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