A multicentre study of intentional behavioural responses measured using the Coma Recovery Scale–Revised in patients with minimally conscious state
| Autor: | Viviana Cardinale, Pasquale Moretta, Giordano Gatta, Joseph T. Giacino, Anna Estraneo, Luigi Trojano, Antonio De Tanti |
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| Přispěvatelé: | Estraneo, A, Moretta, P, Cardinale, V, De Tanti, A, Gatta, G, Giacino, Jt, Trojano, Luigi |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Eye Movements medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Intention law.invention Young Adult law medicine Humans In patient Established diagnosis Aged Aged 80 and over Coma Rehabilitation Communication Persistent Vegetative State Reproducibility of Results Minimally conscious state Recovery of Function Middle Aged medicine.disease Intensive care unit Cross-Sectional Studies Anesthesia Physical therapy Female medicine.symptom Psychology Psychomotor Performance |
| Zdroj: | Clinical Rehabilitation. 29:803-808 |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215514556002 |
| Popis: | Objective: To investigate which conscious behaviour is most frequently detected using the Coma Recovery Scale-Revised in patients with minimally conscious state. Design: Multicentre, cross-sectional study. Setting: One intensive care unit, 8 post-acute rehabilitation centres and 2 long-term facilities. Subjects: Fifty-two patients with established diagnosis of minimally conscious state of different aetiology. Main measures: All patients were assessed by the Coma Recovery Scale-Revised. Results: In most patients (34/52) non-reflexive responses were identified by two or more subscales of the Coma Recovery Scale-Revised, whereas in 14 patients only the visual subscale could identify cortically-mediated behaviours, and in the remaining 4 patients only the motor subscale did so. The clinical signs of intentional behaviour were most often detected by the visual subscale (43/52 patients) and by the motor subscale (31/52), and least frequently by the oromotor/verbal subscale (3/52) of the Coma Recovery Scale-Revised. This clinical pattern was observed independently from time post-onset and aetiology. Conclusions: Non-reflexive visual behaviour, identified by the visual subscale of Coma Recovery Scale-Revised, is the most frequently detected intentional sign consistent with the diagnosis of minimally conscious state, independently from aetiology and time post-onset. |
| Databáze: | OpenAIRE |
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