Table 4.
Item Response Theory Scoring of the Glasgow Outcome Scale-Extended Stratified by Traumatic Brain Injury Severity Reveals Stronger Correlations with Key Function and Outcome Variables than Standard Scoring of the Glasgow Outcome Scale-Extended
| |
Spearman's
|
Difference |
Difference |
|
|---|---|---|---|---|
| GOSE-Ordinal | GOSE-IRT (reversed) | Point estimate [95% CI] | p | |
| GCS 13–15 CT- | ||||
| RPQ | -.67 | -.68 | .01 [-.01, .03] | 0.23 |
| BSI-18 GSI | -.53 | -.56 | .03 [.01, .05] | 0.02 |
| QOLIBRI-OS | .59 | .62 | .03 [.01, .05] | < 0.001 |
| SWLS | .43 | .45 | .02 [.00, .04] | 0.08 |
| GCS 13–15 CT+ | ||||
| RPQ | -.63 | -.67 | .03 [.00, .06] | 0.09 |
| BSI-18 GSI | -.50 | -.55 | .04 [.01, .08] | 0.02 |
| QOLIBRI-OS | .52 | .57 | .05 [.02, .08] | < 0.001 |
| SWLS | .35 | .38 | .04 [.00, .07] | 0.07 |
| GCS 3–12 | ||||
| RPQ | -.46 | -.55 | .09 [.03, .15] | 0.004 |
| BSI-18 GSI | -.29 | -.35 | .06 [-.01, .13] | 0.10 |
| QOLIBRI-OS | .48 | .58 | .10 [.04, .16] | < 0.001 |
| SWLS | .36 | .42 | .06 [-.02, .13] | 0.13 |
GOSE, Glasgow Outcome Scale-Extended; IRT, item response theory; CI, confidence interval; GCS, Glasgow Coma Scale score on admission; CT, computed tomography; 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.