“Comparison between Full Outline of UnResponsiveness (FOUR) score and Glasgow Coma Scale-Pupils (GCS-P) Score for predicting outcome in the patients after cardiac arrest- a prospective observational study”

After procuring approval from the institutional ethics committee, we will prospectively enroll the patients who are satisfying the inclusion criteria. While the patients satisfying the exclusion criteria will be excluded. The study will be carried out for a period of 18 months.  The representative of the subject will be explained about the study and a written valid informed consent for their willingness will be taken before enrolling the patient for the study. The patients will be shifted to the ICU, after resuscitating them as per the recent ACLS (Advanced Cardiovascular Life Support) guidelines. After stabilizing the patient in the ICU; the patient’s demographic details, details of comorbidities (if any), previous history of cardiac arrest and resuscitation, and details of previous surgeries (if any) will be noted. Following this, a thorough neurological assessment will be done to record the FOUR score and GCS-P score. The length of stay of the patient in ICU after cardiac arrest will also be noted. Similar neurological assessments will be done at 24 hours, 48 hours, 72 hours, and 120 hours after the cardiac arrest to note down GCS-P and FOUR scores. In-hospital mortality for the enrolled patients will be noted. The functional neurological outcome will be assessed at discharge and 3 months after the cardiac arrest, using the Modified Rankin Scale (mRS). After 3 months, this assessment will be done physically, if the patients are still staying in Mumbai. In case the patient is not staying in Mumbai; we will telephonically communicate with the family physician who is taking care of the patient and will accordingly note down the findings of the assessment. In case the family physician is not involved in the patient care, we will assess the patient using a video call.