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. 2021 Sep 1;38(17):2435-2446.
doi: 10.1089/neu.2020.7527. Epub 2021 Apr 6.

A Manual for the Glasgow Outcome Scale-Extended Interview

Lindsay Wilson  1 , Kim Boase  2 , Lindsay D Nelson  3 , Nancy R Temkin  2 , Joseph T Giacino  4 , Amy J Markowitz  5 , Andrew Maas  6 , David K Menon  7 , Graham Teasdale  8 , Geoffrey T Manley  5
Affiliations

A Manual for the Glasgow Outcome Scale-Extended Interview

Lindsay Wilson et al. J Neurotrauma. .

Abstract

The Glasgow Outcome Scale-Extended (GOSE) has become one of the most widely used outcome instruments to assess global disability and recovery after traumatic brain injury. Achieving consistency in the application of the assessment remains a challenge, particularly in multi-center studies involving many assessors. We present a manual for the GOSE interview that is designed to support both single- and multi-center studies and promote inter-rater agreement. Many patients fall clearly into a particular category; however, patients may have outcomes that are on the borderline between adjacent categories, and cases can present other challenges for assessment. The Manual includes the general principles of assessment, advice on administering each section of the GOSE interview, and guidance on "borderline" and "difficult" cases. Finally, we discuss the properties of the GOSE, including strengths and limitations, and outline recommendations for assessor training, accreditation, and monitoring.

Keywords: GOSE; Glasgow Outcome Scale-Extended; clinical outcome assessment; traumatic brain injury.

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Conflict of interest statement

No competing financial interests exist.

Figures

FIG. 1.
FIG. 1.
GOSE hierarchy of outcomes (adapted from Maas and colleagues with permission) GOSE, Glasgow Outcome Scale-Extended.
See this image and copyright information in PMC

References

    1. Jennett, B., and Bond, M. (1975). Assessment of outcome after severe brain damage. A practical scale. Lancet 305, 480–484 - PubMed
    1. Rankin, J. (1957). Cerebral vascular accidents in patients over the age of 60: II. Prognosis. Scott. Med. J. 2, 200–215 - PubMed
    1. Karnofsky, D., Abelmann, W., and Craver, L. (1948). The use of nitrogen mustards in the palliative treatment of carcinoma. Cancer 1, 634–656
    1. Maas, A.I.R., Menon, D.K., Adelson, P.D., et al. (2017). Traumatic brain injury: integrated approaches to improve prevention, clinical care, and research. Lancet Neurol. 16, 987–1048 - PubMed
    1. Jennett, B., Snoek, J., Bond, M.R., and Brooks, N. (1981). Disability after severe head injury: observations on the use of the Glasgow Outcome Scale. J. Neurol. Neurosurg. Psychiatry 44, 285–293 - PMC - PubMed

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