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Bilinç Durumunu Değerlendirmek İçin Kullanılabilecek Yeni Bir Ölçek: Four Skor

Year 2018, Issue: 3, 220 - 222, 01.09.2018

Abstract

Günümüzde nörolojik durumun değerlendirilmesinde en yaygın olarak kullanılan ölçek Glasgow Koma Skalası’dır GKS . GKS’deki sınırlamalar entübe veya afazik hastalardaki verbal yanıt zorluğunu içermektedir. Full Outline of UnResponsiveness FOUR skoru son zamanlarda önerilen sözlü yanıta bağımlı olmayan yeni bir koma skalasıdır. Bu makalede bilinçin tanımı, seviyeleri ve bilinç düzeyini değerlendirmek için kullanılabilecek yeni bir ölçek olan Four skor tanıtılacaktır. Özellikle yoğun bakım ve acil gibi kritik ünitelerde çalışan hemşirelerin de bu yeni ölçeği nasıl kullanacaklarını bilmelerinin faydalı olacağı düşünülmektedir

References

  • Stevens RD, Bhardwaj A. Approach to the comatose patient. Critical Care Medicine 2006; 34:31-41.
  • Berger JR. Clinical approach to stupor and coma. In: Bradley WG, Daroff RB, Fenichol GM, Jankovic (ed). Butterworsh & Heinemann. Philadelphia 2004; 43-64.
  • Wijdicks EF, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: The FOUR score. Annals of Neurology 2005; 58:585-93. [CrossRef]
  • Wijdicks EF, Rabinstein AA, Bamlet WR, Mandrekar JN. FOUR score and Glasgow Coma Scale in predicting outcome of comatose patients: A pooled analysis. Neurology 2011; 77:84–5. [CrossRef]
  • Örken DN, Sağduyu AK, Şirin H, Işıkara CT, Gökçe M, Sütlaş N ve ark. Yeni bir koma değerlendirme ölçeği olan FOUR Skorun Türkçe çevirisinin güvenirlik çalışması. Trakya Üniversitesi Tıp Fakültesi Dergisi 2010;27:28-31.
  • Eken C, Kartal M, Bacanli A, Eray O. Comparison of the Full Outline of UnResponsiveness Score Coma Scale and the Glasgow Coma Scale in an emergency setting population. European journal of emergency medicine: official journal of the European Society for Emergency Medicine 2009;16:29-36. [CrossRef]
  • Kevric J, Jelinek GA, Knott J, Weiland TJ. Validation of the Full Outline of Unresponsiveness (FOUR) scale for conscious state in the emergency department: Comparison against the Glasgow Coma Scale. Emergency Medicine Journal 2011;28:486-90. [CrossRef]
  • Fischer M, Rüegg S, Czaplinski A, Strohmeier M, Lehmann A, Tschan F et al. Inter-rater reliability of the Full Outline of UnResponsiveness score and the Glasgow Coma Scale in critically ill patients: a prospective observational study. Critical care 2010;14:R64. [CrossRef]
  • Jalali R, Rezaei M. A comparison of the Glasgow Coma Scale score with full outline of unresponsiveness scale to predict patients’ traumatic brain injury outcomes in intensive care units. Critical Care Research and Practice 2014;2014:289803. [CrossRef]
  • Wolf CA, Wijdicks EF, Bamlet WR, McClelland RL. Further validation of the FOUR score coma scale by intensive care nurses. Mayo Clinic proceedings Mayo Clinic 2007;82:435-8. [CrossRef]
  • Cohen J. Interrater reliability and predictive validity of the FOUR Score Coma Scale in a pediatric population. Journal of Neuroscience Nursing 2009; 41:261-7.
  • Şahin AS, Şahin M, Öztürk NK, Kızılateş E, Karslı B. Yoğun bakım ünitelerinde nörolojik durumun değerlendirilmesinde kullanılan GKS ve FOUR skorlarının karşılaştırılması. Çağdaş Tıp Dergisi 2015;5:167-72. [CrossRef]

A New Scale For Evaluat Ing of The Consciousness: Four Score

Year 2018, Issue: 3, 220 - 222, 01.09.2018

Abstract

Today, the most widely used scale for the assessment of neurological status is the Glasgow Coma Scale GCS . The limitations of the GCS include verbal response or difficulty in aphasic patients intubated. Full Outline of the unresponsiveness FOUR is a new coma scale that is recently proposed and not dependent on verbal response. This article will examine consciousness, levels of consciousness and a new Four Score scale that can be used to assess the level of awareness which may be of particular interest to intensive care and emergency nurses working in critical units

References

  • Stevens RD, Bhardwaj A. Approach to the comatose patient. Critical Care Medicine 2006; 34:31-41.
  • Berger JR. Clinical approach to stupor and coma. In: Bradley WG, Daroff RB, Fenichol GM, Jankovic (ed). Butterworsh & Heinemann. Philadelphia 2004; 43-64.
  • Wijdicks EF, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: The FOUR score. Annals of Neurology 2005; 58:585-93. [CrossRef]
  • Wijdicks EF, Rabinstein AA, Bamlet WR, Mandrekar JN. FOUR score and Glasgow Coma Scale in predicting outcome of comatose patients: A pooled analysis. Neurology 2011; 77:84–5. [CrossRef]
  • Örken DN, Sağduyu AK, Şirin H, Işıkara CT, Gökçe M, Sütlaş N ve ark. Yeni bir koma değerlendirme ölçeği olan FOUR Skorun Türkçe çevirisinin güvenirlik çalışması. Trakya Üniversitesi Tıp Fakültesi Dergisi 2010;27:28-31.
  • Eken C, Kartal M, Bacanli A, Eray O. Comparison of the Full Outline of UnResponsiveness Score Coma Scale and the Glasgow Coma Scale in an emergency setting population. European journal of emergency medicine: official journal of the European Society for Emergency Medicine 2009;16:29-36. [CrossRef]
  • Kevric J, Jelinek GA, Knott J, Weiland TJ. Validation of the Full Outline of Unresponsiveness (FOUR) scale for conscious state in the emergency department: Comparison against the Glasgow Coma Scale. Emergency Medicine Journal 2011;28:486-90. [CrossRef]
  • Fischer M, Rüegg S, Czaplinski A, Strohmeier M, Lehmann A, Tschan F et al. Inter-rater reliability of the Full Outline of UnResponsiveness score and the Glasgow Coma Scale in critically ill patients: a prospective observational study. Critical care 2010;14:R64. [CrossRef]
  • Jalali R, Rezaei M. A comparison of the Glasgow Coma Scale score with full outline of unresponsiveness scale to predict patients’ traumatic brain injury outcomes in intensive care units. Critical Care Research and Practice 2014;2014:289803. [CrossRef]
  • Wolf CA, Wijdicks EF, Bamlet WR, McClelland RL. Further validation of the FOUR score coma scale by intensive care nurses. Mayo Clinic proceedings Mayo Clinic 2007;82:435-8. [CrossRef]
  • Cohen J. Interrater reliability and predictive validity of the FOUR Score Coma Scale in a pediatric population. Journal of Neuroscience Nursing 2009; 41:261-7.
  • Şahin AS, Şahin M, Öztürk NK, Kızılateş E, Karslı B. Yoğun bakım ünitelerinde nörolojik durumun değerlendirilmesinde kullanılan GKS ve FOUR skorlarının karşılaştırılması. Çağdaş Tıp Dergisi 2015;5:167-72. [CrossRef]
There are 12 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Şenay Karadağ Arlı

Publication Date September 1, 2018
Published in Issue Year 2018Issue: 3

Cite

EndNote Arlı ŞK (September 1, 2018) Bilinç Durumunu Değerlendirmek İçin Kullanılabilecek Yeni Bir Ölçek: Four Skor. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 220–222.