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. 2022 Jun 3;39(11-12):870–878. doi: 10.1089/neu.2021.0421

Table 3.

Item Response Theory Scoring of the Glasgow Outcome Scale-Extended Reveals Stronger Correlations with Key Self-Report Mild Traumatic Brain Injury and Psychological Symptoms than Standard Scoring of the Glasgow Outcome Scale-Extended

 
Spearman's ρ
Difference
Difference
  GOSE-Ordinal GOSE-IRT (reversed) Point estimate [95% CI] p
TBI Severity        
 Glasgow Coma Scale score .36 .34 -.01 [-.03, .00] 0.12
 Computed tomography findings (+/-) -.24 -.24 .00 [-.01, .02] 0.83
Psychological symptoms (3 months)        
 RPQ -.61 -.64 .03 [.01, .05] < 0.001
 BSI-18 GSI -.46 -.50 .04 [.02, .06] < 0.001
 QOLIBRI-OS .54 .59 .05 [.03, .06] < 0.001
 SWLS .39 .42 .03 [.01, .05] 0.004

GOSE, Glasgow Outcome Scale-Extended; IRT, item response theory; CI, confidence interval; RPQ, Rivermead Post Concussion Symptoms Questionnaire; BSI-18 GSI, 18-item Brief Symptom Inventory Global Severity Index; QOLIBRI-OS, Quality of Life after Brain Injury Scale-Overall Scale; SWLS, Satisfaction With Life Scale.

For directional consistency, GOSE-IRT scores were reversed for correlational analyses such that lower reflects more disability.