the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Available from: Gill M, Reiley D, Green S. Interrater reliability of Glasgow Coma Scale scores in the emergency department. The Journal of Trauma: Injury, Infection, and Critical Care 1998;44(5):839-845. Kendall's coefficients of concordance (W) between particular care markers of FCS ranged from 0.910 to 1.000. (2003). This includes fingertip pressure, trapezius pinch and supraorbital notch. © Physiopedia 2020 | Physiopedia is a registered charity in the UK, no. Dichotomous analysis of the GOSE, for example, might consider the categories of Good Recovery/Moderate Disability to represent a favorable outcome, whereas any response of Severe Disability/Vegetative State/Death would be considered unfavorable. It also seeks to improve internal validity with better inter-observer reliabilty. Jennett, B., Snoek, J., Bond, M. R. & Brooks, N. Disability after severe head injury: observations on the use of the Glasgow Outcome Scale. Literature suggests, however, that interpretation of the odds ratio is not clinically intuitive.The disadvantages of dichotomizing, however, are well understood. In this example, a subject with Upper Severe Disability can look after themselves at home for up to 8 h, whereas a subject with Lower Severe Disability cannot. Functional Status Examination versus Glasgow Outcome Scale Extended as Outcome Measures in Traumatic Brain Injuries: How Do They Compare? Acker SN, Ross JT, Partrick DA, Nadlonek NA, Bronsert M, Bensard DD.

With the use of the structured interview in each, both are well validated and provide good interrater reliability.


Hunterian Lecture delivered at the Royal College of Surgeons of England on 12Jennett, B.
The Glasgow Outcome Scale (GOS) was first published in 1975 by Bryan Jennett and Michael Bond. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider.

Although the proportional odds approach is potentially more powerful than the dichotomous analyses previously described, the disadvantages are worth noting. London, P. S. Some observations on the course of events after severe injury of the head. It s… "Validity and sensitivity to change of the extended Glasgow Outcome Scale in mild to moderate traumatic brain injury." Willmott, C., Withiel, T., Ponsford, J. By comparison, the second version has shown more reliability in practice and content validity and is also more sensitive to change in mild and moderate traumatic brain injuries. Its derived sum score is applied in research and adopted in intensive care unit scoring systems. Wilson, J. T., Edwards, P., et al. "Assessing traumatic brain injury outcome measures for long-term follow-up of community-based individuals." Construct Validity: Moderate to Severe TBI (Dikmen et al., 2019; (n = 533 ... L. E., Wilson, J. T., et al. Factors affecting the clinical course of patients with severe head injuries. Whitnall, L., McMillan, T. M., Murray, G. D. & Teasdale, G. M. Disability in young people with head injury: a 5–7 year follow-up of a prospective cohort study. (2003).

That is usually the journal article where the information was first stated. The Glasgow Outcome at Discharge Scale: An Inpatient Assessment of Disability after Brain Injury Thomas M. McMillan,1 Christopher J. Weir,2 Alaister Ireland,3 and Elaine Stewart1 Abstract 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 Glasgow Outcome Scale (GOS-E) was created as an advancement from the original GOS. The Lancet, 1, 480-484. doi:10.1016/ S0140-6736(75)92830-5Levin, H. S., Boake, C., et al. Apply now for a pilot project.The GOS-E classifies global outcomes in TBI survivors. Highly cost-effective interventions are the most likely to be widely endorsed across multiple health jurisdictions and by multiple payers.When consciousness is impaired, outcome is related to the etiology of the insult and rapid identification and treatment of the underlying cause.

Item-Level Psychometrics of the Glasgow Outcome Scale. Wilson, J. T., Edwards, P., Fiddes, H., Stewart, E. & Teasdale, G. M. Reliability of postal questionnaires for the Glasgow Outcome Scale. Analysis of the modified Rankin Scale in randomised controlled trials of acute ischaemic stroke: a systematic review.