Determinación del grado de aceptación y facilidad en la aplicación de las escalas four y glasgow en los pacientes con trauma encéfalo craneal y evento cerebro-vascular en las áreas de medicina interna y cirugía del departamento de emergencia del Hospital Vicente Corral Moscoso. Cuenca- Ecuador 2013

Abstract

OBJECTIVES: In this study were determined the degree of acceptance and ease of application between Glasgow Coma Scale and the FOUR score, recently validated1.

METHODOLOGY: The information was obtained from the registration form (Appendix 2) in which the evaluators had choose the best option in assessing the degree of acceptance and ease of application of the FOUR score. The evaluators were medical students, who performed medical practices in patients with traumatic brain injury and stroke in the areas of Internal Medicine and Emergency Surgery at the Vicente Corral Moscoso Hospital between March and June of 2013.

RESULTS: 369 evaluations were performed in 112 patients, 210 evaluations in patients with traumatic brain injury (57%) and 159 assessments in patients with stroke (43%). The degree of acceptance on the FOUR score scale was: 4.88% strongly disagree, disagree in some respects 22.22%, 18.70% undecided, agree in some respects 32.52% strongly agree 21.68 %. The ease of application on the FOUR score was: 12.74% strongly disagree, disagree in some respects 25.20%, 15.72% undecided, agree in some respects 27.37% strongly agree 18.97 %.

CONCLUSIONS: Most of the evaluators were agree in some respects, both the degree of acceptance as to the ease of application of the FOUR Scale regarding the Glasgow Coma Scale.

KEYWORDS: FOUR, Glasgow, brain injury, stroke.