Citation

McMillan T, Weir CJ, Ireland A, Stewart E. J. Neurotrauma 2013; 30(11): 970-974.

Affiliation

University of Glasgow, Institute of Health and Wellbeing, Glasgow, United Kingdom; thomas.mcmillan@glasgow.ac.uk.

Copyright

(Copyright © 2013, Mary Ann Liebert Publishers)

DOI

10.1089/neu.2012.2703

PMID

23230909

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 head injury in an inpatient setting. It is derived from the Glasgow Outcome Scale-Extended (GOS-E), which assesses disability in the community after head injury. Inter-rater reliability on the GODS is high (quadratic-weighted kappa 0.982; 95% CI 0.968, 0.996) as is concurrent validity with the Disability Rating Scale (Spearman correlation -0.728; 95% CI -0.819, -0.601). The GODS is significantly associated with physical and fatigue sub-scales of the 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 sub-scales of the SF-36. The GODS is recommended as an assessment tool for disability after head injury pre-discharge and can be used in conjunction with the GOS-E to monitor disability between hospital and the community.

Language: en