Acute and Critical Care

Original Article

Nursing
The Glasgow Coma Scale and Full Outline of Unresponsiveness score evaluation to predict patient outcomes with neurological illnesses in intensive care units in West Bank: a prospective cross-sectional study: Wourod Mahmoud Omar, Imad Rasheed Abu Khader, Salam Bani Hani, Mohammed ALBashtawy; Acute Crit Care. 2024;39(3):408-419. Published online August 30, 2024; DOI: https://doi.org/10.4266/acc.2024.00570

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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.

Citations

Citations to this article as recorded by

The impact of The Quality and Safety Education (QSEN) program on the knowledge, skills, and attitudes of junior nurses
Salam AlRatrout, Imad Abu Khader, Mohammed ALBashtawy, Mohammed Asia, Abdullah Alkhawaldeh, Salam Bani Hani, Majed Sulaiman Alamri
PLOS ONE.2025; 20(1): e0317448. CrossRef

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