The Glasgow outcome at discharge scale: an inpatient assessment of disability after brain injury

McMillan, T.M. , Weir, C., Ireland, A. and Stewart, E. (2013) The Glasgow outcome at discharge scale: an inpatient assessment of disability after brain injury. Journal of Neurotrauma, 30(11), pp. 970-974. (doi:10.1089/neu.2012.2703)

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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.

Item Type:Articles
Additional Information:This is a copy of an article published in the Journal of Neurotrauma © 2013 copyright Mary Ann Liebert, Inc.; Journal of Neurotrauma is available online at:
Glasgow Author(s) Enlighten ID:Ireland, Mr Alastair and Stewart, Ms Elaine and McMillan, Professor Tom
Authors: McMillan, T.M., Weir, C., Ireland, A., and Stewart, E.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Journal of Neurotrauma
Publisher:Mary Ann Liebert, Inc.
ISSN (Online):1557-9042
Copyright Holders:Copyright © 2013 Mary Ann Liebert, Inc.
First Published:First published in Journal of Neurotrauma 30(11):970-974
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
543541Assessing the Validity and Reliability of the Glasgow Outcome at Discharge Scale for Head InjuryThomas McmillanScottish Executive Health Department (SEHHD-CSO)CZH/4/658IHW - MENTAL HEALTH & WELLBEING