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[Latar Belakang: Skala Koma Glasgow (SKG) yang digunakan secara luas saat iniuntuk memprediksi mortalitas pasien cedera kepala dewasa memiliki keterbatasan. SkorFOUR dibuat untuk mengatasi keterbatasan itu. Perlu diketahui apakah sensitivitas danspesitivitas Skor FOUR lebih baik daripada SKG.Tujuan: Untuk mengetahui apakah sensitivitas/spesifisitas skor FOUR dan komponenkomponennyalebih baik daripada SKG dan komponen-komponennya untukmemprediksi kematian 7 hari pada pasien cedera kepala dewasa, serta titik potongmasing-masing SKG dan Skor FOUR.Metode: Penelitian prognostik dengan menggunakan desain kohort. Sampel dinilaiSKG dan Skor FOURsaat di IGD, kemudian diikuti selama 7 hari pengamatan, hasilakhir dicatat sebagai hidup atau mati. Kemudian dianalisis perbandingan ketepatanprediksi mortalitas antara SKG dan Skor FOUR.Hasil: Didapatkan 123 sampel, kematian terjadi pada 18 orang (14,6%).skor FOURmemiliki sensitivitas dan spesifisitas yang lebih baik (skor FOUR pada cut off ≤ 11,5dengan sensitivitas 94,4% dan spesifisitas 96,2%) dibandingkan SKG pada cut off ≤ 9,5dengan sensitivitas 88,9% dan spesifisitas 91,4%.Kesimpulan: Skor FOUR mempunyai sensitivitas dan spesifisitas yang lebih baikdaripada SKG untuk memprediksi kematian 7 hari pada pasien cedera kepala dewasa.;Background: Glasgow Coma Scale (GCS) is the common coma score used by medicalpractitioners all over the world. GCS is known to have some limitations. FOUR Scorewas developed to overcome the limitations of GCS. Herein, we investigated whether thesensitivity and specificity of the FOUR Score is better the GCS in predicting 7 daysmortality in adult with head trauma.Aims: to find out whether the sensitivity and specificity of the FOUR Score is better theGCS in predicting 7 days mortality in adult with head trauma.Methods: A prognostic cohort study. GCS and FOUR score were assessed in theemergency room, the patients were followed for 7 days, primary outcome measures are7 days mortality.Results: There were 123 eligible subjects. The mortality rate was 14.6% (18 patients).FOUR score has better sensitivity dan specificity (with the ≤ 11.5 cut off, the sensitivity94.4% and specificity 96.2%) than GCS with the ≤ 9.5 cut off, the sensitivity 88.9%and specificity 91.4%Conclusion:FOUR Score has better, Background: Glasgow Coma Scale (GCS) is the common coma score used by medicalpractitioners all over the world. GCS is known to have some limitations. FOUR Scorewas developed to overcome the limitations of GCS. Herein, we investigated whether thesensitivity and specificity of the FOUR Score is better the GCS in predicting 7 daysmortality in adult with head trauma.Aims: to find out whether the sensitivity and specificity of the FOUR Score is better theGCS in predicting 7 days mortality in adult with head trauma.Methods: A prognostic cohort study. GCS and FOUR score were assessed in theemergency room, the patients were followed for 7 days, primary outcome measures are7 days mortality.Results: There were 123 eligible subjects. The mortality rate was 14.6% (18 patients).FOUR score has better sensitivity dan specificity (with the ≤ 11.5 cut off, the sensitivity94.4% and specificity 96.2%) than GCS with the ≤ 9.5 cut off, the sensitivity 88.9%and specificity 91.4%Conclusion:FOUR Score has better] |
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