Comparison of the Glasgow Coma Scale with Full Outline of Unresponsiveness in Predicting In-Hospital Mortality of Patients with Cerebrovascular Accident in Intensive Care Units

Full Outline of Unresponsiveness (FOUR) scale is a strong predictor of hospital patients’ mortality, survival rate, and prognosis. 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. 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. 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 forGCS. The results of our study showed that FOUR scale is a functional tool for evaluating and predicting in-hospital mortality in CVA patients, and it enjoys high sensitivity and specificity. However, further studies are warranted.