Galveston Orientation and Amnesia Test
Medical diagnostic method
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The Galveston Orientation and Amnesia Test (GOAT) is a measure of attention and orientation, especially to see if a patient has recovered from post-traumatic amnesia (PTA) after a traumatic brain injury.[1] This was the first measure created to test post-traumatic amnesia, and is still the most widely used test.[1] The test was created by Harvey S. Levin and colleagues (1979), and features ten questions that assess temporal and spatial orientation, biographical recall, and memory.[2] Points are awarded for responses to each question, with a 100 points possible. A score greater than 78 for three consecutive days is considered the threshold for emergence from post-traumatic amnesia.[3] This test is intended for patients aged 15 years or older. Younger patients are given a modified version of the test, known as the Children's Orientation and Attention Test (COAT).
| Galveston Orientation and Amnesia Test | |
|---|---|
| Purpose | measure of orientation/attention |
The scores on this test have been found to relate to both the Glasgow Coma Scale and the Glasgow Outcome Scale.[4]
Modified versions
MOAT
A modified version of this test, known as MOAT or Modified GOAT, is a similar questionnaire that assesses memory, orientation, and attention. This modified version has multiple choice options for those who have expressive-language difficulties or who are intubated. Here, a score of greater than 60 for two consecutive days is considered emergence from PTA.[5]
COAT
The Children's Orientation and Attention Test (COAT) is a pediatric version of the test for ages 3–15.[6] This test assesses orientation by asking the child or adolescent to give their first and last names, their parents' names, and to identify their current location.[7]