The Glasgow Outcome at Discharge Scale: an inpatient assessment of disability after brain injury

Thomas M McMillan, Christopher J Weir, Alaister Ireland, Elaine Stewart

Research output: Contribution to journalArticle

Abstract

This study assesses the validity and reliability of the Glasgow Outcome at Discharge Scale (GODS), which is a tool that is designed to assess disability after brain injury in an inpatient setting. It is derived from the Glasgow Outcome Scale-Extended (GOS-E), which assesses disability in the community after brain injury. Inter-rater reliability on the GODS is high (quadratic-weighted kappa 0.982; 95% confidence interval [CI] 0.968, 0.996) as is concurrent validity with the Disability Rating Scale (DRS) (Spearman correlation -0.728; 95% CI -0.819, -0.601). The GODS is significantly associated with physical and fatigue subscales of the short form (SF)-36 in hospital. In terms of predictive validity the GODS is highly associated with the GOS-E after discharge (Spearman correlation 0.512; 95% CI 0.281, 0.687), with the DRS, and with physical, fatigue, and social subscales of the SF-36. The GODS is recommended as an assessment tool for disability after brain injury pre-discharge and can be used in conjunction with the GOS-E to monitor disability between hospital and the community.

Original languageEnglish
Pages (from-to)970-4
Number of pages5
JournalJournal of Neurotrauma
Volume30
Issue number11
DOIs
Publication statusPublished - 1 Jun 2013
Externally publishedYes

Fingerprint

Glasgow Outcome Scale
Brain Injuries
Inpatients
Confidence Intervals
Fatigue
Reproducibility of Results

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Brain Injuries
  • Disability Evaluation
  • Female
  • Glasgow Outcome Scale
  • Humans
  • Inpatients
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Young Adult
  • Journal Article
  • Research Support, Non-U.S. Gov't

Cite this

McMillan, Thomas M ; Weir, Christopher J ; Ireland, Alaister ; Stewart, Elaine. / The Glasgow Outcome at Discharge Scale : an inpatient assessment of disability after brain injury. In: Journal of Neurotrauma. 2013 ; Vol. 30, No. 11. pp. 970-4.
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The Glasgow Outcome at Discharge Scale : an inpatient assessment of disability after brain injury. / McMillan, Thomas M; Weir, Christopher J; Ireland, Alaister; Stewart, Elaine.

In: Journal of Neurotrauma, Vol. 30, No. 11, 01.06.2013, p. 970-4.

Research output: Contribution to journalArticle

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