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Feasibility and Validity of the Coma Recovery Scale-Revised for Accelerated Standardized Testing: A Practical Assessment Tool for Detecting Consciousness in the Intensive Care Unit.
Bodien, Yelena G; Vora, Isha; Barra, Alice; Chiang, Kevin; Chatelle, Camille; Goostrey, Kelsey; Martens, Geraldine; Malone, Christopher; Mello, Jennifer; Parlman, Kristin; Ranford, Jessica; Sterling, Ally; Waters, Abigail B; Hirschberg, Ronald; Katz, Douglas I; Mazwi, Nicole; Ni, Pengsheng; Velmahos, George; Waak, Karen; Edlow, Brian L; Giacino, Joseph T.
Afiliación
  • Bodien YG; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Vora I; Center for Neurotechnology and Neurorecovery, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Barra A; Department of Rehabilitation Sciences, MGH Institute of Health Professions, Boston, MA, USA.
  • Chiang K; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Chatelle C; Coma GIGA Science Group, University of Liege, Liege, Belgium.
  • Goostrey K; Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
  • Martens G; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Malone C; Coma GIGA Science Group, University of Liege, Liege, Belgium.
  • Mello J; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Parlman K; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Ranford J; Coma GIGA Science Group, University of Liege, Liege, Belgium.
  • Sterling A; Department of Surgery, University of Montréal, Montréal, QC, Canada.
  • Waters AB; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Hirschberg R; Department of Speech-language and Swallowing, Massachusetts General Hospital, Boston, MA, USA.
  • Katz DI; Department of Physical Therapy, Massachusetts General Hospital, Boston, MA, USA.
  • Mazwi N; Department of Occupational Therapy, Massachusetts General Hospital Boston, Boston, MA, USA.
  • Ni P; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Velmahos G; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Waak K; Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.
  • Edlow BL; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
  • Giacino JT; Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Ann Neurol ; 94(5): 919-924, 2023 11.
Article en En | MEDLINE | ID: mdl-37488068
We developed and validated an abbreviated version of the Coma Recovery Scale-Revised (CRS-R), the CRS-R For Accelerated Standardized Testing (CRSR-FAST), to detect conscious awareness in patients with severe traumatic brain injury in the intensive care unit. In 45 consecutively enrolled patients, CRSR-FAST administration time was approximately one-third of the full-length CRS-R (mean [SD] 6.5 [3.3] vs 20.1 [7.2] minutes, p < 0.0001). Concurrent validity (simple kappa 0.68), test-retest (Mak's ρ = 0.76), and interrater (Mak's ρ = 0.91) reliability were substantial. Sensitivity, specificity, and accuracy for detecting consciousness were 81%, 89%, and 84%, respectively. The CRSR-FAST facilitates serial assessment of consciousness, which is essential for diagnostic and prognostic accuracy. ANN NEUROL 2023;94:919-924.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Coma / Estado de Conciencia Límite: Humans Idioma: En Revista: Ann Neurol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Coma / Estado de Conciencia Límite: Humans Idioma: En Revista: Ann Neurol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos