Standardization of Full Outline of Unresponsiveness Scale to Assess the Level of Consciousness of the Patients Hospitalized in the Intensive Care Unit in Iran
Background and Objectives: The Full Outline of Un-Responsiveness (FOUR) scale is a tool to assess the consciousness level in patients admitted to the Intensive Care Units (ICU). The validity and reliability of this scale can be affected by distorting factors, such as social, cultural, biological, an...
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| Format: | Article |
| Language: | fas |
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Qom University of Medical Sciences
2020-11-01
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| Series: | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum |
| Subjects: | |
| Online Access: | http://journal.muq.ac.ir/article-1-2838-en.html |
| _version_ | 1831670837770452992 |
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| author | Hossein Kimiaei Assadi Nasrin Shirmohammadi |
| author_facet | Hossein Kimiaei Assadi Nasrin Shirmohammadi |
| author_sort | Hossein Kimiaei Assadi |
| collection | DOAJ |
| description | Background and Objectives: The Full Outline of Un-Responsiveness (FOUR) scale is a tool to assess the consciousness level in patients admitted to the Intensive Care Units (ICU). The validity and reliability of this scale can be affected by distorting factors, such as social, cultural, biological, and physiological conditions. This study aimed to evaluate the standardization of the FOUR scale to assess the consciousness level of the patients based on demographic characteristics in the Iranian population.
Methods: This experimental cross-sectional study was conducted on 60 patients hospitalized in the ICU. The FOUR scale was used to determine the consciousness level of the patients. Reliability, internal consistency, as well as correlations between the scales were estimated using Cronbachchr('39')s alpha and Spearman-Brown formula. The data were analyzed in SPSS software (version 16.0) (SPSS Inc., Chicago, Illinois, USA). A p-value less than 0.05 was considered statistically significant.
Results: According to the results, the internal consistency values of the Glasgow Coma Scale (GCS) and FOUR scale were estimated at 0.943 and 0.889, respectively, using Cronbachchr('39')s alpha. In addition, there was a significant correlation between the FOUR scale and GCS (r=0.948, P=0.001). Furthermore, the sum of sensitivity and specificity of the total score of the FOUR scale and GCS were obtained at 5 (sensitivity=0.72; specificity=31.43) and 7 (sensitivity=0.68; specificity=0.3714), respectively. In addition, the Area under the ROC Curve value in predicting in-hospital mortality for the FOUR scale was 0.491 (P=0.910 and 95% CI: 0.338-0.645), while it was obtained at 0.527 (P=0.725 and 95% CI: 0.374-0.679) for the GCS.
Conclusion: The results revealed that the GCS could be used as a standard scale to assess the consciousness level of the patients. The FOUR scale and GCS have similar benefits, and the former is a valuable tool to assess the consciousness level due to the combination of eye and motor components. Therefore, GCS could be used as substitute for the FOUR scale. |
| first_indexed | 2024-12-19T23:25:07Z |
| format | Article |
| id | doaj.art-fb0078a965e54c54bed5826397313e29 |
| institution | Directory Open Access Journal |
| issn | 1735-7799 2008-1375 |
| language | fas |
| last_indexed | 2024-12-19T23:25:07Z |
| publishDate | 2020-11-01 |
| publisher | Qom University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum |
| spelling | doaj.art-fb0078a965e54c54bed5826397313e292022-12-21T20:01:53ZfasQom University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum1735-77992008-13752020-11-0114819Standardization of Full Outline of Unresponsiveness Scale to Assess the Level of Consciousness of the Patients Hospitalized in the Intensive Care Unit in IranHossein Kimiaei Assadi0Nasrin Shirmohammadi1 Anesthesiology Department, Hamadan University of Medical Sciences MSc in Biostatistics, Faculty of Health Sciences, Hamadan University of Medical Sciences Background and Objectives: The Full Outline of Un-Responsiveness (FOUR) scale is a tool to assess the consciousness level in patients admitted to the Intensive Care Units (ICU). The validity and reliability of this scale can be affected by distorting factors, such as social, cultural, biological, and physiological conditions. This study aimed to evaluate the standardization of the FOUR scale to assess the consciousness level of the patients based on demographic characteristics in the Iranian population. Methods: This experimental cross-sectional study was conducted on 60 patients hospitalized in the ICU. The FOUR scale was used to determine the consciousness level of the patients. Reliability, internal consistency, as well as correlations between the scales were estimated using Cronbachchr('39')s alpha and Spearman-Brown formula. The data were analyzed in SPSS software (version 16.0) (SPSS Inc., Chicago, Illinois, USA). A p-value less than 0.05 was considered statistically significant. Results: According to the results, the internal consistency values of the Glasgow Coma Scale (GCS) and FOUR scale were estimated at 0.943 and 0.889, respectively, using Cronbachchr('39')s alpha. In addition, there was a significant correlation between the FOUR scale and GCS (r=0.948, P=0.001). Furthermore, the sum of sensitivity and specificity of the total score of the FOUR scale and GCS were obtained at 5 (sensitivity=0.72; specificity=31.43) and 7 (sensitivity=0.68; specificity=0.3714), respectively. In addition, the Area under the ROC Curve value in predicting in-hospital mortality for the FOUR scale was 0.491 (P=0.910 and 95% CI: 0.338-0.645), while it was obtained at 0.527 (P=0.725 and 95% CI: 0.374-0.679) for the GCS. Conclusion: The results revealed that the GCS could be used as a standard scale to assess the consciousness level of the patients. The FOUR scale and GCS have similar benefits, and the former is a valuable tool to assess the consciousness level due to the combination of eye and motor components. Therefore, GCS could be used as substitute for the FOUR scale.http://journal.muq.ac.ir/article-1-2838-en.htmlconsciousnessfull outline of unresponsivenessglasgow coma scalecomatose patients |
| spellingShingle | Hossein Kimiaei Assadi Nasrin Shirmohammadi Standardization of Full Outline of Unresponsiveness Scale to Assess the Level of Consciousness of the Patients Hospitalized in the Intensive Care Unit in Iran Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum consciousness full outline of unresponsiveness glasgow coma scale comatose patients |
| title | Standardization of Full Outline of Unresponsiveness Scale to Assess the Level of Consciousness of the Patients Hospitalized in the Intensive Care Unit in Iran |
| title_full | Standardization of Full Outline of Unresponsiveness Scale to Assess the Level of Consciousness of the Patients Hospitalized in the Intensive Care Unit in Iran |
| title_fullStr | Standardization of Full Outline of Unresponsiveness Scale to Assess the Level of Consciousness of the Patients Hospitalized in the Intensive Care Unit in Iran |
| title_full_unstemmed | Standardization of Full Outline of Unresponsiveness Scale to Assess the Level of Consciousness of the Patients Hospitalized in the Intensive Care Unit in Iran |
| title_short | Standardization of Full Outline of Unresponsiveness Scale to Assess the Level of Consciousness of the Patients Hospitalized in the Intensive Care Unit in Iran |
| title_sort | standardization of full outline of unresponsiveness scale to assess the level of consciousness of the patients hospitalized in the intensive care unit in iran |
| topic | consciousness full outline of unresponsiveness glasgow coma scale comatose patients |
| url | http://journal.muq.ac.ir/article-1-2838-en.html |
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