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
|
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.