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Updated: Jun 24, 2026
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SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
[The French version of the FOUR score: A new coma score]
Revue Neurologique
|March 20, 2009
Summary
The French version of the Full Outline of Unresponsiveness (FOUR) score demonstrates excellent interobserver reliability for assessing comatose patients, comparable to the Glasgow Coma Scale (GCS). This validated tool offers a reliable alternative in neurological critical care.
Area of Science:
- Neurology
- Critical Care Medicine
- Clinical Assessment Tools
Context:
- Comatose state is a frequent reason for intensive care unit admission.
- The Glasgow Coma Scale (GCS) is the standard but has limitations.
- The Full Outline of Unresponsiveness (FOUR) score is a validated alternative.
Purpose:
- To translate the FOUR score into French.
- To assess the interobserver reliability of the French FOUR score in a neurological critical care unit.
- To compare its reliability with the GCS.
Summary:
- The French FOUR score was evaluated in 16 critical care patients by neurologists and nurses (176 evaluations total).
- Interobserver reliability for the French FOUR score was high (kappa(W)=0.86), comparable to the GCS (kappa(W)=0.85).
- The study included patients with a mean age of 62 years.
Impact:
- The French FOUR score exhibits excellent interobserver reliability.
- It is easy to administer and well-accepted by clinicians.
- Requires only brief training, making it a practical tool for neurological critical care settings.
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