Examinando por Autor "Achaca Palomino, Raquel Elizabeth"

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    Advantages of the FOUR scale compared to the Glasgow scale in predicting mortality in neurocritical patients.
    (Universidad Privada Norbert Wiener, 2018-03-25) Achaca Palomino, Raquel Elizabeth; Caballero Ramírez, Jesús Miguel; Gamarra Bustillos, Carlos
    Objective: To systematize the evidence on the advantages of the FOUR Scale compared to the Glasgow Coma Scale (GCS) in predicting mortality in neurocritical patients. Methodology: This is a systematic review of 14 articles from different databases, with the search restricted to full-text articles and using the GRADE system for evaluation. Results: From the systematic review, 50% of the authors report that the FOUR Scale provides a better prediction of mortality and offers a more detailed neurological assessment in coma patients in the ICU, as it can assess intubated patients and those with aphasia, including evaluation of brainstem reflexes and respiration. Another 50% of the reviewed articles suggest that the FOUR Scale can predict hospital mortality as well as the GCS and that both can be used to assess the level of consciousness in neurocritical patients. Conclusion: Both the FOUR Scale and the GCS perform well as predictors of mortality and neurological assessment in neurocritical patients. However, the FOUR Scale offers more advantages by including brainstem reflexes and respiration within its scoring system.