Background: Full Outline of Unresponsiveness (FOUR) scale is a strong predictor of hospital patients’ mortality, survival rate, and prognosis.
Objectives: The aim of this study was to compare FOUR and GCS scores in predicting in-hospital mortality in cerebrovascular accident (CVA) patients admitted to intensive care units.
Methods: A total of 197 CVA patients were enrolled in this prospective study. Each patient was evaluated with FOUR and GCS. The area under the ROC curve was determined for in-hospital mortality outcomes.
Results: The mean age of the patients was 71.00 ± 12.68 years, and 64% were male and 36% were female. The sensitivity of FOUR and GCS was 94.12% and 90.59% respectively. The area under the ROC curve was 0.841 for FOUR scale and 0.815 for GCS.
Conclusions: Theresultsof ourstudyshowedthatFOURscaleisafunctionaltoolforevaluatingandpredictingin-hospitalmortality in CVA patients, and it enjoys high sensitivity and specificity. However, further studies are warranted.
Keywords: Cerebrovascular Accident, FOUR Score, GCS, Intensive Care Unit