Correlation between bispectral index and FOUR score in critically ill patients with traumatic brain injury: A cross-sectional study
Mostafa, H., Mortada Mohamed, A., Mukhtar, A., Taha, A., Bakr, H., Habib, S. (2023). Correlation between bispectral index and FOUR score in critically ill patients with traumatic brain injury: A cross-sectional study. EKB Journal Management System, 39(1), 943-946. doi: TEJA-2023-0207
Hanan Mohamed Mohamed Mohamed Mostafa; Ahmed Mohamed Mortada Mohamed; Ahmed Mukhtar; Alaa Bahaa Taha; Heba Bakr; Sara Farouk Kasem Habib. "Correlation between bispectral index and FOUR score in critically ill patients with traumatic brain injury: A cross-sectional study". EKB Journal Management System, 39, 1, 2023, 943-946. doi: TEJA-2023-0207
Mostafa, H., Mortada Mohamed, A., Mukhtar, A., Taha, A., Bakr, H., Habib, S. (2023). 'Correlation between bispectral index and FOUR score in critically ill patients with traumatic brain injury: A cross-sectional study', EKB Journal Management System, 39(1), pp. 943-946. doi: TEJA-2023-0207
Mostafa, H., Mortada Mohamed, A., Mukhtar, A., Taha, A., Bakr, H., Habib, S. Correlation between bispectral index and FOUR score in critically ill patients with traumatic brain injury: A cross-sectional study. EKB Journal Management System, 2023; 39(1): 943-946. doi: TEJA-2023-0207

Correlation between bispectral index and FOUR score in critically ill patients with traumatic brain injury: A cross-sectional study

Egyptian Journal of Anaesthesia
Volume 39, Issue 1, December 2023, Page 943-946  XML PDF (359.78 K)
DOI: TEJA-2023-0207
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Authors
Hanan Mohamed Mohamed Mohamed Mostafa; Ahmed Mohamed Mortada Mohamed; Ahmed Mukhtar; Alaa Bahaa Taha; Heba Bakr; Sara Farouk Kasem Habib
Abstract
Introduction
For neurological testing and monitoring of traumatic brain injury (TBI) patients whose verbal component of the Glasgow Coma Scale (GCS) cannot be assessed, the Full Outline of Unresponsiveness (FOUR) score has been established. In order to determine the degree of awareness in patients with traumatic brain injury, this study will correlate the FOUR score with the bispectral index (BIS) and global consciousness score (GCS).
Methods
Twenty TBI patients with traumatic brain injury who were hospitalised to the surgical ICU at Cairo University Hospital participated in our prospective observational research. An observer who was blind to the BIS values assessed each of the FOUR scores and GCS (Covidien BIS complete monitoring system, Mansfield, MA, USA). Each patient provided four sets of readings. Spearman’s correlation coefficient was used to perform a correlation between the FOUR score, GCS, and BIS (r).
Results
There was a significant correlation between BIS and FOUR score ( = 0.854, 95% confidence interval: 0.780–0.904) ( < 0.001). There was also a significant correlation between BIS and GCS ( = 0.864, 95% confidence interval: 0.795–0.911) ( < 0.001).
Conclusion
There is a strong correlation between FOUR score, GCS, and BIS values in patients with traumatic brain injury. FOUR score seems a reliable alternative for GCS and BIS in the assessment of degree of consciousness, especially in intubated patients.
Keywords
Bispectral index; FOUR score; Glasgow coma scale; Traumatic brain injury
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