The first experience of application of “full outline of unresponsiveness” (FOUR SCALE) in patients with acute cerebral insufficiency. Two-center research “FOUR-Rus”. Two-center trial
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Keywords

Full Outline of UnResponsiveness
FOUR
FOUR-RUS
Glasgow Coma Scale
neurologic manifestations
cerebrovascular disorders

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Belkin AA, Zabolotskikh IB, Bochkarev PY, Zybin KD, Levit AL The first experience of application of “full outline of unresponsiveness” (FOUR SCALE) in patients with acute cerebral insufficiency. Two-center research “FOUR-Rus”. Two-center trial. Annals of Critical Care. 2020;(3):27–34. doi:10.21320/1818-474X-2020-3-27-34.

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Abstract

Background. Analysis of distribution of Full Outline of UnResponsiveness (FOUR) Scale provided by F. M. Wijdicks at the Mayo Clinic in 2005 served as the basis for the initiation of the Federation of anesthesiologists of Russia study “FOUR-Rus” (NCT04018989 ClinicalTrails.gov).

Objectives. To assess reproducibility and consistency when using the Russian-language version of the FOUR scale.

Materials and methods. 260 patients were selected, aged 37 to 90 years with acute head injury, including: I60 — 39 (15 %), I61 — 86 (33 %), I63 — 130 (51 %), I67 — 4 (0,15 %) patients. Center № 1/2 — 159/101 patients. Age — sex composition, level of sedation and pain in the groups did not differ. For examinations in the centers, 2 ICU physicians and 1 neurologist were selected. Reproducibility and interdisciplinary consistency were assessed in pairs with Cronbach’s alpha (α) internal consistency. Statistical analysis was performed using IBM SPSS Statistics Subscription.

Conclusions. There are no differences in consistency and reproducibility between FOUR and GSC in stroke patients when used by resuscitators and neurologists in non-specialized ICU. The FOUR scale has maximum reproducibility and wider possibilities for assessing the level of consciousness.

https://doi.org/10.21320/1818-474X-2020-3-27-34
PDF_2020-03_27-34 (Русский)
HTML_2020-03_27-34 (Русский)

References

  1. Wijdicks E.F., Bamlet W.R., Maramattom B.V., et al. Validation of a new coma scale: the FOUR score. Ann. Neurol. 2005; 58: 585–593. DOI: 10.1002/ana.20611
  2. Белкин А.А., Бочкарев П.Ю., Левит А.Л., Заболотских И.Б. Оценка нарушения сознания: шкала FOUR или шкала Glasgow? Обзор. Вестник интенсивной терапии имени А.И. Салтанова. 2019; 3: 46–51. DOI: 10.21320/1818-474X-2019-3-46-51 [Belkin A.A., Bochkarev P.YU., Levit A.L., Zabolotskih I.B. Ocenka narusheniya soznaniya: shkala FOUR ili shkala Glasgow? Obzor. Vestnik intensivnoj terapii imeni A.I. Saltanova. 2019; 3: 46–51. (In Russ)]
  3. Пирадов М.А., Супонева Н.А., Рябинкина Ю.В. и др. Шкала подробной оценки состояния ареактивных пациентов (Full Outline of UnResponsiveness, FOUR): лингвокультурная адаптация русскоязычной версии. Анналы клинической и экспериментальной неврологии 2019; 13(3): 000–000. DOI: 10.25692/ACEN.2019.3 [Piradov M.A., Suponeva N.A., Ryabinkina YU.V., et al. SHkala podrobnoĭ ocenki sostoyaniya areaktivnyh pacientov (Full Outline of UnResponsiveness, FOUR): lingvokul’turnaya adaptaciya russkoyazychnoĭ versii. Annaly klinicheskoĭ i eksperimental’noĭ nevrologii 2019; 13(3): 000–000. (In Russ)]
  4. Неврологическая диагностика при заболеваниях и повреждениях центральной нервной системы. Белкин А.А., Кондратьев, Крылова В.В. и др. Интенсивная терапия. Национальное руководство. Краткое издание (под ред. Б.Р. Гельфанда, И.Б. Заболотских). 2-е изд., М.: ГЭОТАР-Медиа, 2017: 251–281. [Nevrologicheskaya diagnostika pri zabolevaniyah i povrezhdeniyah central’noj nervnoj sistemy. Belkin A.A., Kondrat’ev, Krylova V.V., et al. Intensivnaya terapiya. Nacional’noe rukovodstvo. Kratkoe izdanie (pod red. B.R. Gel’fanda, I.B. Zabolotskikh. 2-e izd., M.: GEOTAR-Media, 2017: 251–281. (In Russ)]
  5. Landis J.R., Koch G.G. The measurement of observer agreement for categorical data. Biometrics. 1977; 33: 159–174.
  6. Коновалов А.Н., Самотокин Б.А., Васин Н.Я. и др. К единой междисциплинарной классификации черепно-мозговой травмы. Невропатология и психиатрия им. С.С. Корсакова. 1985; 5: 651–658. [Konovalov A.N., Samotokin B.A., Vasin N.YA., et al. K edinoj mezhdisciplinarnoj klassifikacii cherepno-mozgovoj travmy. Nevropatologiya i psihiatriya im. S.S. Korsakova. 1985; 5: 651–658. (In Russ)]
  7. Mishra R.K., Mahajan C., Kapoor I., et al. Comparison of Full Outline of UnResponsiveness (FOUR) score and the conventional scores in predicting outcome in aneurysmal subarachnoid haemorrhage patients. Indian J. Anaesth. 2019; 63(4): 295–299. DOI: 10.4103/ija.IJA_786_18.
  8. Kondziella D., Bender A., Diserens K., et al. European Academy of Neurology guideline on the diagnosis of coma and other disorders of consciousness. Eur. J. Neurol. 2020; 27(5): 741–756. DOI: 10.1111/ene.14151
  9. Reith F.C.M., Van den Brande R., Synnot A., et al. The reliability of the Glasgow Coma Scale: a systematic review. Intensive Care Medicine. 2015; 42(1): 3–15. DOI: 10.1007/s00134-015-4124-3
  10. Meredith W., Rutledge R., Fakhry S.M., et al. The conundrum of the Glasgow Coma Scale in intubated patients: a linear regression prediction of the Glasgow verbal score from the Glasgow eye and motor scores. J. Trauma. 1998; 44(5): 839–845. DOI: 10.1097/00005373-199805000-00016
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