Monitoring Outcome after Hospital-Presenting Milder Spectrum Pediatric Traumatic Brain Injury Using the Glasgow Outcome Scale-Extended, Pediatric Revision

被引:9
|
作者
Evans, Emily [1 ,2 ,3 ]
Cook, Nathan E. [4 ,5 ,6 ,7 ]
Iverson, Grant L. [4 ,5 ,6 ,7 ,8 ,9 ]
Townsend, Elise L. [10 ]
Duhaime, Ann-Christine [1 ]
机构
[1] Massachusetts Gen Hosp, Dept Neurosurg, Boston, MA USA
[2] MGH Inst Hlth Profess, Boston, MA USA
[3] Brown Univ, Ctr Gerontol & Healthcare Res, Box G-S121 6,121 S Main St, Providence, RI 02912 USA
[4] Harvard Med Sch, Dept Phys Med & Rehabil, Boston, MA 02115 USA
[5] Spaulding Rehabil Hosp, Boston, MA USA
[6] Spaulding Res Inst, Boston, MA USA
[7] MassGen Hosp Children, Sports Concuss Program, Boston, MA USA
[8] Home Base, Charlestown, MA USA
[9] Massachusetts Gen Hosp Program, Charlestown, MA USA
[10] MGH Inst Hlth Profess, Sch Hlth & Rehabil Sci, Dept Phys Therapy, Charlestown, MA USA
[11] Univ Calif San Francisco, San Francisco Gen Hosp & Trauma Ctr, San Francisco, CA 94143 USA
基金
美国国家卫生研究院;
关键词
brain concussion; brain injuries; traumatic; head injuries; closed; outcome assessment (healthcare); pediatrics; POST-CONCUSSIVE SYMPTOMS; CLINICALLY SIGNIFICANT CHANGE; SPORT-RELATED CONCUSSION; COMMON DATA ELEMENTS; POSTCONCUSSIVE SYMPTOMS; HEAD-INJURY; RELIABLE CHANGE; CHILDREN; RELIABILITY; SENSITIVITY;
D O I
10.1089/neu.2019.6893
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The Glasgow Outcome Scale, Pediatric Revision (GOSE-P) is an assessment of "global outcome" designed as a developmentally appropriate version of the Glasgow Outcome Scale-Extended for use in clinical trials of children with traumatic brain injury (TBI). Initial testing describes validity across a wide age and injury severity spectrum, yet the GOSE-P's utility for monitoring children with milder injuries is less clear. We examined the level of agreement between the GOSE-P and the Health and Behavior Inventory (HBI), a TBI-related symptom checklist used to assess children with mild TBI for clinical and research purposes. Participants included children and adolescents 3-16 years of age (n = 50) who presented to two level 1 trauma centers within 24 h of injury, with a GCS of 13-15, who underwent clinical neuroimaging. Outcome was assessed 2 weeks and 3 months following injury. We examined the severity of TBI-related symptoms across disability categories identified using the GOSE-P, and the level of agreement between the two measures in identifying deficits 2 weeks following injury and improvement from 2 weeks to 3 months. Using the GOSE-P, 62% had deficits at 2 weeks, and 42% improved from 2 weeks to 3 months. Agreement between the GOSE-P and HBI was fair 2 weeks after TBI (k = 0.24-0.33), and poor for identifying subsequent improvement (k = 0.10-0.16). Modest agreement between the GOSE-P and the HBI may reflect restricted participation from diverse causes, including TBI, other bodily injuries, and prescribed activity restrictions, and highlights the need for multi-dimensional outcome batteries.
引用
收藏
页码:1627 / 1636
页数:10
相关论文
共 50 条
  • [41] Extended Glasgow Outcome Scale correlates with bispectral index in traumatic brain injury patients who underwent craniotomy
    Mahadewa, Tjokorda Gde Bagus
    Senapathi, Tjokorda Gde Agung
    Wiryana, Made
    Aribawa, I. Gusti Ngurah Mahaalit
    Arparitna, Ketut Yudi
    Ryalino, Christopher
    OPEN ACCESS EMERGENCY MEDICINE, 2018, 10 : 71 - 74
  • [42] Improvement in Functional Outcome from 6 to 12 Months After Moderate and Severe Traumatic Brain Injury Is Frequent, But May Not Be Detected With the Glasgow Outcome Scale Extended
    Pantelatos, Rabea Iris
    Stenberg, Jonas
    Follestad, Turid
    Sandrod, Oddrun
    Einarsen, Cathrine Elisabeth
    Vik, Anne
    Skandsen, Toril
    NEUROTRAUMA REPORTS, 2024, 5 (01): : 139 - 149
  • [43] OUTCOME AT DISCHARGE AFTER SEVERE PEDIATRIC TRAUMATIC BRAIN INJURY POORLY PREDICTS LONG-TERM OUTCOME
    Slovis, Julia
    Natasha, Li
    Miles, Darryl
    Kernie, Steven
    CRITICAL CARE MEDICINE, 2016, 44 (12)
  • [44] A simple hospital discharge score predicts Glasgow Outcome Scale at 12 months in patients with traumatic brain injury
    GW Fuller
    P Yeoman
    Critical Care, 14 (Suppl 1):
  • [45] Face-to-Face Versus Telephonic Extended Glasgow Outcome Score Testing After Traumatic Brain Injury
    Bossers, Sebastiaan M.
    van der Naalt, Joukje
    Jacobs, Bram
    Schwarte, Lothar A.
    Verheul, Robert
    Schober, Patrick
    JOURNAL OF HEAD TRAUMA REHABILITATION, 2021, 36 (03) : E134 - E138
  • [46] Utilizing Individual Growth Curve Analysis to Project Patient Outcome as Measured by the Disability Rating Scale and the Glasgow Outcome Scale-Extended: A National Institute on Disability and Rehabilitation Research Traumatic Brain Injury Model Systems Sponsored Presentation
    Pretz, Christopher
    Dams-O'Connor, Kristen
    Malec, James
    JOURNAL OF HEAD TRAUMA REHABILITATION, 2013, 28 (05) : E35 - E35
  • [47] Use of the Oxford Handicap Scale at hospital discharge to predict Glasgow Outcome Scale at 6 months in patients with traumatic brain injury
    Perel, Pablo
    Edwards, Phil
    Shakur, Haleema
    Roberts, Ian
    BMC MEDICAL RESEARCH METHODOLOGY, 2008, 8 (1)
  • [48] Translation and interrater reliability of the structured interview for the extended glasgow outcome scale among Moroccan patients with traumatic brain injury
    Iderdar, Younes
    Marzouk, Soumia
    Al Wachami, Nadia
    Arraji, Maryem
    Boumendil, Karima
    Mourajid, Yassmine
    Aquil, Amina
    Saad, Elmadani
    Chahboune, Mohamed
    NEUROCHIRURGIE, 2025, 71 (03)
  • [49] Use of the Oxford Handicap Scale at hospital discharge to predict Glasgow Outcome Scale at 6 months in patients with traumatic brain injury
    Pablo Perel
    Phil Edwards
    Haleema Shakur
    Ian Roberts
    BMC Medical Research Methodology, 8
  • [50] Cerebral Hemodynamic Predictors of Poor 6-Month Glasgow Outcome Score in Severe Pediatric Traumatic Brain Injury
    Chaiwat, Onuma
    Sharma, Deepak
    Udomphorn, Yuthana
    Armstead, William M.
    Vavilala, Monica S.
    JOURNAL OF NEUROTRAUMA, 2009, 26 (05) : 657 - 663