Validity and Predictive Value of the FOUR Score Coma Scale in Stroke Patients: a Systematic Review
The FOUR Score Coma Scale in stroke patients
Objectives: Stroke is known as the second common cause of mortality and the third most common cause of morbidity all over the world .The aim of this study was to evaluate and systematic review the validity and predictive value of the Full Outline of UnResponsiveness (FOUR) Score Coma Scale in stroke patients.
Materials and Methods: In this systematic review, literature from Medline (PubMed, Ovid), The Cochrane Library, Scopus, Embase, ProQuest, published between 1988 and 2020 were included. The search strategy included a combination of free and MeSH terms such as "FOUR Score", "Full Outline of UnResponsiveness", Stroke, and "cerebrovascular accident".
Results: The total number of patients included was 5515, with sample sizes ranging from 53 to 1645 patients. FOUR score was a reliable scale for estimating prognosis in stroke patients. The predictive value of FOUR score in the outcomes of traumatic patients was better than the Glasgow coma score. However in some studies, FOUR Score was not superior to the Glasgow coma score.
Conclusion: In conclusion, FOUR score coma scale with an appropriate validity and predictive value can be proposed as a valid substitute for Glasgow coma score.
Keywords: Stroke; FOUR Score; Validity; Predictive Value.
Copyright (c) 2020 Alireza Ala, Samad Shams Vahdati, Nafiseh Vahed, Sahar Mohammadi, Hoorolnesa Ameli
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