Comparison between the Ability of Glasgow Coma Scale and Full Outline of Unresponsiveness Score to Predict the Mortality and Discharge Rate of Pediatric Intensive Care Unit Patients.

Ali Khajeh, Afshin Fayyazi, Ghasem Miri-Aliabad, Hasan Askari, Noormohammad Noori, Behrouz Khajeh

Abstract read

In one paragraph

Article in Iranian journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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0cells of the map it votes in

7citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

Role of Full Outline of Unresponsiveness (FOUR) Score and Glasgow Coma Scale (GCS) in critically ill children to predict outcome: A prospective observational study.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
Observational
Comparing the Full Outline of Unresponsiveness (FOUR) score and the Glasgow Coma Scale (GCS) for predicting outcomes in traumatic brain injury: a comparative study.Journal of trauma and injury · 2025
Article
A Comparative Study of Injury Severity Scales as Predictors of Mortality in Trauma Patients: Which Scale Is the Best?Bulletin of emergency and trauma · 2020
Article
Full Outline of Unresponsiveness score and the Glasgow Coma Scale in prediction of pediatric coma.World journal of emergency medicine · 2017
Article
Comparison of full outline of unresponsiveness score and Glasgow Coma Scale in Medical Intensive Care Unit.Annals of cardiac anaesthesia
Observational
Improving Pediatric Critical Care Nurses' Practice in Implementing the Full Outline of Unresponsiveness Coma Scale.SAGE open nursing
Article
Predictors of Mortality Among Pediatric Patients Admitted to Intensive Care Units in Eastern Amhara, Ethiopia: A Prospective Multi-Center Cohort Study.Sage open pediatrics
Article

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ali KhajehChildren and Adolescence Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Afshin FayyaziChildren and Adolescence Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Ghasem Miri-AliabadChildren and Adolescence Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Hasan AskariChildren and Adolescence Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Noormohammad NooriChildren and Adolescence Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Behrouz KhajehChildren and Adolescence Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrediction of survival and mortality rates in costly environments such as the intensive care unit (ICU) is of great importance for the assessment of new treatments, resource consumption control, and improvement of quality control. This study aimed to determine the ability to predict mortality and discharge rate of patients using the FOUR score in the pediatric ICU (PICU) of Ali Ibn Abitalib Hospital, Zahedan and compare the results with those of Glasgow Coma Scale (GCS).

methodsThis prospective study was conducted on 200 patients admitted to the PICU. Convenience purposive sampling was used. Research data was collected using the Full Outline of Unresponsiveness (FOUR) score and GCS using questionnaires. Obtained data was analyzed with SPSS 16 using descriptive statistics and correlation analyses.

findingsOf the 200 children admitted to the PICU, 71.5% and 28.5% were discharged and died, respectively. The inter-rater reliability for the FOUR score was good to excellent (weighted κ: eye, 0.72; respiration, 0.82; brainstem, 0.74; motor, 0.78), In terms of mortality and discharge prediction, logistic regression analyses (FOUR score = OR: 0.13; 95% CI: 0.06-0.29; P<0.001; GCS=OR: 2.49; 95% CI: 1.44-4.32; P<0.001) showed that the FOUR score is a good predictor for in-hospital mortality.

conclusionResults indicated that the FOUR score is more capable than GCS in predicting the mortality and discharge of patients admitted to the PICU.

Indexed as

FOUR ScoreGCSGlasgow Coma ConsciousnessMortalityPICU

Identifiers

PMID25793069

PMCPMC4359415

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.