Comparison of Full Outline of Unresponsiveness Score against Glasgow Coma Scale in the prediction of functional outcome among ICU patients with neurological insult in sultanate of Oman

The study is aimed to determine the predictive nature of neurologic assessment scales (GCS and FOUR) towards the outcome of patients with neurological insults, which will be ascertained using the Glasgow outcome scale. It will also investigate the relationship of the assessment scores with, selected personal, clinical and therapeutic parameters. Furthermore statistical association between these determinants and their predictive value will be explored.

To compare GCS and FOUR score tool commonly used for neurological assessment and to identify the tool that accurately predicts the discharge outcome of the patients in terms of death or chronic complications measured with Glasgow outcome tool

The mean age was 56.39±17.29 (18- 87years) with 83(63.4%) male patients. 93 (71%) patients admitted with neurological problems. In terms of predicting the outcome using the GOS, the area under the ROC curve was 92% (CI- 95%, 0.870-0.975) for FS and 74.73 % (CI-95%, 0.825-0.951) for GCS. The sensitivity and specificity for FS on admission (0.976 & 0.543), day two (0.971 & 0.495) & day four (0.971 & 0.340) and for GCS is (0.918 & 0.370) (0.941 & 0.433) (0.971 & 0.330). Conclusions: The FS tool is precise in predicting power of mortality and is an ideal complementary or substitute tool for GCS.