Department of Anesthesiology, Amsterdam University Medical Center, Location VUmc, Amsterdam, the Netherlands (Drs Bossers, Schwarte, Verheul, and Schober); and Department of Neurology, University Medical Center Groningen, Groningen, the Netherlands (Drs van der Naalt and Jacobs).
J Head Trauma Rehabil. 2021;36(3):E134-E138. doi: 10.1097/HTR.0000000000000622.
The Extended Glasgow Outcome Scale (GOS-E) is used for objective assessment of functional outcome in traumatic brain injury (TBI). In situations where face-to-face contact is not feasible, telephonic assessment of the GOS-E might be desirable. The aim of this study is to assess the level of agreement between face-to-face and telephonic assessment of the GOS-E.
Multicenter study in 2 Dutch University Medical Centers. Inclusion was performed in the outpatient clinic (face-to-face assessment, by experienced neurologist), followed by assessment via telephone of the GOS-E after ±2 weeks (by trained researcher).
Patients ±6 months after TBI.
Prospective validation study.
Interrater agreement of the GOS-E was assessed with Cohen's weighted κ.
From May 2014 until March 2018, 50 patients were enrolled; 54% were male (mean age 49.1 years). Median time between trauma and in-person GOS-E examination was 158 days and median time between face-to-face and telephonic GOS-E was 15 days. The quadratic weighted κ was 0.79. Sensitivity analysis revealed a quadratic weighted κ of 0.77, 0.78, and 0.70 for moderate-severe, complicated mild, and uncomplicated mild TBI, respectively.
No disagreements of more than 1 point on the GOS-E were observed, with the κ value representing good or substantial agreement. Assessment of the GOS-E via telephone is a valid alternative to the face-to-face interview when in-person contact is not feasible.
扩展格拉斯哥结局量表（GOS-E）用于对创伤性脑损伤（TBI）的功能结局进行客观评估。在无法进行面对面接触的情况下，可能希望通过电话评估 GOS-E。本研究的目的是评估面对面和电话评估 GOS-E 的一致性水平。
2 家荷兰大学医学中心的多中心研究。在门诊进行纳入（面对面评估，由经验丰富的神经科医生进行），然后在±2 周后通过电话对 GOS-E 进行评估（由受过培训的研究人员进行）。
TBI 后±6 个月的患者。
前瞻性验证研究。
采用 Cohen 的加权κ评估 GOS-E 的评分者间一致性。
从 2014 年 5 月至 2018 年 3 月，共纳入 50 例患者；54%为男性（平均年龄 49.1 岁）。创伤与现场 GOS-E 检查之间的中位数时间为 158 天，面对面与电话 GOS-E 之间的中位数时间为 15 天。二次加权κ为 0.79。敏感性分析显示，中度重度、复杂轻度和单纯轻度 TBI 的二次加权κ分别为 0.77、0.78 和 0.70。
在 GOS-E 上没有观察到超过 1 分的分歧，κ 值表示良好或实质性一致。当无法进行面对面接触时，通过电话评估 GOS-E 是一种有效的替代方法。
