Evidence map›Paper›PMID 37021037›Full record

ReviewFrontiers in systems neuroscience2023

Assessment and management of pain/nociception in patients with disorders of consciousness or locked-in syndrome: A narrative review.

Estelle A C Bonin, Nicolas Lejeune, Emilie Szymkowicz, Vincent Bonhomme, Charlotte Martial, Olivia Gosseries, Steven Laureys, Aurore Thibaut

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in systems neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 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

8 authors at 2 institutions in 2 countries.

Estelle A C BoninComa Science Group, GIGA-Consciousness Thematic Unit, GIGA-Research, Liège, Belgium.
Nicolas LejeuneComa Science Group, GIGA-Consciousness Thematic Unit, GIGA-Research, Liège, Belgium.
Emilie SzymkowiczComa Science Group, GIGA-Consciousness Thematic Unit, GIGA-Research, Liège, Belgium.
Vincent BonhommeDepartment of Anesthesia and Intensive Care Medicine, Liège University Hospital, Liège, Belgium.
Charlotte MartialComa Science Group, GIGA-Consciousness Thematic Unit, GIGA-Research, Liège, Belgium.
Olivia GosseriesComa Science Group, GIGA-Consciousness Thematic Unit, GIGA-Research, Liège, Belgium.
Steven LaureysComa Science Group, GIGA-Consciousness Thematic Unit, GIGA-Research, Liège, Belgium.
Aurore ThibautComa Science Group, GIGA-Consciousness Thematic Unit, GIGA-Research, Liège, Belgium.
Centres Intégré Universitaires de Santé et de Services Sociaux · CAUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The assessment and management of pain and nociception is very challenging in patients unable to communicate functionally such as patients with disorders of consciousness (DoC) or in locked-in syndrome (LIS). In a clinical setting, the detection of signs of pain and nociception by the medical staff is therefore essential for the wellbeing and management of these patients. However, there is still a lot unknown and a lack of clear guidelines regarding the assessment, management and treatment of pain and nociception in these populations. The purpose of this narrative review is to examine the current knowledge regarding this issue by covering different topics such as: the neurophysiology of pain and nociception (in healthy subjects and patients), the source and impact of nociception and pain in DoC and LIS and, finally, the assessment and treatment of pain and nociception in these populations. In this review we will also give possible research directions that could help to improve the management of this specific population of severely brain damaged patients.

Indexed as

disorders of consciousnesslocked-in syndromenociceptionpainpain assessmentpain managementtheories of pain

Identifiers

PMID37021037
PMCPMC10067681
OpenAlexW4327979582

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.