TY - JOUR
T1 - Face-to-Face Versus Telephonic Extended Glasgow Outcome Score Testing After Traumatic Brain Injury
AU - Bossers, Sebastiaan M.
AU - van der Naalt, Joukje
AU - Jacobs, Bram
AU - Schwarte, Lothar A.
AU - Verheul, Robert
AU - Schober, Patrick
N1 - Publisher Copyright: © 2020 Wolters Kluwer Health, Inc. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/5/1
Y1 - 2021/5/1
N2 - OBJECTIVE: 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. SETTING: 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). PARTICIPANTS: Patients ±6 months after TBI. DESIGN: Prospective validation study. MAIN MEASURES: Interrater agreement of the GOS-E was assessed with Cohen's weighted κ. RESULTS: 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. CONCLUSION: 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.
AB - OBJECTIVE: 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. SETTING: 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). PARTICIPANTS: Patients ±6 months after TBI. DESIGN: Prospective validation study. MAIN MEASURES: Interrater agreement of the GOS-E was assessed with Cohen's weighted κ. RESULTS: 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. CONCLUSION: 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.
KW - Brain injuries
KW - Extended Glasgow Outcome Scale
KW - Traumatic
KW - Validation
UR - http://www.scopus.com/inward/record.url?scp=85106069150&partnerID=8YFLogxK
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85106069150&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/33201032
U2 - https://doi.org/10.1097/HTR.0000000000000622
DO - https://doi.org/10.1097/HTR.0000000000000622
M3 - Article
C2 - 33201032
SN - 1550-509X
VL - 36
SP - 134
EP - 138
JO - The Journal of head trauma rehabilitation
JF - The Journal of head trauma rehabilitation
IS - 3
ER -