Penilaian Kesadaran pada Anak Sakit Kritis: Glasgow Coma Scale atau Full Outline of UnResponsiveness score?

Rismala Dewi

Sari


Pemeriksaan neurologis tingkat kesadaran sangat penting untuk menilai secara komprehensif pasien anak sakit kritis, dan dapat memberikan informasi prognosis. Skala koma yang ideal seharusnya bersifat linear, reliabel, valid, dan mudah digunakan. Berbagai macam skala koma telah dikembangkan dan di validasi untuk mengevaluasi tingkat kesadaran secara cepat, menilai beratnya penyakit dan prognosis terhadap morbiditas dan mortalitas. Glasgow Coma Scale (GCS) merupakan alat pemeriksaan tingkat kesadaran yang paling sering digunakan dan dijadikan baku emas saat memvalidasi skala koma yang baru. GCS mempunyai keterbatasan karena pasien yang terintubasi tidak dapat dinilai komponen verbal sehingga memengaruhi hasil penilaian. FOUR Score dikembangkan untuk mengatasi berbagai keterbatasan yang dimiliki GCS. FOUR score lebih sederhana dan memberikan informasi yang lebih baik, terutama pada pasien-pasien yang terintubasi.

Kata Kunci


Glasgow Coma Scale; Full Outline of UnResponsiveness score; anak sakit kritis

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Referensi


Bordini AL, Luiz TF, Fernandes M, Arruda WA, Teive HA. Coma scales: a historical review. Arq Neuropsiquiatr 2010;68:930-7.

Iyer VN, Mandrekar JN, Danielson RD, Zubkov AY, Elmer JL, Wijdicks EFM. Validity of the FOUR score coma scale in the medical intensive care unit. Mayo Clin Proc 2009;84:694-701.

Farouq MO. Looking for an ideal coma scale: It is time to replace GCS. Bangladesh Crit Care J 2014;2:1-3.

Mansour OY, Megahed MM, Abd Elghany EHS. Acute ischemic stroke prognostication, comparison between Glasgow Coma Score, NIHS Scale and Full Outline of UnResponsiveness Score in intensive care unit. Alex J Med. 2015;51:247-53.

Heather NL.Derraik JG, Beca J, Hofman PL, Dansey R, Cutfield WS, dkk. Glasgow Coma Scale and outcomes after Structural Traumatic Head Injury in early childhood. PloS One 2013;8:e82245-51.

Reith FC, Van den Brande R, Synnot A, Gruen R, Maas AI. The reliability of the Glasgow Coma Scale: a systematic review. Intensive Care Med 2016;42:3-15.

Mahdian M, Fazel MR, Fakharian E, Akbari H, Mahdian S. Cerebral state index versus Glasgow coma scale as a predictor for in-hospital mortality in brain-injured patients. Chinese J Trauma 2014;17:220-4.

Holmes JF, Palchak MJ, MacFarlane T, Kuppermann N. Performance of the pediatric Glasgow Coma Scale in children with blunt head trauma. Acad Emerg Med 2005;12:814–9.

Kirkham FJ, Newtton CR, Whitehouse W. Pediatric coma scales. Dev Med Child Neurol 2008;50:267-74.

Wijdicks EFM, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: The FOUR score. Ann Neurol 2005;58:585-93.

Khajeh A, Fayyazi A, Miri-Aliabad G, Askari K, Noori N, Khajeh K. Comparison between the ability of Glasgow Coma Scale and Full Outline of Unresponsiveness Score to predict the mortality and discharge rate of pediatric intensive care unit patients. Iran J Pediatr 2014;24: 603-8.

Sahin AS, Sahin M, Öztürk NK, Kizilates E, Karsli B. Comparision Of GCS And FOUR Scores used in the evaluation of neurological status in intensive care units. J Contemp Med 2015;5:167-72.

Akavipat P. Endorsement of the FOUR score for consciousness assessment in neurosurgical patients. Neurol Med Chir 2009;49:565-71.

Eken C, Kartal M, Bacanli A, Eray O. Comparison of the Full Outline of Unresponsiveness score coma scale and the Glasgow Coma Scale in an emergency setting population. Eur J Emerg Med 2009;16:29-36.

Chen B, Grothe C, Schaller K. Validation of a new neurological score (FOUR Score) in the assessment of neurosurgical patients with severely impaired consciousness. Acta Neurochir 2013;155:2133–9.

Stead LG, Wijdicks EFM, Bhagra A, Kashyap R, Bellolio MF, Nash DL, dkk. Validation of a new coma scale, the FOUR score, in the emergency department. Neurocrit Care 2009;10:50-4.

Dewi R, Mangunatmadja I, Yuniar I. Perbandingan FOUR Score dengan GCS dalam menentukan prognostik pasien rawat inap di unit perawatan intensif anak. Sari Pediatri 2011;13:215-25.

Murthy TVSD. A new score to validate coma in emergency department – FOUR score. IJNT 2009;6:59-62.

Wijdicks EF. Clinical scales for comatose patients: the Glasgow Coma Scale in historical context and the new FOUR score. Rev Neurol Dis 2006;3:109-17.

Wolf CA, Wijdicks EFM, Bamlet WR, McClelland RL. Further validation of the FOUR score coma scale by intensive care nurses. Mayo Clin Proc 2007;82:435-8.

Cohen J. Interrater reliability and predictive validity of the FOUR score coma scale in a pediatric population. J Neuroscience Nurs 2009;41:261-7.




DOI: http://dx.doi.org/10.14238/sp17.5.2016.401-406

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