Comparison of the Full Outline of UnResponsiveness Score and Glasgow Coma Scale in Predicting Endotracheal Intubation, Hospital Length of Stay, and Mortality Among Patients With Non-traumatic Altered Mental Status in the Emergency Department

The FOUR score demonstrated superior predictive accuracy compared to the GCS across all clinical outcomes, including mortality, intubation, and length of hospital stay. It may serve as a more reliable tool for prognostication in non-traumatic patients with altered mental status.

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Publication Details

Journal
Cureus
Published
2025-10-20
DOI
https://doi.org/10.7759/cureus.94966
Primary Topic
Emergency and Acute Care Studies
Type
article
Field-Weighted Citation Impact
0.00

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article

Comparison of the Full Outline of UnResponsiveness Score and Glasgow Coma Scale in Predicting Endotracheal Intubation, Hospital Length of Stay, and Mortality Among Patients With Non-traumatic Altered Mental Status in the Emergency Department

Anwar Ahmed, Almu’atasim Khamees, Muzaffar Abbas, Omer Faris Nawar et al.
Cureus
Emergency and Acute Care Studies
article

Comparison of the Full Outline of UnResponsiveness Score and Glasgow Coma Scale in Predicting Endotracheal Intubation, Hospital Length of Stay, and Mortality Among Patients With Non-traumatic Altered Mental Status in the Emergency Department

Anwar Ahmed, Almu’atasim Khamees, Muzaffar Abbas, Omer Faris Nawar, Rafal Abdulamir Abdullah Almaulla, Ghaith Mohammed Taha, Saja Jaafar Abotaleb, Ameer Ayad Jawad Al-Musawi, Sama Jamal Baqer, Abdullah Muhanned Isam
article en

Abstract

The FOUR score demonstrated superior predictive accuracy compared to the GCS across all clinical outcomes, including mortality, intubation, and length of hospital stay. It may serve as a more reliable tool for prognostication in non-traumatic patients with altered mental status.

CureusVol. 17(10)
University of Baghdad (IQ), Baghdad Medical City (IQ), Abbasi Shaheed Hospital (PK), Health First (US), Karamay Central Hospital (CN), Nahrain University (IQ)
Al-Nahrain University
Openalex Percentile: Top 56%
Emergency and Acute Care Studies
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