A Manual for the Glasgow Outcome Scale-Extended Interview


Wilson L, Boase K, Nelson LD, Temkin N, Giacino JT, Markowitz AJ, Maas A, Menon DK, Teasdale GM & Manley GT (2021) A Manual for the Glasgow Outcome Scale-Extended Interview. Journal of Neurotrauma, 38 (17), pp. 2435-2446.

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.

clinical outcome assessment; Glasgow Outcome Scale-Extended; GOSE; traumatic brain injury

Journal of Neurotrauma: Volume 38, Issue 17

FundersNational Institutes of Health
Publication date30/09/2021
Publication date online30/04/2021
Date accepted by journal19/03/2021