title: [The French version of the FOUR score: A new coma score].
abstract: BACKGROUND
  Comatose state is a major cause for admission to the intensive care unit. The most commonly used assessment score is the Glasgow coma scale (GCS). Although widely accepted, this score has several limitations. Recently, the full outline of unresponsiveness score (FOUR) has been validated and tested as reliable as the GCS.
  
  
  METHODS
  We translated this score in French and tested its reliability in a neurological critical care unit. This study included eight critical care patients and eight intensive care patients. The patients were successively evaluated by two neurologists, four experienced nurses and five inexperienced nurses; a total of 176 evaluations were performed. The weighted kappa (kappa(W)) was used to determine the reliability of the evaluation for both the FOUR score and the GCS.
  
  
  RESULTS
  The mean age of the patients was 62 years. The interobserver reliability of the French version of the FOUR score was high (kappa(W)=0.86; IC 95%: 0.83-0.89) comparable to that of the GCS (kappa(W)=0.85; IC 95%: 0.82-0.88).
  
  
  CONCLUSIONS
  The French version of the FOUR score has an excellent interobserver reliability. This score is easy to perform and well accepted, only requiring simple and short training.
authors.affiliation: hôpital de la Pitié-Salpêtrière, Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Weiss
authors.forename: G
authors.initials: G
authors.lastname: Mutlu
authors.forename: F
authors.initials: F
authors.lastname: Essardy
authors.forename: C
authors.initials: C
authors.lastname: Nacabal
authors.forename: C
authors.initials: C
authors.lastname: Sauves
authors.forename: C
authors.initials: C
authors.lastname: Bally
authors.forename: M
authors.initials: M
authors.lastname: Houbert
authors.forename: C
authors.initials: C
authors.lastname: Lecorre
authors.forename: V
authors.initials: V
authors.lastname: Germack
authors.forename: S
authors.initials: S
authors.lastname: Demeret
authors.forename: C
authors.initials: C
authors.lastname: Pierrot-Deseilligny
authors.forename: F
authors.initials: F
authors.lastname: Bolgert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003128:Coma / Q000175:diagnosis*; D003422:Critical Care / Q000592:standards*; D005260:Female; D005602:France; D015600:Glasgow Coma Scale; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D009726:Nurses; D015588:Observer Variation; D015203:Reproducibility of Results; D055815:Young Adult