Wessex Head Injury Matrix and Glasgow/Glasgow-Liege coma scale: A validation and comparison study

Majerus, Steve; Van der Linden, Martial; Shiel, Agnes

doi:10.1080/096020100389237

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Wessex Head Injury Matrix and Glasgow/Glasgow-Liege coma scale: A validation and comparison study

Majerus, Steve; Van der Linden, Martial; Shiel, Agnes

2000 • In Neuropsychological Rehabilitation, 10 (2), p. 167-184

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https://hdl.handle.net/2268/246161

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10.1080/096020100389237

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Keywords :

Glasgow coma scale

Abstract :

[en] The Wessex Head Injury Matrix (WHIM) is an assessment tool designed for use during and immediately after coma. The aim of this study was (1) to test a French adaptation of the WHIM, (2) to compare the WHIM to the Glasgow Coma Scale (GCS) and its extension, the Glasgow-Liege Coma Scale (GLS), and (3) to confirm the sequence of emergence of behaviours. The three scales were used to assess 23 patients admitted to an intensive care unit with a GCS score equal to or less than 8 for at least 1 hour, longitudinally. Results indicated that the WHIM had good concurrent validity with the GCS and GLS, good inter-rater agreement, and excellent test-retest reliability. The WHIM is more appropriate and sensitive than the GCS and the GLS for the period of emerging from coma and immediately afterwards, whereas the GLS is more appropriate than the WHIM for the deepest phase of coma, as it also assesses brainstem reflexes. Furthermore, analysis of our data confirmed the ordering of the 66 items of the WHIM as a function of sequence of recovery from coma, as suggested by its authors.

Disciplines :

Neurosciences & behavior

Author, co-author :

Majerus, Steve ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie

Van der Linden, Martial ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie

Shiel, Agnes

Language :

English

Title :

Wessex Head Injury Matrix and Glasgow/Glasgow-Liege coma scale: A validation and comparison study

Publication date :

2000

Journal title :

Neuropsychological Rehabilitation

ISSN :

0960-2011

eISSN :

1464-0694

Publisher :

Psychology Press Ltd

Volume :

Issue :

Pages :

167-184

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 24 March 2020

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