four score

four score
FOUR Score is a tool to grade coma severity based on eye, motor, brainstem and respiration responses. It is more accurate than the Glasgow Coma Scale and has been validated in many studies.
The FOUR Score is a 17-point scale (with potential scores ranging from 0 - 16). Decreasing FOUR Score is associated with worsening level of consciousness. The FOUR Score assesses four domains of neurological function: eye responses, motor responses, brainstem reflexes, and breathing pattern.
FOUR Score is a tool to evaluate four domains of neurological function in patients with impaired level of consciousness. It is based on eye, motor, brainstem and respiratory responses and ranges from 0 to 16, where lower scores indicate greater coma status.
We devised a new coma score, the FOUR (Full Outline of UnResponsiveness) score. It consists of four components (eye, motor, brainstem, and respiration), and each component has a maximal score of 4.
FOUR Score is a tool to measure the level of consciousness in patients with brain injury or other neurological disorders. It evaluates four parameters: eye response, motor response, pupil reflexes, and brainstem score.
The FOUR score may also provide additional prognostic information in patients with low scores. The FOUR score consists of four components (eye, motor, brainstem, and respiration), with a maximum score of 4 for each item.
Sum of sensitivity and specificity maximized at FOUR total score of 9 (sensitivity=0.75; specificity=0.76) for prediction of in-hospital mortality Range of scores above which the risk for in-hospital mortality is near 0 (FOUR > 12)
FOUR score is a standardized clinical behavioral scale used to assess the level of consciousness in patients, which provides additional information on brainstem reflexes and respiratory drive. It is endorsed by the European Academy of Neurology (EAN) guideline as a composite reference standard in assessing consciousness, along with advanced functional neuroimaging measures and ...
Abstract The Full Outline of UnResponsiveness (FOUR) score assessment of consciousness replaces the Glasgow Coma Scale (GCS) verbal component with assessment of brainstem reflexes. A comprehensive overview studying the relationship between a patient's FOUR score and outcome is lacking. We aim to systematically review published literature reporting the relationship of FOUR score to outcome in ...
FOUR Score is a method of measuring the level of consciousness in patients with impaired consciousness, such as those in intensive care units. It consists of four components: Eye Response, Motor Response, Brainstem Reflexes, and Respiration.
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The meaning of FOURSCORE is being four times twenty : eighty. How to use fourscore in a sentence.
The Full Outline of Un-Responsiveness Score (FOURs) is a scale for clinical assessment of consciousness that was introduced to overcome disadvantages …
We would like to show you a description here but the site won't allow us.
The Full Outline of Un-Responsiveness Score (FOURs) is a scale for clinical assessment of consciousness that was introduced to overcome disadvantages …
The FOUR score has 4 components: eye responses, motor responses, brainstem reflexes, and respiration pattern. It was developed by neurointensivists at the Mayo Clinic as an alternative to the Glasg…
The FOUR score has been shown to be a useful outcome predictor in many patients with depressed level of consciousness. It displays good inter-rater reliability among physicians and nurses.
The phrase 'four score and seven years ago' is famously known from Abraham Lincoln's Gettysburg Address. In this context, 'score' is an old term that means
Oct 14, 2025
FOURSCORE definition: four times twenty; eighty. See examples of fourscore used in a sentence.
Evidence for the FOUR Score Since its development, the FOUR score has been tested and validated in a number of studies and has shown to have good inter-rater reliability compared to the GCS. [4, 9, 11-14] It was first developed for use in the neurointensive care unit but has since been utilized in the medical intensive care unit and the ED. Furthermore, it has been validated by a variety of ...
The 4Kscore® Test is a non-invasive blood test that assesses a patient's probability for aggressive prostate cancer after an abnormal PSA or DRE result.
Nov 3, 2025
Thou ſtick'ſt a dagger in me, I ſhall neuer ſee my gold againe, foureſcore ducats at aſitting, foureſcore ducats.
Many scoring models have been proposed for evaluating level of consciousness in trauma patients. The aim of this study is to compare Glasgow coma scale (GCS) and Full Outline of UnResponsiveness (FOUR) score in predicting the mortality of trauma ...
Abstract The Full Outline of UnResponsiveness (FOUR) score assessment of consciousness replaces the Glasgow Coma Scale (GCS) verbal component with assessment of brainstem reflexes. A comprehensive overview studying the relationship between a patient's FOUR score and outcome is lacking. We aim to systematically review published literature reporting the relationship of FOUR score to outcome in ...
FOURSCORE meaning: eighty " Fourscore and seven [=87] years ago…" Abraham Lincoln, Gettysburg Address (1863)
The FOUR score, or Full Outline of UnResponsiveness, is a neurological tool for assessing coma. Learn what does FOUR score stand for and how it compares to the Glasgow Coma Scale.
Everett Copy Edward Everett, the chief speaker at the Gettysburg cemetery dedication, clearly admired Lincoln's remarks and wrote to him the next day saying, "I should be glad, if I could flatter myself that I came as near to the central idea of the occasion, in two hours, as you did in two minutes." In 1864 Everett asked Lincoln for a copy of the speech to benefit Union soldiers, making it ...
Background The Full Outline of UnResponsivness (FOUR) score is a neurological assessment score. Its theoretical benefit over preexisting scores is its evaluation of brainstem reflexes and respiratory pattern which may allow better assessment of patients with severe neurologic impairment. Objective Our goal was to perform a scoping systematic review on the available literature for FOUR score ...
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Those opening words: "four score and seven years ago": why do they sound so resonant? And where might you have heard something similar? Show less
The FOUR Score is a clinical grading scale designed for use by medical professionals in the assessment of patients with impaired level of consciousness. It was developed by Dr. Eelco F.M. Wijdicks and colleagues in Neurocritical care at the Mayo Clinic in Rochester, Minnesota. "FOUR" in this context...
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Four score and seven years ago our fathers brought forth on this continent, a new nation, conceived in Liberty, and dedicated to the proposition that all men are created equal. Now we are engaged in a great civil war, testing whether that nation, or any nation so conceived and so dedicated, can long endure. We are met on a great battle-field of that war. We have come to dedicate a portion of ...
Currently, the GCS is widely used and is based on patient motor response, verbal response, and eye opening. However, it has several limitations for evaluating the comatose patient. For example, these patients often require intubation, leaving the emergency provider unable to assess verbal response. [3] Additionally, the GCS excludes evaluation of the brainstem and breathing patterns, important ...
This study validated the use of the Full Outline of Unresponsiveness (FOUR) score in the emergency department setting. The FOUR score was reliably assessed by emergency physicians, residents, and nurses, with excellent interrater reliability (weighted kappa of 0.88). Both the FOUR score and Glasgow Coma Scale (GCS) predicted patient outcomes, though the FOUR score provides more neurologic ...
What is the FOUR Score?The FOUR Score is a neurological assessment tool that can help evaluate the level of consciousness in unresponsive patients. The name FOUR stands for Full Outline of UnResponsiveness, and it measures four domains of neurological function: eye responses, motor responses, brainstem reflexes, and respiratory patterns. Unlike the Glasgow Coma Scale (GCS), […]
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This Full Outline of UnResponsiveness (FOUR) score calculator evaluates 4 clinical parameters to determine the existence and level of coma in ER patients.
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The full outline of unresponsiveness score (FOUR score) is a grading scale for assessing the level of consciousness. Scoring This scale assesses four domains of neurological function: eye responses (E) motor responses (M) brainstem reflexes (...
Para saber la respuesta ocular, usar la mejor respuesta posible después de al menos tres ensayos. Una puntuación de E4 indica por lo menos tres excursiones voluntarias. Si los párpados están cerrados, el examinador debe dar a la apertura y examen de seguimiento de un dedo o un objeto. Seguimiento con la apertura de un párpado será suficiente en los casos de edema palpebral o un ...
American Nurse Journal, the official, clinically and career-focused journal of the American Nurses Association (ANA).
Objective Full Outline of Unresponsiveness (FOUR) score has previously been validated scale in the Neurosciences Intensive Care Unit. In this study, we sought to validate the use of FOUR score in the emergency department (ED) using non-neurology staff. We also compared its performance to the Glasgow Coma Scale (GCS) and correlated it to functional outcome at hospital discharge and overall ...
The FOUR (Full Outline of UnResponsiveness) score is a new coma scale that consists of 4 components (eye, motor, brainstem, and respiration). The scale was recently validated, but variability among nursing staff has been documented.
Introduction: The FOUR (Full Outline of UnResponsiveness) score was developed as a more effective alternative to the Glasgow Coma Scale for prognostication of critically-ill neurology patients. Current research on the FOUR score in cardiac arrest is limited, but suggests that it may be useful. Given ...
Request PDF | The current significance of the FOUR score: A systematic review and critical analysis of the literature | Background: The Full Outline of Un-Responsiveness Score (FOURs) is a scale ...
Correct. Lincoln mentions that "a new nation" was created "four score and seven years ago." Since "score" means 20, four score is 80. Four score and seven years is, therefore, 80 and 7 ...
Further studies are needed to discern the FOURs' clinical usefulness, especially in patients in non-critical condition, with milder disorders of consciousness.
The probability of in-hospital death was higher for patients with the lowest total FOUR score than for those with the lowest total GCS score.
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