Study to assess the effectiveness of structured teaching programme on knowledge regarding four score (full outline of unresponsiveness) coma scale among Staff nurses working in intensive care units in selected Hospitals

2021 ◽  
Vol 9 (1) ◽  
pp. 74-76
Author(s):  
Mahesh Bamani
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Staff Nurses ◽  
Teaching Programme ◽  
Coma Scale ◽  
Structured Teaching ◽  
Four Score

Comparison of the Full Outline of Unresponsiveness (FOUR) Score with the Glasgow Coma Scale (GCS) as a Coma Assessment Scale in Pediatric Intensive Care

2021 ◽  
Author(s):  
Merve Misirlioglu ◽  
Dincer Yildizdas ◽  
Faruk Ekinci ◽  
Ozden Ozgur Horoz ◽  
Gulen Gul Mert
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Glasgow Coma Scale ◽  
Intensive Care Units ◽  
Rapid Assessment ◽  
Pediatric Intensive Care ◽  
Coma Scale ◽  
Additional Information ◽  
Ventilation Monitoring ◽  
Four Score

AbstractRapid assessment of cerebral dysfunction is crucial for the management of patients in intensive care units. The Glasgow Coma Scale (GCS) evaluates eye, verbal, and motor responses, but is insufficient to effectively evaluate patients on mechanical ventilation, or who are unable to speak. The Full Outline of Unresponsiveness (FOUR) score includes additional information such as brainstem reflexes and respiratory status to provide a more complete clinical assessment. In this study, we aimed to compare the FOUR score with GCS in the assessment of patients with coma. This prospective study included patients between 1 month and under 18 years of age, who were hospitalized in the pediatric intensive care unit due to risk of coma or ongoing impairment of consciousness between May 2018 and June 2019. Information regarding FOUR scores, GCS values, patient demographics, duration of hospitalization, requirement for mechanical ventilation, and patient comorbidities were recorded and analyzed. Among the 80 patients included in the study, a statistically significant correlation was found between (low) GCS and FOUR scores during admission, and mortality and requirement for mechanical ventilation. Monitoring the level of consciousness is important in pediatric intensive care units and may be predictive of the course and disease outcome. Similar to the GCS, the FOUR score is a good indicator for predicting mortality and requirement for mechanical ventilation.

scholarly journals Validity of the FOUR Score Coma Scale in the Medical Intensive Care Unit

2009 ◽  
Vol 84 (8) ◽  
pp. 694-701 ◽  
Author(s):  
Vivek N. Iyer ◽  
Jayawant N. Mandrekar ◽  
Richard D. Danielson ◽  
Alexander Y. Zubkov ◽  
Jennifer L. Elmer ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Intensive Care Unit ◽  
Coma Scale ◽  
Four Score ◽  
Medical Intensive Care

PENGKAJIAN PASIEN MENGGUNAKAN FOUR SCORE COMA SCALE DI RUANG PERAWATAN INTENSIVE CARE UNIT (ICU)

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Barkah Waladani ◽  
Ning Iswati
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Brain Stem ◽  
Motor Response ◽  
Verbal Response ◽  
Respiratory Pattern ◽  
Average Score ◽  
Coma Scale ◽  
Four Score ◽  
Brain Stem Reflex

Patients with poor conditions or decreased awareness need appropriate assessment to determine the management to be given. Awareness assessments can be done using FOUR (Full Outline of Response) scores with a range of scores from 0 to 16, consisting of eye response, motor response, brain stem reflex and respiration pattern FOUR score is used by nurses in the intensive care unit (Intensive Care Unit). ICU). The method of this study was descriptive analytical and numerator testing between oberserver prospectively to evaluate FOUR score to 100 patients in the ICU from October to December 2017. This study compared FOUR score with the GCS (Glasgow Coma Scale). Each patient was assessed using FOUR score and GCS by nurses. The average score is calculated based on the results obtained in both scoring. The results showed that the numerator test for FOUR score was very good (eye response 0.94, motor response 0.95, brain stem reflex 0.96 and respiratory pattern 1.00) and for GCS it was also very good (eye response 0.94, motoric response 0.95, verbal response 0.97). In predictive terms, GCS is better than FOUR score (characteristic curve value 0.01 difference; GCS 0.76 and FOUR score 0.75). The mortality rate of patients with FOUR scale was the lowest 0 (87%) compared with the lowest GCS score of 3 (70%). FOUR score has an excellent interpersonal and intensivisional level. In contrast to GCS, all components in FOUR score can be assessed even when the patient is installed intubation.

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