Full Outline of UnResponsiveness Score Versus Glasgow Coma Scale in Children With Nontraumatic Impairment of Consciousness. (October 2014)

• Record Type: Journal Article
• Authors: Kochar, Gurpreet Singh; Gulati, Sheffali; Lodha, Rakesh; Pandey, RM
• Is Part Of: Journal of child neurology. Volume 29:Number 10(2014:Oct.)
• Page Start: 1299
• Page End: 1304
• Publication Date: 2014-10
• Subjects: Full Outline of UnResponsiveness (FOUR) score -- Glasgow Coma Scale (GCS) -- coma -- impaired consciousness; Nervous system -- Diseases -- Periodicals; 618.928
• DOI: 10.1177/0883073813514293
• Languages: English
• ISSNs: 0883-0738

Abstract

The study was designed to compare the Full Outline of UnResponsiveness score with Glasgow Coma Scale as a predictor of mortality and poor functional outcome at hospital discharge in children with nontraumatic impairment of consciousness. Seventy children aged 5 to 18 years admitted with impaired consciousness were enrolled. The scores were applied by the Pediatric Neurology fellow within 2 hours of admission. The primary outcome studied was in-hospital mortality. Receiver operating characteristic curves were used to compare the 2 scores. The area under the curves for Glasgow Coma Scale and Full Outline of UnResponsiveness scores were 0.916 and 0.940, respectively. However, the difference between the areas under curve for the 2 scores was not statistically significant (0.023; 95% confidence interval: –0.0115 to 0.058). Our data indicate that both the scores are good predictors for in-hospital mortality and functional outcome. However, no significant difference was observed between the ability of the 2 scores to predict the outcomes.