Full outline of un-responsiveness scale versus modified Glasgow Coma Scale in predicting discharge outcomes in disturbed consciousness patients

20^th World Nursing Education Conference

May 22- 24, 2017 Osaka, Japan

Samah A Shalaby, Noha Ali and Nagwa A Reda

Alexandria University, Egypt
Assuit University Hospital, Egypt

Scientific Tracks Abstracts: J Nurs Care

Abstract :

Background: Disturbed consciousness level is common in critically ill patients. Neurological assessment, evaluation of disturbed consciousness patients and their outcomes prediction are usually challenging for critical care nurses. Scoring systems have been developed to obtain a fast and comprehensive assessment, to facilitate communication among examiners, to triage and monitor changes for therapeutic decisions, and to provide prognostic information about the patients. Aim: The aim is to compare between the full outline of un-responsiveness scale and the modified Glasgow Coma Scale in predicting discharge outcomes in disturbed consciousness patients. Materials & Methods: A descriptive design was followed in this study. The study was conducted at the Trauma Intensive Care Unit, Neurological Intensive Care Unit and Neurosurgery Intensive Care Unit in Assuit University Hospital. Three tools were utilized to collect the data namely: Tool I â�?�?Patients Profile Data Formâ�?, Tool II â�?�?Level of Consciousness Assessmentâ�? and Tool III â�?�?Discharge Data Assessment recordâ�?. Results: The patients' outcomes on discharge were found to be: Three patients regained their consciousness and discharged to home; more than one third regained their consciousness and transferred to ward; some of them experienced co-morbidities and transferred to ward; and nearly half of them were died. The majority of the deaths had exposed to secondary brain injury. More than one third of the total patients who were alive on discharge from the ICU had physical disabilities and co-morbidities. Conclusion & Recommendations: The components of the FOUR score, and the MGCS had different predictive abilities. The FOUR score have higher accuracy prediction of in-hospital outcomes and the prognostic power of the FOURs was the best prognostic power than the MGCS in the first three assessment days. Therefore, this studyâ�?�?s results would be bolstered by other studies that enrolled a larger number of patients across the entire acuity spectrum, and within more hospitals.

Biography :

Samah A Shalaby has completed her PhD from Alexandria University. She is a Lecturer of Critical Care and Emergency Nursing at Faculty of Nursing, Alexandria University, Egypt. She is currently Assistant Professor at King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia, and has published more than 5 papers in reputed journals.

Email: samahanwar_2005@yahoo.com