Prevalence of coma-recovery scale-revised signs of consciousness in patients in minimally conscious state

[en] Different behavioural signs of consciousness can distinguish patients with an unresponsive wakefulness syndrome from patients in minimally conscious state (MCS). The Coma Recovery Scale-Revised (CRS-R) is the most sensitive scale to differentiate the different altered states of consciousness and eleven items detect the MCS. The aim of this study is to document the prevalence of these items. We analysed behavioural assessments of 282 patients diagnosed in MCS based on the CRS-R. Results showed that some items are particularly frequent among patients in MCS, namely fixation, visual pursuit, and reproducible movement to command, which were observed in more than 50% of patients. These responses were also the most probably observed items when the patients only showed one sign of consciousness. On the other hand, some items were rarely or never observed alone, e.g., object localisation (reaching), object manipulation, intelligible verbalisation, and object recognition. The results also showed that limiting the CRS-R assessment to the five most frequently observed items (i.e., fixation, visual pursuit, reproducible movement to command, automatic motor response and localisation to noxious stimulation) detected 99% of the patients in MCS. If clinicians have only limited time to assess patients with disorders of consciousness, we suggest to evaluate at least these five items of the CRS-R. © 2017, © 2017 Informa UK Limited, trading as Taylor & Francis Group.

Disciplines :

Neurology

Author, co-author :

Wannez, Sarah ; Université de Liège > GIGA-Consciousness > Coma Science Group

Gosseries, Olivia ; Université de Liège - ULiège > GIGA : Coma Group

Azzolini, Deborah; Université de Liège - ULiège > GIGA-Cosciousness > Coma Science Group

Martial, Charlotte ; Université de Liège - ULiège > GIGA : Coma Group

Cassol, Helena ; Université de Liège - ULiège > GIGA : Coma Group

Aubinet, Charlène ; Université de Liège - ULiège > GIGA : Coma Group

Annen, Jitka ; Université de Liège - ULiège > GIGA : Coma Group

Martens, Géraldine ; Université de Liège - ULiège > GIGA : Coma Group

Bodart, Olivier ; Université de Liège > GIGA-Consciousness > Coma Science Group

Heine, Lizette ; Université de Liège > GIGA-Consciousness > Coma Science Group

More authors (8 more)

Language :

English

Title :

Prevalence of coma-recovery scale-revised signs of consciousness in patients in minimally conscious state

Publication date :

2018

Journal title :

Neuropsychological Rehabilitation

ISSN :

0960-2011

eISSN :

1464-0694

Publisher :

Routledge

Volume :

Issue :

Pages :

1350-1359

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 27 April 2017

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