Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, United Kingdom.
Harborview Medical Center, Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
J Neurotrauma. 2021 Sep 1;38(17):2435-2446. doi: 10.1089/neu.2020.7527. Epub 2021 Apr 6.
The Glasgow Outcome Scale-Extended (GOSE) has become one of the most widely used outcome instruments to assess global disability and recovery after traumatic brain injury. Achieving consistency in the application of the assessment remains a challenge, particularly in multi-center studies involving many assessors. We present a manual for the GOSE interview that is designed to support both single- and multi-center studies and promote inter-rater agreement. Many patients fall clearly into a particular category; however, patients may have outcomes that are on the borderline between adjacent categories, and cases can present other challenges for assessment. The Manual includes the general principles of assessment, advice on administering each section of the GOSE interview, and guidance on "borderline" and "difficult" cases. Finally, we discuss the properties of the GOSE, including strengths and limitations, and outline recommendations for assessor training, accreditation, and monitoring.
格拉斯哥结局量表-扩展版（GOSE）已成为评估创伤性脑损伤后全球残疾和康复的最广泛使用的结果评估工具之一。在应用评估方面实现一致性仍然是一个挑战，特别是在涉及许多评估者的多中心研究中。我们提供了一份 GOSE 访谈手册，旨在支持单中心和多中心研究，并促进评估者之间的一致性。许多患者显然属于特定类别；然而，患者的结果可能处于相邻类别之间的边界，并且某些情况下评估可能会遇到其他挑战。该手册包括评估的一般原则、关于管理 GOSE 访谈各个部分的建议，以及关于“边界”和“困难”情况的指导。最后，我们讨论了 GOSE 的特性，包括其优缺点，并概述了评估者培训、认证和监测的建议。
