- Evans, Emily;
- Cook, Nathan E;
- Iverson, Grant L;
- Townsend, Elise L;
- Duhaime, Ann-Christine;
- Adeoye, Opeolu;
- Badjatia, Neeraj;
- Boase, Kim;
- Bodien, Yelena;
- Bullock, M Ross;
- Chesnut, Randall;
- Corrigan, John D;
- Crawford, Karen;
- Diaz-Arrastia, Ramon;
- Dikmen, Sureyya;
- Ellenbogen, Richard;
- Feeser, V Ramana;
- Ferguson, Adam R;
- Foreman, Brandon;
- Gardner, Raquel;
- Gaudette, Etienne;
- Giacino, Joseph;
- Goldman, Dana;
- Gonzalez, Luis;
- Gopinath, Shankar;
- Gullapalli, Rao;
- Hemphill, J Claude;
- Hotz, Gillian;
- Jain, Sonia;
- Korley, Frederick K;
- Kramer, Joel;
- Kreitzer, Natalie;
- Levin, Harvey;
- Lindsell, Chris;
- Machamer, Joan;
- Madden, Christopher;
- Manley, Geoffrey T;
- Martin, Alastair;
- McAllister, Thomas;
- McCrea, Michael;
- Merchant, Randall;
- Mukherjee, Pratik;
- Nelson, Lindsay;
- Ngwenya, Laura B;
- Noel, Florence;
- Okonkwo, David;
- Palacios, Eva;
- Perl, Daniel;
- Puccio, Ava;
- Rabinowitz, Miri;
- Robertson, Claudia;
- Rosand, Jonathan;
- Sander, Angelle;
- Satris, Gabriella;
- Schnyer, David;
- Seabury, Seth;
- Taylor, Sabrina;
- Temkin, Nancy;
- Toga, Arthur;
- Valadka, Alex;
- Vassar, Mary;
- Vespa, Paul;
- Wang, Kevin;
- Yue, John K;
- Yuh, Esther;
- Zafonte, Ross
The Glasgow Outcome Scale, Pediatric Revision (GOSE-P) is an assessment of "global outcome" designed as a developmentally appropriate version of the Glasgow Outcome Scale-Extended for use in clinical trials of children with traumatic brain injury (TBI). Initial testing describes validity across a wide age and injury severity spectrum, yet the GOSE-P's utility for monitoring children with milder injuries is less clear. We examined the level of agreement between the GOSE-P and the Health and Behavior Inventory (HBI), a TBI-related symptom checklist used to assess children with mild TBI for clinical and research purposes. Participants included children and adolescents 3-16 years of age (n = 50) who presented to two level 1 trauma centers within 24 h of injury, with a GCS of 13-15, who underwent clinical neuroimaging. Outcome was assessed 2 weeks and 3 months following injury. We examined the severity of TBI-related symptoms across disability categories identified using the GOSE-P, and the level of agreement between the two measures in identifying deficits 2 weeks following injury and improvement from 2 weeks to 3 months. Using the GOSE-P, 62% had deficits at 2 weeks, and 42% improved from 2 weeks to 3 months. Agreement between the GOSE-P and HBI was fair 2 weeks after TBI (k = 0.24-0.33), and poor for identifying subsequent improvement (k = 0.10-0.16). Modest agreement between the GOSE-P and the HBI may reflect restricted participation from diverse causes, including TBI, other bodily injuries, and prescribed activity restrictions, and highlights the need for multi-dimensional outcome batteries.