COMPARATIVE ASSESSMENT OF SCALES IN HEMORRHAGIC STROKES
Keywords:
hemorrhagic stroke, Glasgow Coma Scale, FOURAbstract
Hemorrhagic strokes are associated with significant morbidity and mortality. Studying the diagnostic and prognostic features of neurological scales for hemorrhagic strokes is highly relevant. In this study, 83 patients with acute hemorrhagic strokes were examined. To assess the severity of their condition and neurological disorders, the Glasgow Coma Scale (GCS) and the Full Outline of UnResponsiveness (FOUR) score were used. The FOUR score includes a detailed neurological examination, making it more convenient and practical than the GCS. It is also more accurate and reliable for predicting mortality in the early period for patients with severe disturbances of consciousness due to hemorrhagic strokes. The use of these neurological scales allows for an objective assessment of the patient's condition, the prescription of appropriate treatment, and the prediction of treatment outcomes and effectiveness for hemorrhagic strokes.
References
Скворцова В.И., Иванова Г.Е., Стаховская Л.В. Итоги реализации Программы по снижению заболеваемости, смертности и инвалидизации от цереброваскулярных заболеваний в РФ. Сборник научно-практической конференции « Острые нарушения мозгового кровообращения».- Самара, 2012. С.5-7.
Gautam PL, Paul G, Yadav S. Comparison of FOUR Score & Glasgow Coma Scale, 1 st ed. Saarbucken Lambert Akademic Publishing. 2016.
Dhollande S, Taylor A, Meyer S, Scott M. Cjducting J Res Nurs 2021; 26: 427-38.
Kondziella D, Bender A, Diserens K, van Erp W, Estraneo A, Formisano R, Laurees S, Ozturk S, Chatelle C, EAN Panel on Coma, Disorders of Consciousness. European Academy of Neurology guideline on the diagnosis of coma and other disorders of consciousness. European Journal of Neurology 2020 May; 27(5):741-56.
Белкин А.А., Заболотских И.Б., Бочкарев П.Ю., Зыбин К.Д., Левит А.Л., Первый опыт применения шкалы «подробной оценки состояния ареактивных пациентов» ( FOUR SCALE ) у пациентов с острой церебральной недостаточностью. Двухцентровое исследование «FOUR-Ru«. Вестник интенсивной терапии им. А.И.Салтанова 2020; 3: 27-34.
Bayraktar YS, Sahinoglu M, Cicekci F, et al. Comparizon of Glasgow Coma Scale and Full Outline of Unresponsiveness (FOUR) Score A Prospecnive Study. Turk Neurosurg 2019; 29: 285-8.
Javvaji PK, Nagatham P, Venkata RR, et al. A Comparison of Full Outline of UnResponsiveness Score with Glasgow Coma Scale Score in Predicting Outcomes among Patients with Altered Mental Status Admitted to the Critical Care Unit. Indian J Crit Care Med 2022; 26: 210-5.
Almojuela A, Hasen M, Zeiler F.A. The Full Outline of UnResponsiveness (FOUR) Score and 1 ts Use in Outcome Prediction A Scoping Systematic Review of the Adult Literature. Neurocrit Care 2019; 31:162-75.
Foo CC, Loan JJM, Brennan PM. The Relationship of the FOUR Score to Patient Outcome: A Systematic Review. J Neurotrauma 2019; 36: 2469-83.
