Evidence map›Paper›PMID 30999877›Full record

Observational studyBMC neurology2019

Outcome prediction in disorders of consciousness: the role of coma recovery scale revised.

Lucia Francesca Lucca, Danilo Lofaro, Loris Pignolo, Elio Leto, Maria Ursino, Maria Daniela Cortese, Domenico Conforti, Paolo Tonin, Antonio Cerasa

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04445649 (Investigation of Prognostic Factors to Regain Consciousness in Neurological Early Rehabilitation), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04445649 recruitingnot on this mapstarted 2020, after this paper: background citation

Investigation of Prognostic Factors to Regain Consciousness in Neurological Early Rehabilitation

TypeobservationalSponsorBDH-Klinik Hessisch OldendorfRan2020 to 2027Enrolled130ConditionsNeurologic Disorder, Disorder of Consciousness, Traumatic Brain Injury, StrokeArmsComa-Recovery-Scale-Revised (CRS-R)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Lucia Francesca LuccaS. Anna Institute and Research in Advanced Neurorehabilitation (RAN), 88900, Crotone, Italy. l.lucca@istitutosantanna.it.ORCID http://orcid.org/0000-0002-7602-2711
Danilo LofaroDipartimento di Ingegneria Meccanica, Energetica e Gestionale - DIMEG, UNICAL, Arcavata di Rende (CS), Rende, Italy.
Loris PignoloS. Anna Institute and Research in Advanced Neurorehabilitation (RAN), 88900, Crotone, Italy.
Elio LetoS. Anna Institute and Research in Advanced Neurorehabilitation (RAN), 88900, Crotone, Italy.
Maria UrsinoS. Anna Institute and Research in Advanced Neurorehabilitation (RAN), 88900, Crotone, Italy.
Maria Daniela CorteseS. Anna Institute and Research in Advanced Neurorehabilitation (RAN), 88900, Crotone, Italy.
Domenico ConfortiKidney and Transplantation Research Center, Annunziata Hospital, Cosenza, Italy.
Paolo ToninS. Anna Institute and Research in Advanced Neurorehabilitation (RAN), 88900, Crotone, Italy.
Antonio CerasaS. Anna Institute and Research in Advanced Neurorehabilitation (RAN), 88900, Crotone, Italy. antonio.cerasa76@gmail.com.
Istituto S.Anna Crotone · ITOspedale Annunziata di Cosenza · ITInstitute of Molecular Bioimaging and Physiology · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the utility of the revised coma remission scale (CRS-r), together with other clinical variables, in predicting emergence from disorders of consciousness (DoC) during intensive rehabilitation care.

methodsData were retrospectively extracted from the medical records of patients enrolled in a specialized intensive rehabilitation unit. 123 patients in a vegetative state (VS) and 57 in a minimally conscious state (MCS) were included and followed for a period of 8 weeks. Demographical and clinical factors were used as outcome measures. Univariate and multivariate Cox regression models were employed for examining potential predictors for clinical outcome along the time.

resultsVS and MCS groups were matched for demographical and clinical variables (i.e., age, aetiology, tracheostomy and route of feeding). Within 2 months after admission in intensive neurorehabilitation unit, 3.9% were dead, 35.5% had a full recovery of consciousness and 66.7% remained in VS or MCS. Multivariate analysis demonstrated that the best predictor of functional improvement was the CRS-r scores. In particular, patients with values greater than 12 at admission were those with a favourable likelihood of emergence from DoC.

conclusionsOur study highlights the role of the CRS-r scores for predicting a short-term favorable outcome.

Indexed as

Consciousness DisordersRecovery of FunctionSeverity of Illness IndexAdultAgedComaFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsTreatment OutcomeYoung Adult

Identifiers

PMID30999877
PMCPMC6472098
OpenAlexW2945582020

What OpenQuestion holds

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LicenceCC BY
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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.