Glasgow Coma Scale versus Full Outline of Unresponsiveness Scale in Predicting Discharge Outcomes of Traumatic Brain Injury

Abstract

Even though, within 40 years since its introduction, the GCS has stayed the cornerstone of initial traumatic brain injury evaluation by out-of-hospital personnel, emergency physicians, trauma surgeons, and neurosurgeons, on the basis of the findings of this study and considering the results of the previous studies, the FOUR scale appears to be an easier tool to use plus it provides a more comprehensive neurological assessment. In current ICUs, multiple scores are frequently used. Preferably, these scores should be simple, reliable, and predictive for relevant outcomes and/or relevant clinical decisions. The widespread adoption of such a tool may heighten the ability to accurately forecast survivability, impacting the treatment and management of these patients and their families.