It has been criticized as lacking sensitivity to functionally significant changes. Increasing age is a strong independent factor in prognosis from severe tbi, with a significant increase in poor outcome in patients older than 60 years of age. Standard operating procedures for outcome assessment version 4. December, 2001 introduction in cases where a lawyer is attempting to prove that a plaintiff has suffered a mild traumatic brain injury mtbi following a motor vehicle accident, it is likely that the plaintiff has experienced a brief period of post traumatic. Results for glasgow outcome scale 1 10 of 1652 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. Mental handicap contributed more significantly to overall social disability than did neurological deficits. If the patient can be left alone for more than 8h at home it is upper level of sd, if not then it is low level of sd.
Analyzing outcome of treatment of severe head injury. Extended glasgow outcome scale gose faces pain scale. The glasgow coma scales the glasgow coma scale gcs is the most widely used scoring system used in quantifying the level of consciousness following traumatic brain injury. Nov 24, 2014 the glasgow outcome scale gos categorizes the outcomes of patients after traumatic brain injury, as follows. The glasgow outcome scale gos is a global scale for functional outcome that rates patient status. The glasgow outcome scale gos and its most recent revision, the gosextended gose, provide the gold standard for measuring traumatic brain injury tbi outcome. Patients with very low gcs scores have a mortality rate between 70% and 90%, but up to 10% may survive with glasgow outcome scale scores of 4 or 5.
Patient who is dependent for daily support for mental or physical disability, usually a combination of both. 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 gose extends the original 5 gos categories to 8. Validation of the french translation of the glasgow. In stark contrast to the results of the decra trial, surgical intervention was associated with a significant increase in survival. The glasgow outcome scale extended gose is an expanded version of the scale. Glasgow coma scale abbreviated injury scale loss of consciousness jfk coma recovery scale revised measure of posttraumatic amnesia glasgow outcome scale, extended scale timing acute measures functional independence measure disability rating scale level of cognitive functioning scale postacute measures craig handicap. Extended glasgow outcome scale gose faces pain scale revised fpsr fatigue severity scale fss. 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.
Wilson jt, slieker fj, legrand v, murray g, stocchetti n, maas. Damsdelhi pg medical entrance coaching,762 views 14. Standard operating procedures for outcome assessment version 10. Emotional and cognitive consequences of head injury in relation to the glasgow outcome scale.
The legislation confirms one of the catastrophic application criteria as related to brain injury. Single predefined value selected predefined values. Extended glasgow outcome scale correlates with bispectral. 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. The essential brain injury outcomes guide section 9. Unfortunately the development of interventions to treat tbi has been hugely disappointing.
The classification tree for the higher extended glasgow outcome scale. Glasgow coma scale centers for disease control and. Gose gose is a topfermented beer that originated in goslar, germany. Apr 12, 2018 outcome assessment sop april 12, 2018 5 approach to outcome assessment description of the flexible outcome assessment battery the flexible outcome assessment battery is designed to assess multiple outcome domains across all. A method for reducing misclassification in the extended glasgow outcome score. Glasgow outcome scale date of injuw intewal postinjury. Pdf structured interviews for the glasgow outcome scale and. T he glasgow outcome scale gos was developed by jennett and bond, and has since become firmly established as the primary outcome measure used in the majority of phase iii trials in traumatic brain injury tbi. It is brewed with at least 50% of the grain bill being malted wheat.
It is a simple, hierarchical rating scale with a limited number of broad categories. 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. Ongoing gcs assessment will occur in patients with neurological compromise or those patients with recognised potential for neurological compromise. Condition of unawareness with only reflex responses but with periods of spontaneous eye opening. The primary outcome was the extended glasgow outcome scale at 6 months analyzed as an ordinal variable ranging from death to upper good recovery defines as no injuryrelated problems hutchinson et al. Pdf structured interviews for the glasgow outcome scale. Outcome measure glasgow outcome scale extended gose sensitivity to change no population adult and paediatric domain global outcome study suitability intervention rehabilitation icfcodes b1, d1d9 description the glasgow outcome scale is a practical index of social outcome following head injury designed to complement the glasgow coma scale as. Brain injury and the glasgow outcome scale oatley vigmond. Extended glasgow outcome scale correlates with bispectral index in traumatic brain injury patients who underwent craniotomy tjokorda gde bagus mahadewa,1 tjokorda gde agung senapathi,2 made wiryana,2 i gusti ngurah mahaalit aribawa,2 ketut yudi arparitna,2 christopher ryalino2 1department of neurosurgery, sanglah general hospital, denpasar, indonesia. Outcomes were defined as complete gose 8 or incomplete gose scale according to a test administered within a reasonable period of time after the accident by a person trained for that purpose, or ii a score of 2 vegetative or 3 severe disability on the glasgow outcome scale according to a test. Description the glasgow outcome scale is a practical index of social outcome following head injury designed to complement the glasgow coma scale as the basis of a predictive system jennett and bond, 1975, jennett et al. 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. The extended glasgow outcome scale gose addresses the limitations of the first version and comes with an 8 item rating system and a structured interview available to use with. Relative friend carer alone extended date of interview.
The eightpoint extended glasgow outcome scale gose is commonly used as the primary outcome measure in traumatic brain injury tbi clinical trials. 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. The glasgow coma scale gcs is a neurological scale which aims to give a reliable and objective way of recording the state of a persons consciousness for initial as well as subsequent assessment. Below is a list of difficulties people sometimes have after stressful life events. Glasgow coma scale at 40 the new approach to glasgow coma scale assessment duration. An inpatient assessment of disability after brain injury thomas m. Validity of a pediatric version of the glasgow outcome. The glasgow outcome scale gos is perhaps the most widely used measure for assessing global outcome following a brain injury. So i was keen to base any new assessment on a model that could provide a stable framework and help me to look for clear patterns of. The final primary outcome was the score on the extended glasgow outcome scale at 6 months.
In spite of very promising preclinical data on a range of neuroprotective. Structured interviews for the glasgow outcome scale and the extended. The gose exhibits validity when used with adults and some adolescents, but validity with younger children is. Glasgow outcome scale definition of glasgow outcome. Revisedglasgow outcome scale extended rgose expanded disability rating scale postacute interview edrspi 8m 515m 2w, 3m t, 6m, 12m rgose only 2w t, 3m t, 6m t, 12m t comprehensive assessment battery cab 6148 minutes includes screening. Validation of the french translation of the glasgow outcome scaleextended, pediatric version gose peds. The glasgow outcome scale gos categorizes the outcomes of patients after traumatic brain injury, as follows. Patient depends upon others for daily support due to mental or. Lu j, marmarou a, lapane k, turf e, wilson l, impact group, et al. This social handicap is readily described by the glasgow outcome scale, an extended version of which is described and compared with alternatives. The glasgow outcome scale extended pediatric version gose peds is a modified gose revision, which is developmentally appropriate structured interview that should be used to classify younger patients. A method for reducing misclassification in the extended glasgow.
The scale consists of five ordinal outcome categories. Journal of neurotrauma volume 15, number 8, 1998 mary ann liebert, inc. The glasgow outcome scale gos was commonly used before other scales were developed. It is primarily intended to describe outcome in groups of cases for research purposes. Structured interviews for the glasgow outcome scale and the. What links here related changes upload file special pages permanent link page information. The extended gos gose provides more detailed categorization into eight categories by. Downloads resources structured interview for extended gos. It is used because it is simple, has a relatively high degree of reliability and correlates well with outcomes following severe brain injury. The gose exhibits validity when used with adults and some adolescents, but validity with younger children is not established. Structured interviews for the glasgow outcome scale and the extended glasgow outcome scale. Please read each item, and then indicate how distressing each difficulty has been for. As a brief descriptive outcome scale it has been replaced by the drs, although it is still seen occasionally in the literature, especially in studies investigating early acute medical predictors of gross outcome.
Apr 10, 2012 the glasgow outcome scale gos and its most recent revision, the gos extended gose, provide the gold standard for measuring traumatic brain injury tbi outcome. Abnormal involuntary movement scale aims airway questionnaire aq20 alcohol use disorders identification test consumption questions auditc. Clinical utility in assessing outcome in children and. G l a s g o w o u t c o m e s c a l e scalelibrary. The gose is an eight point scale to determine the overall functional outcome with 8 upper good recovery, 7 lower good recovery, 6 upper moderate. Outcome measure glasgow outcome scale extended sensitivity. The glasgow coma scales rainbow rehabilitation centers. Glasgow coma scale gcs expected outcome the glasgow coma score forms part of the patients physical assessment and will be assessed and documented during physical assessment. The scale presented here is not based on the original article. Glasgow outcome scale extended rehabmeasures database. The glasgow outcome score gos is a scale of patients with brain injuries, such as cerebral. Eegos stands for edinburgh extended glasgow outcome scale. G l a s g o w o u t c o m e s c a l e level description 1 death.
If the patient can be left alone for more than 8h at home. Glasgow outcome scale an overview sciencedirect topics. The gose classifies global outcomes in tbi survivors. Description the glasgow outcome scale gos is a practical index of social outcome following head injury designed to complement the glasgow coma scale as the basis of a predictive system jennett and bond, 1975, jennett et al. Linear regression for higher extended glasgow outcome scale score explained 59. Glasgow outcome scale gos 1 dead 2 vegetative state 3 severe disability able to follow commands unable to live independently 4 moderate disability able to live independently. For example, when a patient has answered that they are unable to work to question 5b, which would indicate lower moderate. Consciousness is the head injured person able to obey simple commands, or say any words.
The criteria frequently include the clarity and precision of the topic, purpose or research question. I work in an acute psychiatric setting and it would be fair to say that i meet chaos and disorder on a daily basis. The outcome was assessed 612 months after the injury using the extended glasgow outcome scale gose. Outcome measure glasgow outcome scale 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. The original primary outcome was an unfavorable outcome a composite of death, vegetative state, or severe disability, as evaluated on the extended glasgow outcome scale 6 months after the injury. Comments are made about the quality of life in disabled survivors.
The glasgow coma scale gcs was introduced in 1974 as a measure of a patients level of consciousness. This definition appears very rarely and is found in the following acronym finder categories. Extended glasgow outcome scale gose was developed to address limitations of. 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. Teasdale2 abstract 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. Structured interviews for the glasgow outcome scale and. The glasgow outcome scale extended gose potentially addresses this criticism, and in this study we estimate the efficiency gain associated with using the gose in place of the gos in ordinal. Outcome predictors of glasgow outcome scale score in.
Pediatric glasgow outcome scale extended gose peds. The first description was in 1975 by jennett and bond. The glasgow outcome scale gos and its most recent revision, the gos extended gose, provide the gold standard for measuring traumatic brain injury tbi outcome. Dominant flavours in gose include a lemon sourness, a herbal characteristic, and a strong saltiness the result of either local water sources or added salt. The extended glasgow coma scale and mtbi michael j. A person is assessed against the criteria of the scale, and the resulting points give a persons score between 3 indicating deep unconsciousness and either 14 original scale or 15 more widely. Teasdale2 abstract the glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury, but it is. Pdf does the extended glasgow outcome scale add value to.
It has become common practice in clinical trial administration to use this modified version that places the scores in reverse order i. The outcomes so described at six months after injury correlate well with the early coma scale scores, which are therefore useful predictors of likely outcome. The extended glasgow coma scale and mtbi slater vecchio. Extended glasgow outcome scale gose faces pain scale revised fpsr. Validity of a pediatric version of the glasgow outcome scale. Routine task inventory expanded rtie katz, 2006 based on allen, 1989 scoring sheet physical scale adl score range 15 s c t community scale iadl score range 26 s c t grooming housekeeping dressing preparingobtaining food bathing spending money walkingexercising doing laundry feeding traveling toileting shopping.
12 1027 599 1149 978 451 672 632 1070 588 434 275 381 753 829 819 730 1491 1133 1508 330 1265 536 1559 1193 1361 1247 1247 1317 842 106 146 463 1315 467 746 192 118 1277 250 955 1071 1475