ArticleJournal of neurology2018
Is oral feeding compatible with an unresponsive wakefulness syndrome?
Article in Journal of neurology, 2018. 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, 32 citations in OpenAlex.
- Sleuthing subjectivity: a review of covert measures of consciousness.Nature reviews. Neuroscience · 2025Review
- Swallowing Assessment in Post-Comatose Patients: A Feasibility Study on the SWADOC Tool.Journal of clinical medicine · 2024Article
- The relationship between neurogenic dysphagia, stroke-associated pneumonia and functional outcome in a cohort of ischemic stroke patients treated with mechanical thrombectomy.Journal of neurology · 2023Article
- Feasibility study of the Nox-T3 device to detect swallowing and respiration pattern in neurologically impaired patients in the acute phase.Scientific reports · 2023Article
- Understanding, detecting, and stimulating consciousness recovery in the ICU.Acta neurochirurgica · 2023Review
- Predictors of long-term decannulation in patients with disorders of consciousness.Frontiers in neurology · 2023Article
- New Behavioral Signs of Consciousness in Patients with Severe Brain Injuries.Seminars in neurology · 2022Article
- Neurogenic Dysphagia and Nutrition in Disorder of Consciousness: An Overview with Practical Advices on an "Old" but Still Actual Clinical Problem.Medicines (Basel, Switzerland) · 2022Review
- SWALLOWING ACTIVATION USING SENSORY STIMULATION IN PATIENTS WITH SEVERE DISORDERS OF CONSCIOUSNESS.Journal of rehabilitation medicine. Clinical communications · 2022Article
- A Precision Medicine Framework for Classifying Patients with Disorders of Consciousness: Advanced Classification of Consciousness Endotypes (ACCESS).Neurocritical care · 2021Article
- Nursing, Caregiving and Psychological support in Chronic Disorders of Consciousness: a scoping review.Acta bio-medica : Atenei Parmensis · 2021Article
- The Development and Validation of the SWADOC: A Study Protocol for a Multicenter Prospective Cohort Study.Frontiers in neurology · 2021Article
- Joint Neuropsychological Assessment through Coma/Near Coma and Level of Cognitive Functioning Assessment Scales Reduces Negative Findings in Pediatric Disorders of Consciousness.Brain sciences · 2020Article
- Auditory localization should be considered as a sign of minimally conscious state based on multimodal findings.Brain communications · 2020Article
- REhabilitation of Dysphagia with ACupuncture and auricular Therapy after severe acquired brain injury (REDACT study): a double-blind randomized controlled trial protocol.Frontiers in neurologyArticle
Corrections and comments
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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
objectiveThe aim of the study is to explore the possibility of oral feeding in unresponsive wakefulness syndrome/vegetative state (UWS/VS) patients.
methodWe reviewed the clinical information of 68 UWS/VS patients (mean age 45 ± 11; range 16-79 years) searching for mention of oral feeding. UWS/VS diagnosis was made after repeated behavioural assessments using the Coma Recovery Scale-Revised. Patients also had complementary neuroimaging evaluations (positron emission tomography, functional magnetic resonance imaging and electroencephalography and diffusion tensor imaging).
resultsOut of the 68 UWS/VS patients, only two could resume oral feeding (3%). The first patient had oral feeding (only liquid and semi liquid) in addition to gastrostomy feeding and the second one could achieve full oral feeding (liquid and mixed solid food). Clinical assessments concluded that they fulfilled the criteria for a diagnosis of UWS/VS. Results from neuroimaging and neurophysiology were typical for the first patient with regard to the diagnosis of UWS/VS but atypical for the second patient.
conclusionOral feeding that implies a full and complex oral phase could probably be considered as a sign of consciousness. However, we actually do not know which components are necessary to consider the swallowing conscious as compared to reflex. We also discussed the importance of swallowing assessment and management in all patients with altered state of consciousness.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.