Article (Scientific journals)
Simplified Evaluation of CONsciousness Disorders (SECONDs) in individuals with severe brain injury: A validation study
Aubinet, Charlène; Cassol, Helena; BODART, Olivier et al.
2021In Annals of Physical and Rehabilitation Medicine, 64 (5), p. 101432
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Keywords :
Trauma; Coma; Rehabilitation; Disorders of consciousness
Abstract :
[en] Background The Coma Recovery Scale-Revised (CRS-R) is the gold standard to assess severely brain-injured patients with prolonged disorders of consciousness (DoC). However, the amount of time needed to complete this examination may limit its use in clinical settings. Objective. We aimed to validate a new faster tool to assess consciousness in individuals with DoC. Methods This prospective validation study introduces the Simplified Evaluation of CONsciousness Disorders (SECONDs), a tool composed of 8 items: arousal, localization to pain, visual fixation, visual pursuit, oriented behaviors, command-following, and communication (both intentional and functional). A total of 57 individuals with DoC were assessed on 2 consecutive days by 3 blinded examiners: one CRS-R and one SECONDs were performed on 1 day, whereas 2 SECONDs were performed on the other day. A Mann-Whitney U test was used to compare the duration of administration of the SECONDs versus the CRS-R, and weighted Fleiss’ kappa coefficients were used to assess inter-/intra-rater reliability as well as concurrent validity. Results In the 57 participants, the SECONDs was about 2.5 times faster to administer than the CRS-R. The comparison of the CRS-R versus the SECONDs on the same day or the best of the 3 SECONDs led to “substantial” or “almost perfect” agreement (kappa coefficients ranging from 0.78 to 0.85). Intra-/inter-rater reliability also showed almost perfect agreement (kappa coefficients from 0.85 to 0.91 and 0.82 to 0.85, respectively). Conclusions The SECONDs appears to be a fast, reliable and easy-to-use scale to diagnose DoC and may be a good alternative to other scales in clinical settings where time constraints preclude a more thorough assessment.
Research center :
Giga Consciousness-Coma Science Group ; CHU de Liège - Centre du Cerveau²
Disciplines :
Neurology
Neurology
Author, co-author :
Aubinet, Charlène   ;  Université de Liège - ULiège > Consciousness-Coma Science Group
Cassol, Helena  ;  Université de Liège - ULiège > Département d'aérospatiale et mécanique > Ingénierie des véhicules terrestres
BODART, Olivier   ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de neurologie
Sanz, Leandro  ;  Université de Liège - ULiège > Consciousness-Coma Science Group
Wannez, Sarah 
Martial, Charlotte  ;  Université de Liège - ULiège > Consciousness-Coma Science Group
THIBAUT, Aurore ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service de médecine de l'appareil locomoteur
Martens, Géraldine  ;  Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service de médecine de l'appareil locomoteur
Carrière, Manon ;  Université de Liège - ULiège > GIGA
Gosseries, Olivia  ;  Université de Liège - ULiège > Consciousness-Coma Science Group
LAUREYS, Steven   ;  Université de Liège - ULiège > Giga Consciousness-Coma Science Group
Chatelle, Camille  
 These authors have contributed equally to this work.
Language :
English
Title :
Simplified Evaluation of CONsciousness Disorders (SECONDs) in individuals with severe brain injury: A validation study
Publication date :
September 2021
Journal title :
Annals of Physical and Rehabilitation Medicine
ISSN :
1877-0657
eISSN :
1877-0665
Publisher :
Elsevier Masson, Paris, France
Volume :
64
Issue :
5
Pages :
101432
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
F.R.S.-FNRS - Fonds de la Recherche Scientifique [BE]
Available on ORBi :
since 15 January 2021

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