Glasgow Coma Scale versus Full Outline of Unresponsiveness Scale in Predicting Discharge Outcomes of Traumatic Brain Injury

Abstract

Context: Neurological assessment is an essential element of early warning scores used to recognize and early save the lives of critically ill patients.
Aim: This study aimed to compare the Full Outline of Unresponsiveness Scale and the Glasgow Coma Scale in predicting discharge outcomes in patients with traumatic brain injury

Method: A comparative research design was conducted at the Neurosurgery Intensive Care Unit in El Fayoum University Hospital. The Study recruited a purposive sample of 100 adult patients with TBI. They assessed using three tools (Patients Profile Data Form, Level of Consciousness Assessment," and Tool Discharge Data Assessment Record).
Results: GCS is superior to the FOUR score in predicting length of stay and full recovery without any squeal, while they are the same in predicting motor disability and sensory impairment (physical impairment). FOUR score is superior to GCS in the prediction of mortality Conclusion: The FOUR score provides more neurologic details than the GCS and is a valid predictor of outcome in patients with TBI; thus, it could be considered a future prognostic model. It is recommended to use a FOUR score for predicting outcomes in patients with traumatic brain injuries as a valid predictor of discharge outcomes after traumatic brain injury.