Comparing two scoring systems for predicting outcomes in coma patients
A Comparison of Full Outline of Unresponsiveness Score With Glasgow Coma Scale Score in Predicting Outcomes Among Patients With Altered Mental Status Admitted to the Emergency Room
This study is testing whether a new scoring system called the FOUR Score can better predict outcomes for coma patients in the emergency room compared to the traditional Glasgow Coma Scale.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 150 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Al-Nahrain University Academic / other |
| Locations | 1 site (Baghdad) |
| Trial ID | NCT06703619 on ClinicalTrials.gov |
What this trial studies
This observational study aims to compare the predictive utility of the Full Outline of Unresponsiveness (FOUR) Score and the Glasgow Coma Scale (GCS) Score in patients with altered mental status admitted to the emergency room. Participants will undergo assessments using both scoring systems upon admission, and their clinical outcomes will be monitored throughout their hospital stay. The study seeks to determine if the FOUR Score offers a more accurate prediction of patient outcomes compared to the GCS Score, particularly in specific patient subgroups.
Who should consider this trial
Good fit: Ideal candidates include patients admitted to the emergency room with altered mental status who can be assessed using both the FOUR and GCS Scores.
Not a fit: Patients with pre-existing neurological conditions or those who leave against medical advice may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could improve the accuracy of outcome predictions for patients in coma, leading to better-informed clinical decisions.
How similar studies have performed: While the GCS is widely used, the FOUR Score is a newer approach, and this study will provide valuable insights into its effectiveness compared to the GCS.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients admitted to the emergency room with altered mental status. * Patients were assessed using both the Full Outline of Unresponsiveness (FOUR) Score and the Glasgow Coma Scale (GCS) Score upon admission. * Patients whose clinical outcomes (e.g., mortality, length of hospital stay, need for intensive care) are available for follow-up and analysis. Exclusion Criteria: * Patients with incomplete or missing data on FOUR and/or GCS assessments. * Patients who leave against medical advice (LAMA) or are discharged before outcome data can be collected. * Patients with pre-existing neurological conditions that might independently influence outcomes (e.g., severe dementia, long-standing neurodegenerative diseases). * Patients in whom resuscitative measures were initiated but unsuccessful before scoring could be performed.
Where this trial is running
Baghdad
- College of Medicine - Al-Nahrain University — Baghdad, Iraq (Recruiting)
Study contacts
- Study coordinator: Abdul-Ilah R. Khamis
- Email: allaabed987@ced.nahrainuniv.edu.iq
- Phone: +9647838571013
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.