brain injuries.
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