Wilson J T, Pettigrew L E, Teasdale G M
Department of Psychology, University of Stirling, United Kingdom.
J Neurotrauma. 1998 Aug;15(8):573-85. doi: 10.1089/neu.1998.15.573.
The Glasgow Outcome Scale (GOS) is the most widely used outcome measure after traumatic brain injury, but it is increasingly recognized to have important limitations. It is proposed that shortcomings of the GOS can be addressed by adopting a standard format for the interview used to assign outcome. A set of guidelines are outlined that are directed at the main problems encountered in applying the GOS. The guidelines cover the general principles underlying the use of the GOS and common practical problems of applying the scale. Structured interview schedules are described for both the five-point GOS and an extended eight-point GOS (GOSE). An interrater reliability study of the structured interviews for the GOS and GOSE yielded weighted kappa values of 0.89 and 0.85, respectively. It is concluded that assessment of the GOS using a standard format with a written protocol is practical and reliable.
格拉斯哥预后量表（GOS）是创伤性脑损伤后使用最广泛的预后评估指标，但人们越来越认识到它有重要局限性。有人提出，通过采用用于评定预后的访谈标准格式，可以解决GOS的缺点。本文概述了一套针对应用GOS时遇到的主要问题的指南。这些指南涵盖了使用GOS的基本原则以及应用该量表时常见的实际问题。文中描述了针对五点GOS和扩展的八点GOS（GOSE）的结构化访谈时间表。对GOS和GOSE结构化访谈的评分者间信度研究分别得出加权kappa值为0.89和0.85。得出的结论是，使用带有书面协议的标准格式对GOS进行评估是切实可行且可靠的。
