ArticleJournal of neurology2014
Assessment of patients with disorder of consciousness: do different Coma Recovery Scale scoring correlate with different settings?
Article in Journal of neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 48 citations in OpenAlex.
- Cognitive and neurophysiological effects of bilateral tDCS neuromodulation in patients with minimally conscious state.Scientific reports · 2025Trial
- Transcutaneous auricular vague nerve stimulation improved brain connection activity on patients of disorders of consciousness: a pilot study.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2022Trial
- Italian Coma Recovery Scale for Pediatrics (CRS-P): Preliminary Validation in a Sample of Young Children with Typical Development.Brain sciences · 2025Article
- The social and family evaluation (SAFE) scale for caregivers of individuals with disorders of consciousness: preliminary results.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Article
- Perception of diagnosis by family caregivers in severe brain injury patients in China.BMC palliative care · 2024Article
- Family caregivers improve the diagnostic accuracy of disorders of consciousness: from remote to near-bed auditory stimulation.European journal of physical and rehabilitation medicine · 2024Article
- Disambiguating Consciousness in Clinical Settings.Neurology · 2023Article
- Behavioral scales variability in patients with prolonged disorders of consciousness.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023Article
- Study protocol: Developing telephone follow-up scale for patients with disorders of consciousness.Frontiers in public health · 2023Article
- Validity of the Early Functional Ability scale (EFA) among critically ill patients undergoing early neurological rehabilitation.BMC neurology · 2022Article
- Entropy Metrics Correlating with Higher Residual Functioning in Patients with Chronic Disorders of Consciousness.Brain sciences · 2022Article
- Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE).Brain sciences · 2022Article
- Preservation of Language Processing and Auditory Performance in Patients With Disorders of Consciousness: A Multimodal Assessment.Frontiers in neurology · 2020Article
- Are visual functions diagnostic signs of the minimally conscious state? an integrative review.Journal of neurology · 2018Review
- Conscious While Being Considered in an Unresponsive Wakefulness Syndrome for 20 Years.Frontiers in neurology · 2018Article
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Differential diagnosis between Vegetative State and Minimally Conscious State is a challenging task that requires specific assessment scales, involvement of expert neuropsychologists or physicians and use of tailored stimuli for eliciting behavioural responses. Although misdiagnosis rate as high as 40% has been reported, no clear guidelines are available in literature on the optimal setting for assessment. The present study aims to analyse score differences in behavioural assessments of persons with disorders of consciousness (DOC) with or without family members and to determine whether the presence of caregivers could improve clinical accuracy in diagnostic evaluation. The research was conducted on 92 adults with DOC among 153 consecutive patients enrolled in the Coma Research Centre of the Neurological Institute C. Besta of Milan between January 2011 and May 2013. The results indicate that in almost half of the sample the scoring, thus the performance, observed with caregivers was better than without them. Furthermore, in 16% of the sample, when assessment was performed with caregivers there was a change in diagnosis, from Vegetative to Minimally Conscious State or from that to Severe Disability. Finally, statistical differences were found in relation to diagnosis between mean scores in the "visual function" Coma Recovery Scale revised's subscale obtained by raters plus caregiver and rates only assessment. This study demonstrates how the presence of caregivers can positively affect behavioural assessments of persons with DOC, thus contributing to the definition of the optimal setting for behavioural evaluation of patients, to decrease misdiagnosis rates.
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