Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury

Primary objective: To assess improvements in Glasgow Outcome Scale (GOS) and GOS extended (GOSE) scores between 6 months and 1 year following severe traumatic brain injury (TBI). Methods and procedures: One studied 214 adult patients with severe TBI with Glasgow Coma Scale (GCS)

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Veröffentlicht in:Brain injury 2007, Vol.21 (12), p.1225-1231
Hauptverfasser: Corral, Luisa, Ventura, José Luis, Herrero, José Ignacio, Monfort, Jose Luis, Juncadella, Montserrat, Gabarrós, Andreu, Bartolomé, Carlos, Javierre, Casimiro F., García-Huete, Lucía
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container_end_page 1231
container_issue 12
container_start_page 1225
container_title Brain injury
container_volume 21
creator Corral, Luisa
Ventura, José Luis
Herrero, José Ignacio
Monfort, Jose Luis
Juncadella, Montserrat
Gabarrós, Andreu
Bartolomé, Carlos
Javierre, Casimiro F.
García-Huete, Lucía
description Primary objective: To assess improvements in Glasgow Outcome Scale (GOS) and GOS extended (GOSE) scores between 6 months and 1 year following severe traumatic brain injury (TBI). Methods and procedures: One studied 214 adult patients with severe TBI with Glasgow Coma Scale (GCS)
doi_str_mv 10.1080/02699050701727460
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Methods and procedures: One studied 214 adult patients with severe TBI with Glasgow Coma Scale (GCS) &lt;9 admitted to Intensive Care Unit (ICU). GOS scores were obtained 6 and 12 months after injury in 195 subjects. Patients were predominantly male (84%) and median age was 35 years. Main outcomes and results: Outcome (GOS and GOSE at 6 months and 1 year) was better in the high GCS score at admission (6-8) group than in the low score group (3-5). The improvement in GOS scores between 6 months and 1 year was greater in the high GCS score at admission group than in the low score group. At 6 months, 75 patients had died and 120 survived. None died between the 6-12-month assessments; at 12 months, 36% had improved GOS score. Conclusions: GOS scores improved between 6-12 months after severe TBI in 36% of survivors and it is concluded that the expectancy of improvement is incomplete at 6 months. This improvement was greater in patients with better GCS scores (6-8) at admission than in those with worse GCS scores (3-5).</description><identifier>ISSN: 0269-9052</identifier><identifier>EISSN: 1362-301X</identifier><identifier>DOI: 10.1080/02699050701727460</identifier><identifier>PMID: 18236198</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Adult ; Brain Injuries - physiopathology ; Brain Injuries - rehabilitation ; Epidemiologic Methods ; Female ; Glasgow Coma Scale ; Glasgow Outcome Scale ; Humans ; Male ; Middle Aged ; prognosis ; Recovery of Function - physiology ; Severe traumatic brain injury ; timing</subject><ispartof>Brain injury, 2007, Vol.21 (12), p.1225-1231</ispartof><rights>2007 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-d4fa63a6585564ff6b8a1c51e0b8008dfc728d81f4a41ba995e2f6974b9e05a53</citedby><cites>FETCH-LOGICAL-c404t-d4fa63a6585564ff6b8a1c51e0b8008dfc728d81f4a41ba995e2f6974b9e05a53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/02699050701727460$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/02699050701727460$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,4009,27902,27903,27904,59623,59729,60412,60518,61197,61232,61378,61413</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18236198$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Corral, Luisa</creatorcontrib><creatorcontrib>Ventura, José Luis</creatorcontrib><creatorcontrib>Herrero, José Ignacio</creatorcontrib><creatorcontrib>Monfort, Jose Luis</creatorcontrib><creatorcontrib>Juncadella, Montserrat</creatorcontrib><creatorcontrib>Gabarrós, Andreu</creatorcontrib><creatorcontrib>Bartolomé, Carlos</creatorcontrib><creatorcontrib>Javierre, Casimiro F.</creatorcontrib><creatorcontrib>García-Huete, Lucía</creatorcontrib><title>Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury</title><title>Brain injury</title><addtitle>Brain Inj</addtitle><description>Primary objective: To assess improvements in Glasgow Outcome Scale (GOS) and GOS extended (GOSE) scores between 6 months and 1 year following severe traumatic brain injury (TBI). Methods and procedures: One studied 214 adult patients with severe TBI with Glasgow Coma Scale (GCS) &lt;9 admitted to Intensive Care Unit (ICU). GOS scores were obtained 6 and 12 months after injury in 195 subjects. Patients were predominantly male (84%) and median age was 35 years. Main outcomes and results: Outcome (GOS and GOSE at 6 months and 1 year) was better in the high GCS score at admission (6-8) group than in the low score group (3-5). The improvement in GOS scores between 6 months and 1 year was greater in the high GCS score at admission group than in the low score group. At 6 months, 75 patients had died and 120 survived. None died between the 6-12-month assessments; at 12 months, 36% had improved GOS score. Conclusions: GOS scores improved between 6-12 months after severe TBI in 36% of survivors and it is concluded that the expectancy of improvement is incomplete at 6 months. This improvement was greater in patients with better GCS scores (6-8) at admission than in those with worse GCS scores (3-5).</description><subject>Adult</subject><subject>Brain Injuries - physiopathology</subject><subject>Brain Injuries - rehabilitation</subject><subject>Epidemiologic Methods</subject><subject>Female</subject><subject>Glasgow Coma Scale</subject><subject>Glasgow Outcome Scale</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>prognosis</subject><subject>Recovery of Function - physiology</subject><subject>Severe traumatic brain injury</subject><subject>timing</subject><issn>0269-9052</issn><issn>1362-301X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE-LFDEQxYMo7rj6AbxITt5aK92ddIJeZFnXhYU9-AdvoTpdYXroTtYkvct8e3ucARFhTw-qfu9R9Rh7LeCdAA3voVbGgIQORFd3rYInbCMaVVcNiJ9P2eawr1agPmMvct4BgJACnrMzoetGCaM37Mf1fJfiPc0UCh8Dv7r9yjEMB73k2cVEmas_E1HzOYayzRx9ocQz3VMiXhIuM5bR8T7hGjCG3ZL2L9kzj1OmVyc9Z98_X367-FLd3F5dX3y6qVwLbamG1qNqUEktpWq9V71G4aQg6DWAHrzraj1o4VtsRY_GSKq9Ml3bGwKJsjlnb4-56xO_FsrFzmN2NE0YKC7ZdgBGNo1ZQXEEXYo5J_L2Lo0zpr0VYA9l2v_KXD1vTuFLP9Pw13FqbwU-HoEx-JhmfIhpGmzB_RSTTxjcmG3zWP6Hf-xbwqlsHSayu7iksBb3yHW_AXV7kxo</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Corral, Luisa</creator><creator>Ventura, José Luis</creator><creator>Herrero, José Ignacio</creator><creator>Monfort, Jose Luis</creator><creator>Juncadella, Montserrat</creator><creator>Gabarrós, Andreu</creator><creator>Bartolomé, Carlos</creator><creator>Javierre, Casimiro F.</creator><creator>García-Huete, Lucía</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury</title><author>Corral, Luisa ; Ventura, José Luis ; Herrero, José Ignacio ; Monfort, Jose Luis ; Juncadella, Montserrat ; Gabarrós, Andreu ; Bartolomé, Carlos ; Javierre, Casimiro F. ; García-Huete, Lucía</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-d4fa63a6585564ff6b8a1c51e0b8008dfc728d81f4a41ba995e2f6974b9e05a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Brain Injuries - physiopathology</topic><topic>Brain Injuries - rehabilitation</topic><topic>Epidemiologic Methods</topic><topic>Female</topic><topic>Glasgow Coma Scale</topic><topic>Glasgow Outcome Scale</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>prognosis</topic><topic>Recovery of Function - physiology</topic><topic>Severe traumatic brain injury</topic><topic>timing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Corral, Luisa</creatorcontrib><creatorcontrib>Ventura, José Luis</creatorcontrib><creatorcontrib>Herrero, José Ignacio</creatorcontrib><creatorcontrib>Monfort, Jose Luis</creatorcontrib><creatorcontrib>Juncadella, Montserrat</creatorcontrib><creatorcontrib>Gabarrós, Andreu</creatorcontrib><creatorcontrib>Bartolomé, Carlos</creatorcontrib><creatorcontrib>Javierre, Casimiro F.</creatorcontrib><creatorcontrib>García-Huete, Lucía</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Brain injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Corral, Luisa</au><au>Ventura, José Luis</au><au>Herrero, José Ignacio</au><au>Monfort, Jose Luis</au><au>Juncadella, Montserrat</au><au>Gabarrós, Andreu</au><au>Bartolomé, Carlos</au><au>Javierre, Casimiro F.</au><au>García-Huete, Lucía</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury</atitle><jtitle>Brain injury</jtitle><addtitle>Brain Inj</addtitle><date>2007</date><risdate>2007</risdate><volume>21</volume><issue>12</issue><spage>1225</spage><epage>1231</epage><pages>1225-1231</pages><issn>0269-9052</issn><eissn>1362-301X</eissn><abstract>Primary objective: To assess improvements in Glasgow Outcome Scale (GOS) and GOS extended (GOSE) scores between 6 months and 1 year following severe traumatic brain injury (TBI). Methods and procedures: One studied 214 adult patients with severe TBI with Glasgow Coma Scale (GCS) &lt;9 admitted to Intensive Care Unit (ICU). GOS scores were obtained 6 and 12 months after injury in 195 subjects. Patients were predominantly male (84%) and median age was 35 years. Main outcomes and results: Outcome (GOS and GOSE at 6 months and 1 year) was better in the high GCS score at admission (6-8) group than in the low score group (3-5). The improvement in GOS scores between 6 months and 1 year was greater in the high GCS score at admission group than in the low score group. At 6 months, 75 patients had died and 120 survived. None died between the 6-12-month assessments; at 12 months, 36% had improved GOS score. Conclusions: GOS scores improved between 6-12 months after severe TBI in 36% of survivors and it is concluded that the expectancy of improvement is incomplete at 6 months. This improvement was greater in patients with better GCS scores (6-8) at admission than in those with worse GCS scores (3-5).</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>18236198</pmid><doi>10.1080/02699050701727460</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Adult
Brain Injuries - physiopathology
Brain Injuries - rehabilitation
Epidemiologic Methods
Female
Glasgow Coma Scale
Glasgow Outcome Scale
Humans
Male
Middle Aged
prognosis
Recovery of Function - physiology
Severe traumatic brain injury
timing
title Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury
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