The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the West Bank: a prospective cross-sectional study
Background Determining the clinical neurological state of the patient is essential for making decisions and forecasting results. The Glasgow Coma Scale and the Full Outline of Unresponsiveness (FOUR) Scale are commonly used tools for measuring behavioral consciousness. This study aims to compare sca...
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Korean Society of Critical Care Medicine
2024-08-01
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| Series: | Acute and Critical Care |
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| Online Access: | http://www.accjournal.org/upload/pdf/acc-2024-00570.pdf |
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| author | Wourod Mahmoud Omar Imad Rasheed Abu Khader Salam Bani Hani Mohammed ALBashtawy |
| author_facet | Wourod Mahmoud Omar Imad Rasheed Abu Khader Salam Bani Hani Mohammed ALBashtawy |
| author_sort | Wourod Mahmoud Omar |
| collection | DOAJ |
| description | Background Determining the clinical neurological state of the patient is essential for making decisions and forecasting results. The Glasgow Coma Scale and the Full Outline of Unresponsiveness (FOUR) Scale are commonly used tools for measuring behavioral consciousness. This study aims to compare scales among patients with neurological disorders in intensive care units (ICUs) in the West Bank. Methods A prospective cross-sectional design was employed. All patients admitted to ICUs who met inclusion criteria were involved in this study. Data were collected from from An-Najah National University, Al-Watani, and Rafedia Hospital. Both tools were used to collect data. Results: A total of 84 patients were assessed, 69.0% of the patients were male, and the average length of stay was 6.4 days. The mean score on the Glasgow Coma scale was 11.2 on admission 11.6 after 48 hours, and 12.2 on discharge. The mean FOUR Scale score was 12.2 on admission, 12.4 after 48 hours, and 12.5 at discharge. Conclusions This study indicates that both the Glasgow Coma Scale and the FOUR scale are effective in predicting outcomes for neurologically deteriorated critically ill patients. However, the FOUR scale proved to be more reliable when assessing outcomes in ICU patients. |
| format | Article |
| id | doaj-art-84740e627343481a8d184aa6ae95cad3 |
| institution | Kabale University |
| issn | 2586-6052 2586-6060 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Acute and Critical Care |
| spelling | doaj-art-84740e627343481a8d184aa6ae95cad32024-11-18T23:51:10ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602024-08-0139340841910.4266/acc.2024.005701545The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the West Bank: a prospective cross-sectional studyWourod Mahmoud Omar0Imad Rasheed Abu Khader1Salam Bani Hani2Mohammed ALBashtawy3 An-Najah National University Hospital, Nablus, Palestine Faculty of Graduate Studies, Arab American University, Ramallah, Palestine Department of Nursing, Irbid National University, Irbid, Jordan Department of Community and Mental Health, Princess Salma Faculty of Nursing, Al al-Bayt University, Mafraq, JordanBackground Determining the clinical neurological state of the patient is essential for making decisions and forecasting results. The Glasgow Coma Scale and the Full Outline of Unresponsiveness (FOUR) Scale are commonly used tools for measuring behavioral consciousness. This study aims to compare scales among patients with neurological disorders in intensive care units (ICUs) in the West Bank. Methods A prospective cross-sectional design was employed. All patients admitted to ICUs who met inclusion criteria were involved in this study. Data were collected from from An-Najah National University, Al-Watani, and Rafedia Hospital. Both tools were used to collect data. Results: A total of 84 patients were assessed, 69.0% of the patients were male, and the average length of stay was 6.4 days. The mean score on the Glasgow Coma scale was 11.2 on admission 11.6 after 48 hours, and 12.2 on discharge. The mean FOUR Scale score was 12.2 on admission, 12.4 after 48 hours, and 12.5 at discharge. Conclusions This study indicates that both the Glasgow Coma Scale and the FOUR scale are effective in predicting outcomes for neurologically deteriorated critically ill patients. However, the FOUR scale proved to be more reliable when assessing outcomes in ICU patients.http://www.accjournal.org/upload/pdf/acc-2024-00570.pdfintensive clinical unitsfull outline of unresponsiveness scaleglasgow coma scaleneurological assessmentunresponsiveness patients |
| spellingShingle | Wourod Mahmoud Omar Imad Rasheed Abu Khader Salam Bani Hani Mohammed ALBashtawy The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the West Bank: a prospective cross-sectional study Acute and Critical Care intensive clinical units full outline of unresponsiveness scale glasgow coma scale neurological assessment unresponsiveness patients |
| title | The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the West Bank: a prospective cross-sectional study |
| title_full | The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the West Bank: a prospective cross-sectional study |
| title_fullStr | The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the West Bank: a prospective cross-sectional study |
| title_full_unstemmed | The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the West Bank: a prospective cross-sectional study |
| title_short | The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the West Bank: a prospective cross-sectional study |
| title_sort | glasgow coma scale and full outline of unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in the west bank a prospective cross sectional study |
| topic | intensive clinical units full outline of unresponsiveness scale glasgow coma scale neurological assessment unresponsiveness patients |
| url | http://www.accjournal.org/upload/pdf/acc-2024-00570.pdf |
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