title: Full Outline of Unresponsiveness score and the Glasgow Coma Scale in prediction of pediatric coma.
abstract: BACKGROUND
  This study was done to compare the admission Full Outline of Unresponsiveness (FOUR) score and Glasgow Coma Scale (GCS) as predictors of outcome in children with impaired consciousness.
  
  
  METHODS
  In this observational study, children (5-12 years) with impaired consciousness of <7 days were included. Children with traumatic brain injury, on sedatives or neuromuscular blockade; with pre-existing cerebral palsy, mental retardation, degenerative brain disease, vision/hearing impairment; and seizure within last 1 hour were excluded. Primary outcomes: comparison of area under curve (AUC) of receiver operating characteristic (ROC) curve for in-hospital mortality. Secondary outcomes: comparison of AUC of ROC curve for mortality and poor outcome on Pediatric Overall Performance Category Scale at 3 months.
  
  
  RESULTS
  Of the 63 children, 20 died during hospital stay. AUC for in-hospital mortality for GCS was 0.83 (CI0.7 to 0.9) and FOUR score was 0.8 (CI0.7 to 0.9) [difference between areas -0.0250 (95%CI0.0192 to 0.0692), Z statistic 1.109,P=0.2674]. AUC for mortality at 3 months for GCS was 0.78 (CI0.67 to 0.90) and FOUR score was 0.74 (CI0.62 to 0.87) (P=0.1102) and AUC for poor functional outcome for GCS was 0.82 (CI0.72 to 0.93) and FOUR score was 0.79 (CI0.68 to 0.9) (P=0.2377), which were also comparable. Inter-rater reliability for GCS was 0.96 and for FOUR score 0.98.
  
  
  CONCLUSIONS
  FOUR score was as good as GCS in prediction of in-hospital and 3-month mortality and functional outcome at 3 months. FOUR score had a good inter-rater reliability.
authors.affiliation: Department of Pediatrics, Advance Pediatric Center, Post-graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Atahar
authors.initials: A
authors.lastname: Jamal
authors.affiliation: Department of Pediatrics, Advance Pediatric Center, Post-graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Naveen
authors.initials: N
authors.lastname: Sankhyan
authors.affiliation: Department of Pediatrics, Advance Pediatric Center, Post-graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Murlidharan
authors.initials: M
authors.lastname: Jayashree
authors.affiliation: Department of Pediatrics, Advance Pediatric Center, Post-graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sunit
authors.initials: S
authors.lastname: Singhi
authors.affiliation: Department of Pediatrics, Advance Pediatric Center, Post-graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Pratibha
authors.initials: P
authors.lastname: Singhi
keywords: Altered sensorium; Neuro-intensive care; Neuro-monitoring; Neuroinfection; Tropical neurology