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Journal : Indonesian Journal of Medicine

Glasgow Coma Scale and Full Outline of Unresponsiveness Score Instruments to Determine Patient Outcome: A Systematic Review Silvitasari, Ika; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Glasgow Coma Scale (GCS) and Full Outline of Unresponsiveness Sco­re (FOUR score) are instruments to determine the level of patient consciousness. The­se instruments require good sensitivity and specificity, so that they can be used quickly and easily. This study aimed to determine the validity and reliability of GCS and FOUR sco­re instruments in determining adult patient outcome.Subjects and Method: This study was a systematic review study. The search for the articles involved the client population treated in the ICU, Emergency Installation and neu­rology room, patients who did not receive sedation or neuro blockers, were ob­ser­ved by health workers. The outcomes were in the form of death of patients in the hos­pi­tal, mRS, Glasgow outcome score, and APACHE II. This study were carried out using EBSCO, Sciencedirect, Pubmed, and Google Scholar, restricted articles from 2007-2017, and observational study. The number of articles that was in accordance with the in­clusion and exclusion criteria for this study was 9 articles. All articles found were used as sample.Results: The average sensitivity and specificity values of the GCS instrument and FOUR Score were close to 1 or 100%. From the 8 articles found, all got sensitivity and specificity values by >50%.Conclusion: The FOUR instrument score can be used as a substitute for GCS to assess the level of patient consciousness with patient outcomes (death) in ICU.Keywords: glasgow coma scale, full outline of unresponsiveness score, outcomeCorrespondence: Ika Silvitasari. School of Health Sciences Aisyiyah, Surakarta, Central Java. Jl. Ki Hajar Dewantara 10, Surakarta 57126, Central Java. Email: mouse_02april­@yahoo.com.Indonesian Journal of Medicine (2019), 4(4): 339-345https://doi.org/10.26911/theijmed.2019.04.04.06
Co-Authors A P, I Nyoman Nugraha Abdullah, Dahliana Abu Bakar Adrianus Adrianus, Adrianus Adryan, Fristiohady Afriani, Miskah Alam, Ilham Kudratul Alfyano, Aexsa Aliah, Ahmad Irsyad Amirullah Amirullah Andayani Andayani Andi Parenrengi Andriani, Rina Andriani, Rina Anggraini Anggraini Anika, Mutia Annawaty Annawaty, Annawaty Anwar Umar Anwar, Zakariya Apriliani, Apriliani Ardyana, Della Arianto, Asnandar Arianto, Asnandar Ariastika, Dian Arief, I. I. Arief, Tita Rahayu Armin, La Ode Arsa Wahyu Nugrahani Arsyad, Usman ASMAN SADINO, ASMAN Asrul Sani Astuti Wijayanti, Astuti B. Yuliadi Bafadal, Mentarry Bahrun Bahrun Baru Sadarun, Baru Benny Rusli, Benny Benny, Faichal Budirman Bachtiar Budiwitjaksono, Gideon Setyo Damanhuri Daud, Damanhuri Darsono Darsono Desiana Trisnawati Tobigo, Desiana Trisnawati Dj, MUHAMMAD ZUHRI Dwi Hilda Putri Dwi Kesuma Sari Dwi Shintia, Ulan Emilia Emilia Eva Dolorosa Fahri Fahri Fauziyyah, Afifah Feriadi, Eva Feriadi, Eva Fredricka, Jhoanne Fristiohady, Adryan Fristiohady, Adryan Fristiyohadi, Adryan hajrawati, Hajrawati Halik, Tian Amalia Harahap, Milna Chairunnisa Hartono Hartono Hasratuddin Hasratuddin heri aryadi, heri Herri Mahyar Hidayat Hidayat Hidayat, Alfa Manarul Hidayati, Siti Aisyah Himawan, Noni I Sahidin Imelda Imelda Imran Imran Inayah Inayah Indalifiany, Astrid Indalifiany, Astrid Indrayana, Sofyan Irawati Mei Widiastuti Irmawanty, Irmawanty Islamiah, Nurul Ismartoyo Ismartoyo Isnaini Herawati, Isnaini Istiqomah, Widya Izwita Dewi Jabbar, Asriullah Jamaluddin . Jesi Alexander Alim Kalimin, Wa OIL. Kardi, Ipa Sari Kasmawati, Henny Ketut Sofjan Firdausi, Ketut Sofjan Khaeruddin Khaeruddin Kurniawan, Dedy Hendra Lestari Sukarniati, Lestari Lestari, Indri Lilis Martutik Limbongan, Amelia A Lubis, Adryan Fristiohady M., Fadliah Mahidin Mahidin Mahmudah, Zakiyatul Malaka, Muh Hajrul Malaka, Muhammad Hajrul Malik, Fadhliyah Malik, Fadhliyah Masdul, Muhammad Rizal Matandung, Karla Kembongallo Mirda, Mirda Mohammad, Habsah Muhammad Fadli Muhammad Ikhsan Muhammad Ilyas Yusuf Muhammad Irfan Muhammad, Tengku Sifzizul Tengku Mukarramah Mukarramah, Mukarramah Munar Munar Musa, Najiah Muwakhidah, Muwakhidah Nasution, Rina Mahyurni Ningsi, Andryani Ningsih, Andryani Normawati Normawati, Normawati Nur Illiyyin Akib Nurahmi, Nurahmi Nuralifah Nuralifah, Nuralifah Nurjaman, Jajang Nurjannah Bachri, Nurjannah Nurjunitar, Annita Vury Nurlaela Rauf Nurlina Ibrahim Nuryamin Nuryamin, Nuryamin Parawansah Parawansah, Parawansah Permana, La OMJ. Poko, Feny Rizkia Purba, Fika Yuliza Purnama, La Ode Muhammad Julian Rahayu, Gustin Sari Margiani Rahmanpiu, Rahmanpiu Rahmayani, Nur Rina Sri Widayati Rini Hamsidi, Rini Ristiyanto Ristiyanto Roland Alexander Barkey, Roland Alexander Rosmiati Rosmiati Rustam HN, Muhammad Sabrianto Aswad, Sabrianto sadimantara, muhammad syukri Safa’at, Rachmat Sahidin Sahidin Sahidin, Idin Sahidin, Idin Saktiani, Dwi Nur Salsabila, Syefira Saripuddin, Saripuddin Satria Bijaksana silvitasari, ika Siregar, Khoirotun Najihah Sitanggang, Andri Sahata Soma, Andang Suryana Sri Wahyuni Supriati, Yulia Suriana Suriana Surjono Surjono Suryani Suryani Sutji Rochaminah Suwarjo Suwarjo Syafariani, R Fenny Taufiq Taufiq Totok Budi Santoso Tukiran Tukiran Umar Dani, Ali Wanialisa, Mery Widodo Widodo Winda Irwanti, Winda Wirawan, Reza Ashari Yusuf, Muhammad I. Yusuf, Muhammad I. Zubaydah, Wa Ode Siti Zubaydah, Wa Ode Sitti