Glasgow Outcome Scale: An inter-rater reliability study
| Autor: | Shirley I. Anderson, Jim Slattery, PA Jones, Alma M. Housley, J. Douglas Miller |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Neuroscience (miscellaneous) MEDLINE Acute care Developmental and Educational Psychology medicine Humans Research worker Glasgow Coma Scale Psychiatry Reliability (statistics) Aged Aged 80 and over Observer Variation business.industry Glasgow Outcome Scale Reproducibility of Results Middle Aged Test (assessment) Inter-rater reliability Treatment Outcome Brain Injuries Physical therapy Brain Damage Chronic Female Neurology (clinical) business Follow-Up Studies |
| Zdroj: | Brain Injury. 7:309-317 |
| ISSN: | 1362-301X 0269-9052 |
| DOI: | 10.3109/02699059309034957 |
| Popis: | This study was set up to test the reliability of the Glasgow Outcome Scale (GOS) when information was obtained from different sources. Eighty assessments were carried out on a group of 58 patients at three different time intervals up to 24 months post-injury. Each assessment consisted of three independently obtained GOS scores for each patient; (i) a score by a research psychologist after interview and neuropsychological testing of the patient; (ii) a score, obtained by post, by the patient's general practitioner (GP), and (iii) a score made by a research worker based on questionnaire information obtained from relatives by post. The agreement between the psychologist's score and that based on the relatives' information was high (r = 0.79 p = 0.001) whereas the correlation between the psychologist's score and that of the GP was low (r = 0.49 p = 0.001). The GPs tended to make overoptimistic assessments and this was most notable at 6 months post-injury when only 50% of the GPs' assessments agreed with those of the psychologist. We have shown that reliability of the GOS varies with the method of obtaining data. Ideally patients should be interviewed and tested by staff who have not been involved in the acute care of the patient. Failing this, information should be obtained from relatives of the patient and used by staff, trained in the use of the GOS, to assign a GOS score. |
| Databáze: | OpenAIRE |
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