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J Neurol Neurosurg Psychiatry. 1981 April; 44(4): 285–293.
PMCID: PMC490949

Disability after severe head injury: observations on the use of the Glasgow Outcome Scale.


The nature of the neurological and mental disabilities resulting from severe head injuries are analysed in 150 patients. Mental handicap contributed more significantly to overall social disability than did neurological deficits. This social handicap is readily described by the Glasgow Outcome Scale, an extended version of which is described and compared with alternatives. Comments are made about the quality of life in disabled survivors.

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Selected References

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  • Jennett B, Bond M. Assessment of outcome after severe brain damage. Lancet. 1975 Mar 1;1(7905):480–484. [PubMed]
  • Jennett B, Teasdale G, Galbraith S, Pickard J, Grant H, Braakman R, Avezaat C, Maas A, Minderhoud J, Vecht CJ, et al. Severe head injuries in three countries. J Neurol Neurosurg Psychiatry. 1977 Mar;40(3):291–298. [PMC free article] [PubMed]
  • Bates D, Caronna JJ, Cartlidge NE, Knill-Jones RP, Levy DE, Shaw DA, Plum F. A prospective study of nontraumatic coma: methods and results in 310 patients. Ann Neurol. 1977 Sep;2(3):211–220. [PubMed]
  • Langfitt TW. Measuring the outcome from head injuries. J Neurosurg. 1978 May;48(5):673–678. [PubMed]
  • Jennett B, Plum F. Persistent vegetative state after brain damage. A syndrome in search of a name. Lancet. 1972 Apr 1;1(7753):734–737. [PubMed]
  • Jennett B, Teasdale G, Braakman R, Minderhoud J, Heiden J, Kurze T. Prognosis of patients with severe head injury. Neurosurgery. 1979 Apr;4(4):283–289. [PubMed]
  • Carlsson CA, von Essen C, Löfgren J. Factors affecting the clinical corse of patients with severe head injuries. 1. Influence of biological factors. 2. Significance of posttraumatic coma. J Neurosurg. 1968 Sep;29(3):242–251. [PubMed]
  • Pazzaglia P, Frank G, Frank F, Gaist G. Clinical course and prognosis of acute post-traumatic coma. J Neurol Neurosurg Psychiatry. 1975 Feb;38(2):149–154. [PMC free article] [PubMed]
  • Heiskanen O, Sipponen P. Prognosis of severe brain injury. Acta Neurol Scand. 1970;46(3):343–348. [PubMed]
  • Overgaard J, Hvid-Hansen O, Land AM, Pedersen KK, Christensen S, Haase J, Hein O, Tweed WA. Prognosis after head injury based on early clinical examination. Lancet. 1973 Sep 22;2(7830):631–635. [PubMed]
  • Vapalahti M, Troupp H. Prognosis for patients with severe brain injuries. Br Med J. 1971 Aug 14;3(5771):404–407. [PMC free article] [PubMed]
  • Jennett B, Teasdale G, Braakman R, Minderhoud J, Knill-Jones R. Predicting outcome in individual patients after severe head injury. Lancet. 1976 May 15;1(7968):1031–1034. [PubMed]
  • Najenson T, Mendelson L, Schechter I, David C, Mintz N, Groswasser Z. Rehabilitation after severe head injury. Scand J Rehabil Med. 1974;6(1):5–14. [PubMed]
  • Stover SL, Zeiger HE., Jr Head injury in children and teenagers; functional recovery correlated with the duration of coma. Arch Phys Med Rehabil. 1976 May;57(5):201–205. [PubMed]
  • RANKIN J. Cerebral vascular accidents in patients over the age of 60. I. General considerations. Scott Med J. 1957 Apr;2(4):127–136. [PubMed]
  • Brooks DN, Aughton ME. Cognitive recovery during the first year after severe blunt head injury. Int Rehabil Med. 1979;1(4):166–172. [PubMed]
  • Mandleberg IA, Brooks DN. Cognitive recovery after severe head injury. 1. Serial testing on the Wechsler Adult Intelligence Scale. J Neurol Neurosurg Psychiatry. 1975 Nov;38(11):1121–1126. [PMC free article] [PubMed]
  • Mandleberg IA. Cognitive recovery after severe head injury. 3. WAIS verbal and performance IQs as a function of post-traumatic amnesia duration and time from injury. J Neurol Neurosurg Psychiatry. 1976 Oct;39(10):1001–1007. [PMC free article] [PubMed]
  • Bond MR. The stages of recovery from severe head injury with special reference to late outcome. Int Rehabil Med. 1979;1(4):155–159. [PubMed]
  • Brooks DN, Aughton ME, Bond MR, Jones P, Rizvi S. Cognitive sequelae in relationship to early indices of severity of brain damage after severe blunt head injury. J Neurol Neurosurg Psychiatry. 1980 Jun;43(6):529–534. [PMC free article] [PubMed]
  • Bond MR. Assessment of the psychosocial outcome of severe head injury. Acta Neurochir (Wien) 1976;34(1-4):57–70. [PubMed]

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