The Morfeo Study: A 1-year follow-up of complications of vegetative state in a dedicated facility.

Autor: Fabbri, G., Fantini, M. P., Buggi, F., Carretta, E., Lorenzini, L., Piperno, R., Matera, N., Leo, M. R., Coulter, D. L.
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Zdroj: Brain Injury; Apr2010, Vol. 24 Issue 4, p620-624, 5p, 1 Chart, 2 Graphs
Abstrakt: Objectives: Vegetative State (VS) implies significant issues. The aim of the MORFEO study is to identify the most relevant complications in VS patients and to supply clinicians and policy-makers with data derived from the analysis of a cohort of patients treated in a dedicated long-term facility setting. Methods: A cohort of 22 VS patients treated between 2003 and 2007 were enrolled and followed up for 1 year. The information recorded were: Disability Rating Scale (DRS), Levels of Cognitive Functioning (LCF), pressure sores, nutritional status, neurological complications, articular complications (passive range of motion–ROM), deep-vein thrombosis and infections. The Kolmogorov-Smirnov test was used to verify the normal distribution of the variables. The indicators of complications were analysed with the Friedman test (continuous variables) and with the Cochran Q test (dichotomous variables). Results: DRS and LCF values showed no significant variation. The number of pressure sores decreased. The nutritional status remained satisfying. The ROM worsened in lower limb joints; a trend ( p = ns) towards an improved range was observed in shoulders and elbows. Fifteen infections were recorded. Conclusions: The data that proved significant suggest a minimum set of quality-of-care indicators in VS patients: pressure sores follow-up, nutritional status, ROM and incidence of infections. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index