THE INITIAL FULL OUTLINE OF UNRESPONSIVNESS SCORE AS THE PREDICTOR OF CLINICAL OUTCOME IN ACUTE INTRACEREBRAL HEMORRHAGE WITHIN 30 DAYS OF ONSET

Background: Intracerebral hemorrhage (IH) is the most leading cause of death and disability due to the inavaibility of adequate therapy thus regarded as emergency medical condition to determine the prognosis in patients with IH. Objective: To introduce The Initial Full Outline of Unresponsivness FOUR score as a clinical scale alternative used in patients with IH with or without loss of consciousness. Methods: The prospective cohort study was conducted in 64 patients with acute IH who visited emergency unit of Dr. Soetomo Teaching Hospital. It was conducted clinical neurological test, laboratory test, and head CT scan without contrast. FOUR scale measurements were conducted during the first visit and calculated its clinical outcomes with Glasgow Outcome Scale (GOS) within 30 days of onset. Chi Square test was conducted to discern the correlation between initial FOUR score and clinical outcomes within 30 days of intracerebral hemorrhage onset. Results: There was significant correlation between the variables of FOUR score and clinical outcomes in patients with intracerebral hemorrhage with the p value of 0.000 (<0.05). The value of odds ratio (OR) was 36.00 (95% CI 4.378-296.016) which meant the patients with lower FOUR score had the possibility in obtaining 36 times worse clinical outcomes than patients with higher FOUR score. Conclusion: There was a correlation between initial FOUR score and clinical outcomes of acute intracerebral hemorrhage within 30 days of onset.