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King's Outcome Scale for Childhood Head Injury (KOSCHI)
This scale is in the public domain. The KOSCHI categories and definitions can be found at King's Outcome Scale for Childhood Head Injury (KOSCHI)
Exploratory: Stroke
Short Description of Instrument
The KOSCHI provides a practical scale for pediatric head injury which enables clinicians to describe rate and extent of recovery, and evaluate the effects of service and research interventions.
The King's Outcome Scale for Childhood Head Injury (KOSCHI) is a specific pediatric adaptation of the original adult Glasgow Outcome Scale (GOS). The KOSCHI expands the five category GOS to provide increased sensitivity at the milder end of the disability range.
Assessment takes approximately 1-2 minutes.
Other Important Notes
The scale was originally designed for children aged 2 to 16 years of age, but there is no reason why it should not be used under the age of 2 years with the understanding that problems in this young age group are commonly underestimated.
Comments/Special Instructions
Scoring and Psychometric Properties
There are five categories which include: (1) Death, (2) Vegetative, (3) Severe Disability, (4) Moderate Disability, (5) Good Recovery. The measure is scored by selecting the appropriate category that corresponds to the patient's prognosis.
Psychometric Properties
Modest inter-rater reliability was observed. Thus the authors recommend that if the KOSCHI is used in clinical or research practice, a team of potential observers perform pilot comparisons of their rating practices to ensure that they are scoring consistently.
Crouchman M, Rossiter L, Colaco T, Forsyth R: A practical outcome scale for pediatric head injury. Arch Dis Child 2001; 84(2):120-124.
Geary M, Kirkham F, Drever E, Best K, Anwar DR, Palmer J. OP36 - 2640: King's Outcome Scale for Childhood Head Injury (KOSCHI) - Prospective and retrospective comparison of outcome, and level of agreement, within the neuro-rehabilitation cohort at Southampton Children's hospital. Eur J Paediatr Neurol. 2015; 19(Supplement 1): S12.
Rivkin MJ, deVeber G, Ichord RN, Kirton A, Chan AK, Hovinga CA, Cox Gill J, Szabo A, Hill MD, Scholz K, Amlie-Lefond C. Thrombolysis in Pediatric Stroke Study. Stroke. 2015; 46(3):880-885.


Document last updated June 2020