- Title
- Use of the King's Outcome Scale for Childhood Head Injury in the evaluation of outcome in childhood traumatic brain injury
- Creator
- Paget, Simon Paul; Beath, Alexander William John; Barnes, Elizabeth Helen; Waugh, Mary-Clare
- Relation
- Developmental Neurorehabilitation Vol. 15, Issue 3, p. 171-177
- Publisher Link
- http://dx.doi.org/10.3109/17518423.2012.671381
- Publisher
- Informa Healthcare
- Resource Type
- journal article
- Date
- 2012
- Description
- Objective: To examine the inter-rater reliability of The King's Outcome Scale for Childhood Head Injury (KOSCHI) with clinicians of varying experience in paediatric traumatic brain injury (TBI); and to examine change in outcome during long-term follow-up of children following traumatic brain injury (TBI) using KOSCHI. Method: Retrospective assessment of detailed clinic reports of 97 children followed-up by a tertiary specialist paediatric brain injury service. Investigators were blinded to each other's scores. Results: Inter-rater reliability was substantial (weighted kappa 0.71) and similar for investigators of varying experience. KOSCHI outcome was strongly associated with markers of injury severity (p = 0.028). In longitudinal follow-up, KOSCHI score worsened in 7 (23%) children who were injured under 8 years but in no older children (p = 0.02). Conclusion: KOSCHI has high inter-rater reliability for investigators of different experience. Long-term KOSCHI outcome is associated with injury severity. Some young children may develop worse disability over time.
- Subject
- traumatic brain injury; children; infants; Glasgow Outcome Scale; outcome measures
- Identifier
- http://hdl.handle.net/1959.13/1317240
- Identifier
- uon:23368
- Identifier
- ISSN:1751-8423
- Language
- eng
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