FOUR score (original) (raw)
The FOUR Score is a clinical grading scale designed for use by medical professionals in the assessment of patients with impaired level of consciousness. It was developed by Dr. Eelco F.M. Wijdicks and colleagues in Neurocritical care at the Mayo Clinic in Rochester, Minnesota. "FOUR" in this context is an acronym for "Full Outline of UnResponsiveness". Overall, FOUR score has better biostatistical properties than Glasgow Coma Scale in terms of sensitivity, specificity, accuracy and positive predictive value.
| Property | Value |
|---|---|
| dbo:abstract | The FOUR Score is a clinical grading scale designed for use by medical professionals in the assessment of patients with impaired level of consciousness. It was developed by Dr. Eelco F.M. Wijdicks and colleagues in Neurocritical care at the Mayo Clinic in Rochester, Minnesota. "FOUR" in this context is an acronym for "Full Outline of UnResponsiveness". The FOUR Score is a 17-point scale (with potential scores ranging from 0 - 16). Decreasing FOUR Score is associated with worsening level of consciousness. The FOUR Score assesses four domains of neurological function: eye responses, motor responses, brainstem reflexes, and breathing pattern. The rationale for the development of the FOUR Score constituted creation of a clinical grading scale for the assessment of patients with impaired level of consciousness that can be used in patients with or without endotracheal intubation. The main clinical grading scale in use for patients with impaired level of consciousness has historically been the Glasgow Coma Scale (GCS), which cannot be administered to patients with an endotracheal tube (one component of the GCS is the assessment of verbal responses, which are not possible in the presence of an endotracheal tube). The FOUR score has been validated with reference to the Glasgow Coma Scale in several clinical contexts, including assessment by physicians in the Neurocritical Care Unit, assessment by intensive care nurses, assessment of patients in the medical intensive care unit (ICU), and assessment of patients in the Emergency Department. Comparison of the inter-observer reliability of the FOUR Score and the GCS suggests that the FOUR Score may have a modest but significant advantage in this particular measure of test function. Overall, FOUR score has better biostatistical properties than Glasgow Coma Scale in terms of sensitivity, specificity, accuracy and positive predictive value. (en) |
| dbo:wikiPageID | 31736562 (xsd:integer) |
| dbo:wikiPageLength | 6520 (xsd:nonNegativeInteger) |
| dbo:wikiPageRevisionID | 1096867544 (xsd:integer) |
| dbo:wikiPageWikiLink | dbr:Rochester,_Minnesota dbr:Biostatistics dbr:Apnea dbr:V_sign dbc:Mayo_Clinic dbr:Mayo_Clinic dbr:Medical_ventilator dbr:Glasgow_Coma_Scale dbr:Mydriasis dbr:Myoclonus dbr:Corneal_reflex dbr:Pupillary_light_reflex dbr:Tracheal_intubation dbr:Abnormal_posturing dbr:Acronym dbc:Medical_scales dbr:Cough_reflex dbc:Diagnostic_intensive_care_medicine dbc:Neurological_disorders dbr:Cheyne–Stokes_respiration dbr:Thumb_signal dbr:Emergency_Department dbr:Endotracheal_intubation dbr:Level_of_consciousness dbr:Fist dbr:Neurocritical_care dbr:Inter-observer_reliability |
| dbp:name | FOUR score (en) |
| dbp:purpose | assessment of patients with impaired level of consciousness. (en) |
| dbp:wikiPageUsesTemplate | dbt:Cn dbt:Infobox_diagnostic dbt:Reflist |
| dct:subject | dbc:Mayo_Clinic dbc:Medical_scales dbc:Diagnostic_intensive_care_medicine dbc:Neurological_disorders |
| gold:hypernym | dbr:Scale |
| rdf:type | yago:WikicatMedicalScales yago:WikicatNeurologicalDisorders yago:Abstraction100002137 yago:Attribute100024264 yago:Condition113920835 yago:Disorder114052403 yago:Measure100033615 yago:NervousDisorder114084880 yago:PhysicalCondition114034177 dbo:Aircraft yago:Scale113850304 yago:Standard107260623 yago:State100024720 yago:SystemOfMeasurement113577171 |
| rdfs:comment | The FOUR Score is a clinical grading scale designed for use by medical professionals in the assessment of patients with impaired level of consciousness. It was developed by Dr. Eelco F.M. Wijdicks and colleagues in Neurocritical care at the Mayo Clinic in Rochester, Minnesota. "FOUR" in this context is an acronym for "Full Outline of UnResponsiveness". Overall, FOUR score has better biostatistical properties than Glasgow Coma Scale in terms of sensitivity, specificity, accuracy and positive predictive value. (en) |
| rdfs:label | FOUR score (en) |
| owl:sameAs | freebase:FOUR score yago-res:FOUR score wikidata:FOUR score dbpedia-fa:FOUR score https://global.dbpedia.org/id/4jZN4 |
| prov:wasDerivedFrom | wikipedia-en:FOUR_score?oldid=1096867544&ns=0 |
| foaf:isPrimaryTopicOf | wikipedia-en:FOUR_score |
| is dbo:wikiPageRedirects of | dbr:4_score dbr:FOUR_Score_Coma_Scale dbr:FOUR_Score_(Coma_Scale) |
| is dbo:wikiPageWikiLink of | dbr:4_(disambiguation) dbr:4_score dbr:FOUR_Score_Coma_Scale dbr:Glasgow_Coma_Scale dbr:Corneal_reflex dbr:Medical_scoring dbr:FOUR_Score_(Coma_Scale) |
| is foaf:primaryTopic of | wikipedia-en:FOUR_score |