The glasgow coma scale gcs, designed in 1974, is a tool that has the ability to communicate the level of consciousness of patients with acute or 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 is a descriptor in the national library of medicines controlled vocabulary thesaurus, mesh medical subject headings. A scale that assesses the outcome of serious craniocerebral injuries, based on the level of regained social functioning. The glasgow outcome scale gos was commonly used before other scales were developed. Nov 24, 2014 the glasgow outcome scale gos categorizes the outcomes of patients after traumatic brain injury, as follows. Glasgow outcome scale harvard catalyst profiles harvard. It has become common practice in clinical trial administration to use this modified version that places the scores in reverse order i.
Linear regression for higher extended glasgow outcome scale score explained 59. The childs overall functional status was assessed according to the kings outcome scale for childhood head injury koschi, a paediatric adaptation of the original glasgow outcome scale. The glasgow outcome scale gos categorizes the outcomes of patients after traumatic brain injury, as follows. Damsdelhi pg medical entrance coaching,762 views 14. Glasgow coma scale centers for disease control and.
Outcome predictors of glasgow outcome scale score in. Teasdale gm, pettigrew le, wilson jt, murray g, jennett b. Extended glasgow outcome scale gose faces pain scale revised fpsr fatigue severity scale fss fibromyalgia impact questionnaire fiqr. 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. Glascow coma scale definition of glascow coma scale by. G l a s g o w o u t c o m e s c a l e scalelibrary. Brain injury and the glasgow outcome scale oatley vigmond. Glasgow outcome scale date of injuw intewal postinjury. The scale presented here is not based on the original article. Glasgow outcome scale neurochirurgicka a neuroonkologicka. As a brief descriptive outcome scale it has been replaced by the drs, although it is still seen occasionally in the literature, especially in studies investigating early acute medical predictors of gross outcome. Structured interviews for the glasgow outcome scale and the extended glasgow outcome scale. Mar 06, 2015 the legislation confirms one of the catastrophic application criteria as related to brain injury.
One must administer the complete questionnaire, not just selected parts. The glasgow outcome scale gos was first published in 1975 by bryan jennett and michael bond. The glasgow outcome scale gos is perhaps the most widely used measure for assessing global outcome following a brain injury. Structured interviews for the glasgow outcome scale and the extended glasgow outcome scale author. This scale is not used in the development of treatment plans, but rather serves as a quick reference which can be used to. The glasgow outcome scale gos is a global scale for functional outcome that rates patient status into one of five categories.
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. The glasgow outcome scale table 1032 is a commonly used system that has been developed for this purpose. 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. Outcome from tbi is frequently described using the glasgow outcome scale at 6 months following tbi table 6. 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. Dec 02, 20 the childs overall functional status was assessed according to the kings outcome scale for childhood head injury koschi, a paediatric adaptation of the original glasgow outcome scale. 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. G l a s g o w o u t c o m e s c a l e level description 1 death. Jan 01, 2012 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. Analyzing outcome of treatment of severe head injury. Structured interviews for the glasgow outcome scale and. A reliable scale is also needed to assess the longterm outcomes of patients as they recover from tbi. All subjects were evaluated at hospital discharge time with glasgow outcome scale. However, the gos has been criticized for its lack of sensitivity to detect small but clinically relevant changes in outcome.
Predictive value of glasgow coma scale after brain trauma. Pdf the glasgow coma scale following acute stroke and in. An observational study article pdf available in journal of medicine 10 supplement. The first description was in 1975 by jennett and bond. The glasgow coma scale clinical skills series duration. Glasgow outcome scale how is glasgow outcome scale. Glasgow outcome scale article about glasgow outcome. Jan 21, 20 glasgow coma scale on admission is correlated with postoperative glasgow outcome scale in chronic subdural hematoma. The glasgow outcome scaleextended gose potentially addresses this criticism, and in this study we. Retrospective data were collected of 45 patients, with glasgow coma scale. It has been criticized as lacking sensitivity to functionally significant changes. We used glasgow coma scale and extended glasgow outcome scale. Serial testing indicates that more than two thirds of patients reach their final outcome category on the glasgow outcome scale within 3. Structured interviews for the glasgow outcome scale and the extended.
Glasgow outcome scale synonyms, glasgow outcome scale pronunciation, glasgow outcome scale translation, english dictionary definition of glasgow outcome scale. 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. The description of the glasgow coma scale and, 1 year later, of its sister the glasgow outcome scale which included the categories death, vegetative state, severe and moderate disability, and good recovery10 along with their use in international comparisons,11 coincided with an upsurge of research interest in head injuries. The scale consists of five ordinal outcome categories. Gods presence to surround and draw each of you so close you feel it in. 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. 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. The koschi scale incorporates social and behavioural problems following thi 24, and so has greater sensitivity for functional disability.
Descriptors are arranged in a hierarchical structure, which enables searching at various levels of specificity. With over 4,000 citations to the original paper, it is the most highly cited outcome measure in. Two main conclusions may be drawn from our results. 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. Does an early glasgow outcome scale gos assessment provide a reliable indicator of later outcome in a patient with traumatic brain injury tbi. 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. Unfortunately the development of interventions to treat tbi has been hugely disappointing. Patient depends upon others for daily support due to mental or.
Jennett, professors of neurosurgery at the university of glasgows institute of neurological sciences, this scale is the gold. The glasgow outcome scale 40 years of application and. In spite of very promising preclinical data on a range of neuroprotective. This is a widely accepted and standardized scale that is of value for the clinical description of patients and also for medicolegal documentation and research purposes. The gose extends the original 5 gos categories to 8.
Glasgow coma scale and outcomes after structural traumatic. Cis for a given basic gos and age category is supplied as an additional file. Glasgow outcome scale definition of glasgow outcome scale. Apr 24, 2020 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. Glasgow outcome scale definition of glasgow outcome. Health state preference weights for the glasgow outcome scale. 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. The stroke society of australasia ssa is a professional association of clinicians and researchers tackling the enormous burden of stroke.
An inpatient assessment of disability after brain injury thomas m. Teasdale2 abstract the glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury, but it is increasingly. Relative friend carer alone extended date of interview. 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. Gcs was drawn, including a descriptive study on paediatric head injury. The legislation confirms one of the catastrophic application criteria as related to brain injury. Glasgow outcome scale article about glasgow outcome scale. Subsequent pages include information about our activities, including our annual scientific conference, as well as information on professional development, other educational opportunities, funding opportunities, awards, and links to stroke related journals. Glasgow outcome scale extended rehabmeasures database.
Does the extended glasgow outcome scale add value to the. Use it for writing poetry, composing lyrics for your song or coming up with rap verses. Predictive value of an early glasgow outcome scale score. 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 outcome score applies to patients with brain damage allowing the objective assessment of their. 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. Pdf the glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury, but it is increasingly. Teasdale2 1department of psychology, university of stirling, stirling, uk 2department of neurosurgery, university of glasgow, glasgow, uk abstract. Pdf structured interviews for the glasgow outcome scale and the. The glasgow coma scale gcs is the most common scoring system. Structured interviews for the glasgow outcome scale and the. Clinical assessment tool an overview sciencedirect topics. The glasgow coma scale following acute stroke and inhospital outcome. Glasgow outcome scale an overview sciencedirect topics.
Evaluate the glasgow outcome scale gos at discharge goshd as a prognostic indicator in patients with traumatic brain injury tbi. This page is about the various possible words that rhymes or sounds like glasgow outcome scale. Teasdale2 abstract the glasgow outcome scale gos is the most widely used outcome measure after traumatic brain injury, but it is. Journal of neurotrauma volume 15, number 8, 1998 mary ann liebert, inc. 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 gos is a global scale for functional outcome that rates patient status into one of. The table below demonstrates that nimodipine tends to improve good recovery of sah patients with poor neurological status postictus, while. 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. Outcome predictors of glasgow outcome scale score in patients.
Glasgow outcome scale how is glasgow outcome scale abbreviated. Glasgow coma scale on admission is correlated with postoperative glasgow outcome scale in chronic subdural hematoma. For example, when a patient has answered that they are unable to work to question 5b, which would indicate lower moderate. Emotional and cognitive consequences of head injury in relation to the glasgow outcome scale. Predictive ability of glasgow coma scale scores in head. 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. 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 has recovered.