Comparison Between Full Outline Unresponsiveness Score and Glasgow Coma Scale in Predicting Patient Outcome with Neurological Disorder in Intensive Care Units: A Prospective Observational Cross-Sectional Study رسالة ماجستير

Abstract

Background: Clinical Neurological status assessment is an important element in making decision and predicting patient outcomes. Choose a proper tool was important to evaluate a patient condition and early detection of patient’s condition. Glasgow Coma scale and Full Outline Unresponsiveness scale are tools were used to evaluate level of consciousness. Aim: the main aim of this study was comparing between Glasgow Coma scale and Full Outline Unresponsiveness scale with patients with neurological disorder in ICUs hospitals in west bank. Methodology: The study design was quantitative, prospective observational cross- sectional study. All patients admitted to intensive care units and met inclusion criteria were involved in this study 84. data was collected from Al-Najah national university, Al-Watani and Rafedia hospital by researcher and nurse’s trainer who use data collection tool which contain demographic data, Glasgow Coma scale assessment, Full Outline Unresponsiveness scale assessment, predictive and actual outcome for each scale. Result: 84 patients were assessed, 69% of the patients were male, the average length of stay was 6.4 days. The mean score in Glasgow Coma scale was 11.23 on admission, 11.6 after 48 hour and 12.23 on discharge. While mean score in Full Outline Unresponsiveness score was 12.22 on admission, 12.38 after 48 hour and 12.47 on discharge. VII Conclusion: this study was revealed that the Glasgow Coma scale and Full Outline Unresponsiveness scales are significantly predictive patient outcomes in critically ill patients with neurological disorder. However, Full Outline Unresponsiveness scale was more accurate in evaluating patients’ outcomes in intensive care unit.