{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T19:09:59Z","timestamp":1780686599313,"version":"3.54.1"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Rehabilitation Medicine"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The Glasgow Coma Scale (GCS) is the gold standard in assessing severity for traumatic brain injury (TBI). This study aimed to compare GCS-rated severity to caregiver-perceived severity. Researchers assessed levels of agreement and explored which factors explained any differences and predicted whether a GCS score was provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Caregiver-perceived severity, demographic, and medical information was collected via electronic survey from 107 youth with TBI. GCS-rated severity was collected via medical-chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The strength of agreement fluctuated by severity (mild\/concussion k\u2009=\u20090.60, moderate k\u2009=\u20090.1, severe k\u2009=\u20090.64). Caregiver perceptions were more severe in 62% of cases. No medical or demographic variables explained discrepancies. GCS was documented in 38% of medical records. Binomial regression modeling found that participants seen in the emergency department were most likely to receive a GCS rating.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Results suggest that caregivers may be reliable evaluators of their child's TBI severity, particularly for those classified as mild or severe injuries with GCS ratings. Allowing caregiver-perceived severity ratings could increase inclusivity in research, so participation is not limited to children who go to the emergency department. More research is needed to determine if caregiver-perceived severity tracks with long-term outcomes or if caregivers base severity ratings on factors outside of the initial injury event.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18758894251385506","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T17:34:27Z","timestamp":1760636067000},"page":"67-74","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the validity of caregiver-perceived severity in pediatric traumatic brain injury: A comparative analysis with the Glasgow Coma Scale"],"prefix":"10.1177","volume":"19","author":[{"given":"Sophia","family":"Nichols","sequence":"first","affiliation":[{"name":"The Ohio State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela H","family":"Ciccia","sequence":"additional","affiliation":[{"name":"Case Western Reserve"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9113-7875","authenticated-orcid":false,"given":"Jennifer P","family":"Lundine","sequence":"additional","affiliation":[{"name":"The Ohio State University"},{"name":"Division of Clinical Therapies &amp; Inpatient Rehabilitation Program, Nationwide Children's Hospital, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Marr AL Coronado VG. 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