ID 46633
JaLCDOI
フルテキストURL
著者
Akavipat, Phuping Department of Anesthesiology, Prasat Neurological Institute
Sookplung, Pimwan Department of Anesthesiology, Prasat Neurological Institute
Kaewsingha, Pranee Department of Academic Service, Prasat Neurological Institute
Maunsaiyat, Patcharin Department of Academic Service, Prasat Neurological Institute
抄録
To identify the diagnostic properties of the Full Outline of Unresponsiveness (FOUR) score and the discharge outcome, 318 patients were studied. The evaluators rated the patients on admission or when they had mental status alteration with the FOUR score. The course of treatment was determined based on the clinical. The mortality rate and Glasgow Outcome Scale were recorded. Adjusted regression models and prognostic performance were tested by calculation of the receiver operating characteristic curve. One-hundred and twenty-two patients (40.1%) had a poor outcome defined as a Glasgow Outcome Scale score from 3-5, and 38 patients (12.5%) died. The area under the characteristic curve (AUC) for poor outcome and in-hospital mortality were 0.88 (95% CI, 0.83-0.92) and 0.92 (95% CI, 0.87-0.97). The cut-off point of 14 showed sensitivity and specificity of the total FOUR score predicting poor outcomes at 0.77 (95% CI, 0.69-0.84) and 0.95 (95% CI, 0.90-0.97), while the cut-off point of 10 showed the values for in-hospital mortality at 0.71 (95% CI, 0.55-0.83) and 0.93 (95% CI, 0.90-0.96). The total FOUR score showed satisfactory prognostic value for predicting outcome. The cut-off points for the poor outcome and in-hospital mortality are 14 and 10, respectively.
キーワード
consciousness
evaluation
mortality
outcome
Full Outline of Unresponsiveness (FOUR)
Amo Type
Original Article
発行日
2011-06
出版物タイトル
Acta Medica Okayama
65巻
3号
出版者
Okayama University Medical School
開始ページ
205
終了ページ
210
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2011 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT
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