ISSN 0303-5212
 

Original Research 
RMJ. 2023; 48(1): 107-110


Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma

Saima Mushtaq, Erma Hussain, Saddam Kannar, Asif Ali, Shehla Hina, Sara Abid.

Abstract
Objective: To determine the role of GCS and FOUR scoring in predicting the mortality and outcome of trauma patients.
Methodology: This prospective study was conducted in Emergency department of Jinnah Post graduate Medical Center from July to December 2019. Consecutive non-probability sampling technique was utilized to include the patients in the study. Patient's age, Glasgow coma scale (GCS), full outline of unresponsiveness (FOUR) score and the outcome was noted in a self-designed questionnaire.
Results: Majority of patients with high GCS score (55.5%) were discharged in stable condition after medical management; 24.6% were admitted for surgical intervention and a small percentage were either referred to a sub-specialty or retained in emergency. In contrast, half of patients with low GCS score (50%) were admitted for a surgical intervention and 35.4% expired during their hospital stay. Amongst patients with a high FOUR score (between13-16), 52.29% were discharged in stable condition, 26.6% were admitted for surgical intervention and 1.4% expired. In patients with a low FOUR score (less than 5), 38% were admitted for surgical intervention and 57.1% expired.
Conclusion: The study showed that FOUR score and GCS score were equally good independent indicators of patient mortality and therefore, should be utilized to predict the outcome of trauma patients in emergency department.

Key words: FOUR Score, GCS Score, trauma, emergency.


 
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How to Cite this Article
Pubmed Style

Mushtaq S, Hussain E, Kannar S, Ali A, Hina S, Abid S. Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma. RMJ. 2023; 48(1): 107-110.


Web Style

Mushtaq S, Hussain E, Kannar S, Ali A, Hina S, Abid S. Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma. https://www.rmj.org.pk/?mno=71690 [Access: December 05, 2023].


AMA (American Medical Association) Style

Mushtaq S, Hussain E, Kannar S, Ali A, Hina S, Abid S. Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma. RMJ. 2023; 48(1): 107-110.



Vancouver/ICMJE Style

Mushtaq S, Hussain E, Kannar S, Ali A, Hina S, Abid S. Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma. RMJ. (2023), [cited December 05, 2023]; 48(1): 107-110.



Harvard Style

Mushtaq, S., Hussain, . E., Kannar, . S., Ali, . A., Hina, . S. & Abid, . S. (2023) Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma. RMJ, 48 (1), 107-110.



Turabian Style

Mushtaq, Saima, Erma Hussain, Saddam Kannar, Asif Ali, Shehla Hina, and Sara Abid. 2023. Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma. Rawal Medical Journal, 48 (1), 107-110.



Chicago Style

Mushtaq, Saima, Erma Hussain, Saddam Kannar, Asif Ali, Shehla Hina, and Sara Abid. "Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma." Rawal Medical Journal 48 (2023), 107-110.



MLA (The Modern Language Association) Style

Mushtaq, Saima, Erma Hussain, Saddam Kannar, Asif Ali, Shehla Hina, and Sara Abid. "Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma." Rawal Medical Journal 48.1 (2023), 107-110. Print.



APA (American Psychological Association) Style

Mushtaq, S., Hussain, . E., Kannar, . S., Ali, . A., Hina, . S. & Abid, . S. (2023) Role of FOUR and GCS in predicting outcome in emergency setting in patients presenting with trauma. Rawal Medical Journal, 48 (1), 107-110.