TY  - JOUR
PY  - 2012//
TI  - Use of the King's Outcome Scale for Childhood Head Injury in the evaluation of outcome in childhood traumatic brain injury
JO  - Developmental neurorehabilitation
A1  - Paget, Simon Paul
A1  - Beath, Alexander William John
A1  - Barnes, Elizabeth Helen
A1  - Waugh, Mary-Clare
SP  - 171
EP  - 177
VL  - 15
IS  - 3
N2  - Objective: To examine the inter-rater reliability of The King's Outcome Scale for Childhood Head Injury (KOSCHI) with clinicians of varying experience in paediatric traumatic brain injury (TBI); and to examine change in outcome during long-term follow-up of children following traumatic brain injury (TBI) using KOSCHI. Method: Retrospective assessment of detailed clinic reports of 97 children followed-up by a tertiary specialist paediatric brain injury service. Investigators were blinded to each other's scores. Results: Inter-rater reliability was substantial (weighted kappa 0.71) and similar for investigators of varying experience. KOSCHI outcome was strongly associated with markers of injury severity (p = 0.028). In longitudinal follow-up, KOSCHI score worsened in 7 (23%) children who were injured under 8 years but in no older children (p = 0.02). Conclusion: KOSCHI has high inter-rater reliability for investigators of different experience. Long-term KOSCHI outcome is associated with injury severity. Some young children may develop worse disability over time.<p />  <p>Language: en</p>
LA  - en
SN  - 1751-8423
UR  - http://dx.doi.org/10.3109/17518423.2012.671381
ID  - ref1
ER  -