CompletedNot Applicable

Comparison Between GCS and FOUR Scores

Iraq240 participantsStarted 2024-05-01

Plain-language summary

The goal of this observational study is to compare the predictive utility of the Full Outline of Unresponsiveness (FOUR) Score and the Glasgow Coma Scale (GCS) Score in determining outcomes among patients with altered mental status admitted to the emergency room. The main questions it aims to answer are: Does the FOUR Score provide a more accurate prediction of patient outcomes than the GCS Score? Are there specific patient subgroups where one score is more effective than the other? Participants will: Undergo assessment of mental status using both the FOUR Score and the GCS Score during their emergency room admission. Have their clinical outcomes monitored during their hospital stay.

Who can participate

Age range18 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Patients admitted to the emergency room with altered mental status. * Patients were assessed using both the Full Outline of Unresponsiveness (FOUR) Score and the Glasgow Coma Scale (GCS) Score upon admission. * Patients whose clinical outcomes (e.g., mortality, length of hospital stay, need for intensive care) are available for follow-up and analysis. Exclusion Criteria: * Patients with incomplete or missing data on FOUR and/or GCS assessments. * Patients who leave against medical advice (LAMA) or are discharged before outcome data can be collected. * Patients with pre-existing neurological conditions that might independently influence outcomes (e.g., severe dementia, long-standing neurodegenerative diseases). * Patients in whom resuscitative measures were initiated but unsuccessful before scoring could be performed.

What they're measuring

In hospital mortality

Timeframe: average of 10 days through discharge

Accuracy Assessment of the Glasgow Coma Scale (GCS)

Timeframe: the first 12 hours after ER admission

Accuracy Assessment of the Full Outline of UnResponsiveness (FOUR) Score

Timeframe: the first 12 hours after ER admission

Trial details

NCT IDNCT06703619

SponsorAl-Nahrain University

Sponsor typeOTHER

Study typeOBSERVATIONAL

Primary completion2025-07-01