Improvement in GOS and GOSE scores 6 and 12 months after severe traumatic brain injury.
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
One studied 214 adult patients with severe TBI with Glasgow Coma Scale (GCS) <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.


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).
Corral
Luisa
L
Intensive Care Unit, Barcelona, Spain. 30130lca@comb.es
Ventura
José Luis
JL
Herrero
José Ignacio
JI
Monfort
Jose Luis
JL
Juncadella
Montserrat
M
Gabarrós
Andreu
A
Bartolomé
Carlos
C
Javierre
Casimiro F
CF
García-Huete
Lucía
L
D000328:Adult; D001930:Brain Injuries / Q000503:physiopathology / Q000534:rehabilitation*; D004812:Epidemiologic Methods; D005260:Female; D015600:Glasgow Coma Scale; D023261:Glasgow Outcome Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function / Q000502:physiology*