Omar Wourod Mahmoud, Khader Imad Rasheed Abu, Hani Salam Bani, ALBashtawy Mohammed
An-Najah National University Hospital, Nablus, Palestine.
Faculty of Graduate Studies, Arab American University, Ramallah, Palestine.
Acute Crit Care. 2024 Aug;39(3):408-419. doi: 10.4266/acc.2024.00570. Epub 2024 Aug 30.
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.
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.
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.
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.
确定患者的临床神经状态对于做出决策和预测结果至关重要。格拉斯哥昏迷量表和全面无反应性量表（FOUR）是常用的测量行为意识的工具。本研究旨在比较约旦河西岸重症监护病房（ICU）中患有神经系统疾病的患者使用这两种量表的情况。
采用前瞻性横断面设计。纳入所有入住ICU且符合纳入标准的患者参与本研究。数据收集自纳贾赫国立大学、瓦塔尼医院和拉菲迪亚医院。使用这两种工具收集数据。
共评估了84例患者，69.0%为男性，平均住院时间为6.4天。格拉斯哥昏迷量表入院时平均分为11.2分，48小时后为11.6分，出院时为12.2分。FOUR量表入院时平均分为12.2分，48小时后为12.4分，出院时为12.5分。
本研究表明，格拉斯哥昏迷量表和FOUR量表在预测神经功能恶化的重症患者的预后方面均有效。然而，在评估ICU患者的预后时，FOUR量表被证明更可靠。
