The glasgow coma scale was aimed to complement, not to replace, other assessments of neurological function. Does the extended glasgow outcome scale add value to the. 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. It is used because it is simple, has a relatively high degree of reliability and correlates well with outcomes following severe brain injury. Glasgow outcome scale definition of glasgow outcome. Patient depends upon others for daily support due to mental or.
The glasgow outcome scale 40 years of application and. Analyzing outcome of treatment of severe head injury. 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. The glasgow outcome scale extended pediatric revision gose peds.
It has been criticized as lacking sensitivity to functionally significant changes. The glasgow outcome scale gos is perhaps the most widely used measure for assessing global outcome following a brain injury. The koschi scale incorporates social and behavioural problems following thi, and so has greater sensitivity for functional disability. The glasgow outcome scale gos categorizes the outcomes of patients after traumatic brain injury, as follows. 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.
A modified version of the scale the pediatric glasgow coma scale pgcs was created for children too young to talk. Guidelines for their use article pdf available in journal of neurotrauma 158. Independence in the home independence outside the home 3. Overall disability was assessed by the glasgow outcome scale extended gose. Journal of neurotrauma volume 15, number 8, 1998 mary ann liebert, inc. The glasgow outcome scaleextended gose 10 is an 8point scale of functional recovery 1, death. Gos syllabus the center for outcome measurement in brain. For example, when a patient has answered that they are unable to work to question 5b, which would indicate lower moderate. The clinical scales in this section are used to evaluate a stroke patient after an acute stroke. The glasgow outcome scale gos was commonly used before other scales were developed.
An inpatient assessment of disability after brain injury thomas m. Glasgow outcome scale extended post june 1, 2016 extended glasgow outcome scale gose was developed to address limitations of the original gos. The glasgow coma scale gcs was devised to assess injury severity in a multicentre study of outcome after severe brain damage. Since the glasgow coma scale was introduced in 1974, 1 it has become the most common method of describing a patients level of consciousness. The glasgow outcome score applies to patients with brain damage allowing the objective assessment of their. The glasgow outcome scale gos, named for the city in which it was developed, is a scale which is used to assess a patient during and after recovery from a traumatic brain injury, stroke, or similar neurological insult. Teasdale2 1department of psychology, university of stirling, stirling, uk 2department of neurosurgery, university of glasgow, glasgow, uk abstract.
Structured interviews for the glasgow outcome scale and the 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. Presentation of trends in the findings on a specially designed chart allowed detection of clinical changes, and nurses rapidly. Glasgow outcome scale date of injuw intewal postinjury. Structured interviews for the glasgow outcome scale and the. A modified version of the scale the pediatric glasgow coma scale pgcs. Structured interviews for the glasgow outcome scale and the extended. 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. Relative friend carer alone extended date of interview. Teasdale2 abstract the glasgow outcome scale gos is the most widely used outcome measure. Glasgow coma scale and full outline of unresponsiveness. 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. Comprehensive training on the use of the gose required. Lu j, marmarou a, lapane k, turf e, wilson l, impact group, et al.
Assessments were based on parental report and supported by. Teasdale2 abstract the glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury, but it is increasingly. 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. All subjects were evaluated at hospital discharge time with glasgow outcome scale. Glasgow outcome scale an overview sciencedirect topics. Some documents for download on this website are in a portable document format. Ace care plan returning to work pdf download external web site icon.
The legislation confirms one of the catastrophic application criteria as related to brain injury. Outcome in patients with blunt head trauma and a glasgow coma scale score of 3 at presentation. One must administer the complete questionnaire, not just. For re plete questionnaire be normally administered, because search studies, it is. 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 brain attack coalition bac is dedicated to improving prevention, advancing treatment, and enhancing recovery to eliminate the burden of stroke. The glasgow outcome scale gos is a global scale for functional outcome that rates patient status into one of. A comprehensive picture of 4year outcome of severe brain injuries. Linear regression for higher extended glasgow outcome scale score explained 59. We used glasgow coma scale and extended glasgow outcome scale. It has become common practice in clinical trial administration to use this modified version that places the scores in reverse order i.
Neurologic outcome score for infants and children citeseerx. Validity of a pediatric version of the glasgow outcome. 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. 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 simple measure of functional outcome following major trauma categories range from 5 good recovery to 1 death gos is useful to trauma registries as it is readily obtained from the patient chart few data regarding its validity. Gose structured interview for the glasgow outcome scale and the extended glasgow outcome scale. Does the glasgow outcome score predict the functional. Spontaneousopen with blinking at baseline 4 points. Predictive value of glasgow coma scale after brain trauma. Perhaps the most widely used pediatric outcome measure in the hospital is the pediatric cerebral performance scale pcpc, an instrument modeled after the glasgow outcome scale gos and constructed to measure shortterm cognitive disability after lifethreatening medical events fiser, 1992. The scale consists of five ordinal outcome categories. Outcome predictors of glasgow outcome scale score in. The extended glasgow coma scale and mtbi michael j.
Unfortunately the development of interventions to treat tbi has been hugely disappointing. Glasgow outcome scale extended rehabmeasures database. However, despite its almost universal use, there remain a number of misunderstandings, particularly regarding the appropriate situations in which to use the glasgow coma score rather than the scale, and also in the. 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. 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. Structured interviews for the glasgow outcome scale and. 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. B35relationship between the glasgow outcome scale extended. The pdf file you selected should load here if your web browser has a pdf reader plugin installed for example, a recent version of adobe acrobat reader if you would like more information about how to print, save, and work with pdfs, highwire press provides a helpful frequently asked questions about pdfs alternatively, you can download the pdf file directly to your computer. Brain injury and the glasgow outcome scale oatley vigmond.
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. G l a s g o w o u t c o m e s c a l e scalelibrary. Teasdale gm, pettigrew le, wilson jt, murray g, jennett b. It is a simple, hierarchical rating scale with a limited number of broad categories. Pdf structured interviews for the glasgow outcome scale.
The first description was in 1975 by jennett and bond. May 2004 page 1 of 1 neurological assessment using the 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. Glasgow coma scale and outcomes after structural traumatic. A method for reducing misclassification in the extended glasgow outcome score.
This scale is not used in the development of treatment plans, but rather serves as a quick reference which can be used to demonstrate how well the patient. Glasgow outcome scale article about glasgow outcome. Use of broad categories that are insensitive to change difficulties with reliability du e to lack of a structured interview format. In stark contrast to the results of the decra trial, surgical intervention was associated with a significant increase in survival. The scale presented here is not based on the original article. Glascow coma scale definition of glascow coma scale by. The glasgow coma scale or gcs, a clinical tool designed to assess coma and. The gose extends the original 5 gos categories to 8. The extended glasgow coma scale and mtbi slater vecchio. Emotional and cognitive consequences of head injury in relation to the glasgow outcome scale. 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. Mean interval between completion of first questionnaire and second questionnaire 14.