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Published in: Internal and Emergency Medicine 3/2012

01-06-2012 | IM - COMMENTARY

The FOUR score: is it just another new coma scale?

Author: Luis A. Idrovo Freire

Published in: Internal and Emergency Medicine | Issue 3/2012

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Excerpt

The evaluation of a comatose patient is usually challenging. Within the complex spectrum of consciousness, scoring systems have been developed to obtain a fast and comprehensive assessment, to facilitate communication among examiners, to triage and monitor changes for therapeutic decisions, and to provide prognostic information [1, 2]. …
Literature
1.
go back to reference Teasdale G, Jennett B (1974) Assessment of coma and impaired consciousness: a practical scale. Lancet 2:81–84PubMedCrossRef Teasdale G, Jennett B (1974) Assessment of coma and impaired consciousness: a practical scale. Lancet 2:81–84PubMedCrossRef
2.
go back to reference Kornbluth J, Bhardwaj A (2010) Evaluation of coma: a critical appraisal of popular scoring systems. Neurocrit Care 14(1):134–143CrossRef Kornbluth J, Bhardwaj A (2010) Evaluation of coma: a critical appraisal of popular scoring systems. Neurocrit Care 14(1):134–143CrossRef
3.
go back to reference Wijdicks EFM, Bamlet WR, Maramattom BV, Manno EM, McClelland RL (2005) Validation of a new coma scale: the FOUR score. Ann Neurol 58:585–593PubMedCrossRef Wijdicks EFM, Bamlet WR, Maramattom BV, Manno EM, McClelland RL (2005) Validation of a new coma scale: the FOUR score. Ann Neurol 58:585–593PubMedCrossRef
4.
go back to reference Balestreri M, Czosnyka M, Chatfield DA, Steiner LA, Schmidt EA, Smielewski P, Matta B, Pickard JD (2004) Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry 75:161–162PubMed Balestreri M, Czosnyka M, Chatfield DA, Steiner LA, Schmidt EA, Smielewski P, Matta B, Pickard JD (2004) Predictive value of Glasgow Coma Scale after brain trauma: change in trend over the past ten years. J Neurol Neurosurg Psychiatry 75:161–162PubMed
5.
go back to reference Fugate JE, Rabinstein AA, Claassen DO, White RD, Wijdicks EFM (2010) The FOUR Score predicts outcome in patients after cardiac arrest. Neurocrit Care 13:205–210PubMedCrossRef Fugate JE, Rabinstein AA, Claassen DO, White RD, Wijdicks EFM (2010) The FOUR Score predicts outcome in patients after cardiac arrest. Neurocrit Care 13:205–210PubMedCrossRef
6.
go back to reference Rowley G, Fielding K (1991) Reliability and accuracy of the Glasgow Coma Scale with experienced and inexperienced users. Lancet 337:535–538PubMedCrossRef Rowley G, Fielding K (1991) Reliability and accuracy of the Glasgow Coma Scale with experienced and inexperienced users. Lancet 337:535–538PubMedCrossRef
7.
go back to reference Weiss N, Mutlu G, Essardy F, Nacabal C, Sauves C, Bally C, Houbert M, Lecorre C, Germack V, Demeret S, Pierrot-Deseilligny C, Bolgert F (2009) The French version of the FOUR score: a new coma score. Rev Neurol (Paris) 165:796–802CrossRef Weiss N, Mutlu G, Essardy F, Nacabal C, Sauves C, Bally C, Houbert M, Lecorre C, Germack V, Demeret S, Pierrot-Deseilligny C, Bolgert F (2009) The French version of the FOUR score: a new coma score. Rev Neurol (Paris) 165:796–802CrossRef
8.
go back to reference Idrovo L, Fuentes B, Medina J, Gabaldón L, Ruiz-Ares G, Abenza MJ, Aguilar-Amat MJ, Martínez-Sánchez P, Rodríguez L, Cazorla R, Martínez M, Tafur A, Wijdicks EF, Diez-Tejedor E et al (2010) Validation of the FOUR Score (Spanish version) in acute stroke: an interobserver variability study. Eur Neurol 63:364–369PubMedCrossRef Idrovo L, Fuentes B, Medina J, Gabaldón L, Ruiz-Ares G, Abenza MJ, Aguilar-Amat MJ, Martínez-Sánchez P, Rodríguez L, Cazorla R, Martínez M, Tafur A, Wijdicks EF, Diez-Tejedor E et al (2010) Validation of the FOUR Score (Spanish version) in acute stroke: an interobserver variability study. Eur Neurol 63:364–369PubMedCrossRef
9.
go back to reference Marcati E, Ricci S, Casalena A, Toni D, Carolei A, Sacco S (2011) Validation of the Italian version of a new coma scale: the FOUR score. Intern Emerg Med. doi:10.1007/s11739-011-0583-x Marcati E, Ricci S, Casalena A, Toni D, Carolei A, Sacco S (2011) Validation of the Italian version of a new coma scale: the FOUR score. Intern Emerg Med. doi:10.​1007/​s11739-011-0583-x
10.
go back to reference Fischer M, Rüegg S, Czaplinski A, Strohmeier M, Lehmann A, Tschan F, Hunziker P, Marsch SC (2010) Inter-rater reliability of the Full Outline of UnResponsiveness score and the Glasgow Coma Scale in critical ill patients: a prospective observational study. Crit Care 14:R64PubMedCrossRef Fischer M, Rüegg S, Czaplinski A, Strohmeier M, Lehmann A, Tschan F, Hunziker P, Marsch SC (2010) Inter-rater reliability of the Full Outline of UnResponsiveness score and the Glasgow Coma Scale in critical ill patients: a prospective observational study. Crit Care 14:R64PubMedCrossRef
11.
go back to reference Kevric J, Jelinek GA, Knott J, Weiland TJ (2010) Validation of the Full Outline of Uresponsiveness (FOUR) scale for conscious state in the emergency department: comparison against the Glasgow Coma Scale. Emerg Med J Oct 13 (Epub ahead of print) Kevric J, Jelinek GA, Knott J, Weiland TJ (2010) Validation of the Full Outline of Uresponsiveness (FOUR) scale for conscious state in the emergency department: comparison against the Glasgow Coma Scale. Emerg Med J Oct 13 (Epub ahead of print)
12.
go back to reference Eken C, Kartal M, Bacanli A, Eray O (2009) Comparison of the Full Outline of UnResponsiveness Score Coma Scale and the Glasgow Coma Scale in an emergency setting population. Eur J Emerg Med 16:29–36PubMedCrossRef Eken C, Kartal M, Bacanli A, Eray O (2009) Comparison of the Full Outline of UnResponsiveness Score Coma Scale and the Glasgow Coma Scale in an emergency setting population. Eur J Emerg Med 16:29–36PubMedCrossRef
13.
go back to reference Stead LG, Wijdicks EFM, Bhagra A, Kashyap R, Bellolio MF, Nash DL, Enduri S, Schears R, William B (2009) Validation of a new coma scale, the FOUR Score, in the emergency department. Neurocrit Care 10:50–54PubMedCrossRef Stead LG, Wijdicks EFM, Bhagra A, Kashyap R, Bellolio MF, Nash DL, Enduri S, Schears R, William B (2009) Validation of a new coma scale, the FOUR Score, in the emergency department. Neurocrit Care 10:50–54PubMedCrossRef
14.
go back to reference Iyer VN, Mandrekar JN, Danielson RD, Zubkov AY, Elmer JL, Wijdicks EFM et al (2009) Validity of the FOUR score coma scale in the medical intensive care unit. Mayo Clin Proc 84:694–701PubMedCrossRef Iyer VN, Mandrekar JN, Danielson RD, Zubkov AY, Elmer JL, Wijdicks EFM et al (2009) Validity of the FOUR score coma scale in the medical intensive care unit. Mayo Clin Proc 84:694–701PubMedCrossRef
15.
go back to reference Wolf CA, Wijdicks EFM, Bamlet WR, McClelland RL (2007) Further validation of the FOUR score coma scale by intensive care nurses. Mayo Clin Proc 82:435–438PubMedCrossRef Wolf CA, Wijdicks EFM, Bamlet WR, McClelland RL (2007) Further validation of the FOUR score coma scale by intensive care nurses. Mayo Clin Proc 82:435–438PubMedCrossRef
Metadata
Title
The FOUR score: is it just another new coma scale?
Author
Luis A. Idrovo Freire
Publication date
01-06-2012
Publisher
Springer Milan
Published in
Internal and Emergency Medicine / Issue 3/2012
Print ISSN: 1828-0447
Electronic ISSN: 1970-9366
DOI
https://doi.org/10.1007/s11739-011-0640-5

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