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Published Online: 29 January 2009

Structured Interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for Their Use

Publication: Journal of Neurotrauma
Volume 15, Issue Number 8

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. It is proposed that shortcomings of the GOS can be addressed by adopting a standard format for the interview used to assign outcome. A set of guidelines are outlined that are directed at the main problems encountered in applying the GOS. The guidelines cover the general principles underlying the use of the GOS and common practical problems of applying the scale. Structured interview schedules are described for both the five-point GOS and an extended eight-point GOS (GOSE). An interrater reliability study of the structured interviews for the GOS and GOSE yielded weighted kappa values of 0.89 and 0.85, respectively. It is concluded that assessment of the GOS using a standard format with a written protocol is practical and reliable.

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cover image Journal of Neurotrauma
Journal of Neurotrauma
Volume 15Issue Number 8AUGUST 1998
Pages: 573 - 585
PubMed: 9726257

History

Published online: 29 January 2009
Published in print: AUGUST 1998

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