Article information, pdf download for itemlevel psychometrics of the. The glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury, but it is increasingly recognized to have important limitations. The gose exhibits validity when used with adults and some adolescents, but validity. The gose extends the original 5 gos categories to 8. The glasgow outcome scale gos in its original and extended form. The glasgow outcome scale assesses patients with traumatic brain injury in terms of neurological status and degree of disability. The glasgow outcome scale gos has been widely accepted as a standard means. Gose structured interview for the glasgow outcome scale and the extended glasgow outcome scale.
Objectives extended glasgow outcome scale is the primary outcome measure in trials involving neurotrauma patients. Outcome predictors of glasgow outcome scale score in. Outcome measure glasgow outcome scale 8 category sensitivity to change no population adult and paediatric domain global outcome study suitability intervention rehabilitation icfcodes b1, d1d9 description the original glasgow outcome scale gos was developed as a practical index of social outcome following head injury designed to complement the. Home resources for current staff neuro critical care topics and neuro icu resources glasgow outcome scale gos and extended glasgow outcome scale egos. Clinical utility in assessing outcome in children and adolescents following acquired brain injury abi. Use of broad categories that are insensitive to change difficulties with reliability du e to lack of a structured interview format. The extended glasgow outcome scale gose was developed to address the limitations of the original glasgow outcome scale gos, including the use of broad categories that can be insensitive to small, but meaningful, changes in function. Independence in the home independence outside the home 3. Gcs supplert av nevrologiske utfall og varighet av bevissthetstap. The extended glasgow outcome scale gose is a hierarchical scale in which the patients overall rating score is based on the lowest outcome category indicated by the response to the questionnaire. Conventional dichotomization characterises unfavourable outcomes as upper severe disability or worse, however rescueicp changed this to consider upper severe disability as a favourable outcome. Glasgow coma scale centers for disease control and.
Functional status examination versus glasgow outcome scale. Comprehensive training on the use of the gose required. Wilson jt, slieker fj, legrand v, murray g, stocchetti n, maas. Glasgow outcome scale extended rehabmeasures database. One studied 214 adult patients with severe tbi with glasgow coma scale gcs extended sensitivity to change no population adult and paediatric domain global outcome study suitability intervention rehabilitation icfcodes b1, d1d9 description the glasgow outcome scale gos is a practical index of social outcome following head injury designed to complement the glasgow coma scale as. Pdf validity of a pediatric version of the glasgow outcome scale. The extended glasgow coma scale and mtbi slater vecchio. Outcome predictors of glasgow outcome scale score in patients with severe traumatic brain injury ries. The glasgow outcome scaleextended gose potentially addresses this criticism, and in this study we estimate the efficiency gain associated with using the gose in place of the. Teasdale2 abstract the glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury, but it is increasingly. Pdf structured interviews for the glasgow outcome scale. The glasgow outcome scale gos and its most recent revision, the gosextended gose, provide the gold standard for measuring traumatic brain injury tbi outcome.
Emotional and cognitive consequences of head injury in relation to the glasgow outcome scale. Guidelines for their use article pdf available in journal of neurotrauma 158. Pdf the glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury. Score, glasgow outcome scoreextended gose, description. Tp17 extended glasgow outcome scale when would you rather. Journal of neurotrauma volume 15, number 8, 1998 mary ann liebert, inc. Pdf structured interviews for the glasgow outcome scale and the. The glasgow outcome scale extended pediatric revision gosepeds.
Citeseerx does the extended glasgow outcome scale add. Structured interviews for the glasgow outcome scale and the extended glasgow outcome scale. This study assesses the validity and reliability of the glasgow outcome at discharge scale gods, which is a tool that is designed to assess disability after brain injury in an inpatient setting. The extended gos gose provides more detailed categorization into eight categories by. Glasgow outcome scale extended post june 1, 2016 extended glasgow outcome scale gose was developed to address limitations of the original gos. Citeseerx document details isaac councill, lee giles, pradeep teregowda. Glasgow outcome scale gos the glasgow outcome scale gos is a brief, oneitem descriptive assessment utilized by the treatment team following brain injury. The glasgow outcome scale extendedrevised goser to include minimally conscious state in the vegetative state category. Table glasgow outcome scale gos and extended glasgow.
This clinical decision making tool has 2 versions of the scale, the original and the extended version. Itemlevel psychometrics of the glasgow outcome scale. The gose pediatric version allows measuring overall outcome in children and. Extended glasgow outcome scale gose faces pain scale revised fpsr fatigue severity scale fss fibromyalgia impact questionnaire fiqr functional assessment of multiple sclerosis fams functional assessment questionnaire faqnacc functional assessment questionnaire faq. The glasgow outcome scaleextended gose structured interview. The glasgow outcome scale gos is a global scale for functional outcome that rates patient status. Validity of a pediatric version of the glasgow outcome. The extended gos gose provides more detailed categorization into eight categories by subdividing the categories of severe disability, moderate disability and good recovery into a lower. The glasgow outcome scale gos is the most widely used method to. The glasgow outcome scaleextended gose structured interview captures critical components of activities and participation, including home. Glasgow coma scale brain injury association of america. The glasgow outcome scale extended gose assessment for catastrophic determination is outlined in the attached presentation outlined by pursuit health management. It is derived from the glasgow outcome scaleextended gose, which assesses disability in the community after brain injury. The glasgow outcome scale gos has been widely accepted as a standard means of describing outcome in head injury patients.
Glasgow outcome scale an overview sciencedirect topics. For example, when a patient has answered that they are unable to work to question 5b, which would indicate lower moderate. Structured interviews for the glasgow outcome scale and. The gose exhibits validity when used with adults and some adolescents, but validity with younger children is. Structured interviews for the glasgow outcome scale and the extended glasgow outcome scale author j. The glasgow outcome scale extendedrevised goser to. The extended glasgow outcome scale gose was developed to address the limitations of the original gos, including the use of broad categories that are insensitive to change and difficulties with reliability due to lack of a structured interview format. Does the extended glasgow outcome scale add value to the. However, the gos has been criticized for its lack of sensitivity to detect small but clinically relevant changes in outcome. Relationship between the glasgow outcome scale extended.
It is proposed that shortcomings of the gos can be addressed by adopting a standard format for the interview used to assign outcome. Glasgow coma scale eye opening response spontaneousopen with blinking at baseline 4 points to verbal stimuli, command, speech 3 points to pain only not applied to face 2 points no response 1 point verbal response oriented 5 points confused conversation, but able to answer questions 4 points inappropriate words 3. Validation of the french translation of the glasgow outcome scaleextended, pediatric version gose peds. December, 2001 introduction in cases where a lawyer is attempting to prove that a plaintiff has suffered a mild traumatic brain injury mtbi. Dead, vegetative state, severe disability, moderate disability or good recovery. Teasdale2 1department of psychology, university of stirling, stirling, uk 2department of neurosurgery, university of glasgow, glasgow, uk abstract the glasgow outcome. The glasgow outcome scale gos is firmly established as the primary outcome measure for use in phase iii trials of interventions in traumatic brain injury tbi. The extended glasgow coma scale and mtbi michael j. The glasgow outcome scale gos and its revised version, the glasgow outcome scale extended gose, are well accepted and widely used for both observational and intervention studies, but there are concerns about their psychometric properties and aptness as outcome measures for tbi. Emotional and cognitive consequences of head injury in relation to. To assess improvements in glasgow outcome scale gos and gos extended gose scores between 6 months and 1 year following severe traumatic brain injury tbi. Teasdale2 abstract the glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury, but it is. Pdf the glasgow outcome scale gos and its most recent revision, the gosextended gose, provide the gold standard for measuring traumatic. The glasgow outcome scale gos is a global scale for functional outcome that rates patient status into one of five categories.
The glasgow outcome score gos is a scale of patients with brain injuries, such as cerebral traumas that groups victims by the objective degree of recovery. The gos is helpful in determining next steps in the individuals care, but is not useful in detecting small, gradual improvements. However, the gos has been criticized for its lack of sensitivity to detect small but clinically. Glasgow outcome scale gos and extended glasgow outcome. Tp17 extended glasgow outcome scale when would you. Validation of the french translation of the glasgow.
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