Glasgow Outcome Scale
The Glasgow Outcome Score (GOS) is a scale of patients with brain injuries, such as cerebral traumas that groups victims by the objective degree of recovery. The first description was in 1975 by Jennett and Bond.[1]
| Glasgow Outcome Scale | |
|---|---|
| Purpose | groups brain injuries by objective degree of recovery |
Application
The Glasgow Outcome Score applies to patients with brain damage allowing the objective assessment of their recovery in five categories. This allows a prediction of the long-term course of rehabilitation to return to work and everyday life.
| 1. Death | Severe injury or death without recovery of consciousness |
| 2. Persistent vegetative state | Severe damage with prolonged state of unresponsiveness and a lack of higher mental functions |
| 3. Severe disability | Severe injury with permanent need for help with daily living |
| 4. Moderate disability | No need for assistance in everyday life, employment is possible but may require special equipment. |
| 5. Low disability | Light damage with minor neurological and psychological deficits. |
Expanded scale
The Glasgow Outcome Scale Extended (GOSE) is an expanded version of the scale.[2][3] It subdivides the upper three categories:[3]
| 1. Death |
| 2. Vegetative state |
| 3. Lower severe disability |
| 4. Upper severe disability |
| 5. Lower moderate disability |
| 6. Upper moderate disability – some disability but can potentially return to some form of employment |
| 7. Lower good recovery – minor physical or mental defect |
| 8. Upper good recovery – full recovery |
References
- Jennett, B; Bond, M (Mar 1, 1975). "Assessment of outcome after severe brain damage". Lancet. 1 (7905): 480–484. doi:10.1016/s0140-6736(75)92830-5. PMID 46957. S2CID 54230482.
- Jennett, B.; Snoek, J.; Bond, M. R.; Brooks, N. (April 1981). "Disability after severe head injury: observations on the use of the Glasgow Outcome Scale". Journal of Neurology, Neurosurgery, and Psychiatry. 44 (4): 285–293. doi:10.1136/jnnp.44.4.285. ISSN 0022-3050. PMC 490949. PMID 6453957.
- Wilson, J.T. Lindsay; Pettigrew, Laura E.L.; Teasdale, Graham M. (August 1998). "Structured Interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for Their Use". Journal of Neurotrauma. 15 (8): 573–585. doi:10.1089/neu.1998.15.573. ISSN 0897-7151. PMID 9726257.
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