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. 2020 May 7;162(7):1639–1645. doi: 10.1007/s00701-020-04381-y

Table 2.

Outcome categorized by lowest GCS and FOUR score

Measurement Score N Favourable outcome (GOSE ≥ 5)
GCS

3

4–14

36 (64%)

20 (36%)

13 (36%)

6 (30%)

FOUR score

0–3

4–16

7 (13%)

49 (88%)

0 (0%)

19 (39%)

FOUR score, eye response

0–1

2–4

49 (88%)

7 (13%)

16 (33%)

3 (43%)

FOUR score, motor response

0–1

2–4

38 (68%)

18 (32%)

14 (37%)

5 (28%)

FOUR score, brainstem reflexes

0–1

2–4

8 (14%)

40 (71%)

1 (12%)

18 (38%)

FOUR score, respiration

0–1

2–4

51 (91%)

5 (9%)

17 (33%)

2 (40%)

This table shows that a very low FOUR score carries a much worse prognosis than a GCS of 3. Restated, FOUR scores allow for a much finer distinction of patients with low levels of consciousness compared to the GCS. Data are presented as n (%). N, number of patients; GCS, Glasgow Come Score; FOUR, Full Outline of UnResponsiveness; GOSE, Glasgow Outcome Scale, Extended