Evidence map›Paper›PMID 37488068›Full record

ArticleAnnals of neurology2023

Feasibility and Validity of the Coma Recovery Scale-Revised for Accelerated Standardized Testing: A Practical Assessment Tool for Detecting Consciousness in the Intensive Care Unit.

Yelena G Bodien, Isha Vora, Alice Barra, Kevin Chiang, Camille Chatelle, Kelsey Goostrey, Geraldine Martens, Christopher Malone, Jennifer Mello, Kristin Parlman and 11 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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

29 citing papers in PubMed.

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  18. Mobilization in Neurocritical Care: Challenges and Opportunities.Current neurology and neuroscience reports · 2024
    Review
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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

21 authors.

Yelena G BodienDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.ORCID 0000-0003-4858-2903
Isha VoraDepartment of Rehabilitation Sciences, MGH Institute of Health Professions, Boston, MA, USA.
Alice BarraDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Kevin ChiangDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Camille ChatelleDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Kelsey GoostreyDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Geraldine MartensDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Christopher MaloneDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Jennifer MelloDepartment of Speech-language and Swallowing, Massachusetts General Hospital, Boston, MA, USA.
Kristin ParlmanDepartment of Physical Therapy, Massachusetts General Hospital, Boston, MA, USA.
Jessica RanfordDepartment of Occupational Therapy, Massachusetts General Hospital Boston, Boston, MA, USA.
Ally SterlingDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Abigail B WatersDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Ronald HirschbergDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Douglas I KatzDepartment of Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Nicole MazwiDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.
Pengsheng NiBiostatistics & Epidemiology Data Analytic Center, Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA, USA.
George VelmahosDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Karen WaakDepartment of Physical Therapy, Massachusetts General Hospital, Boston, MA, USA.
Brian L EdlowCenter for Neurotechnology and Neurorecovery, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-7235-8456
Joseph T GiacinoDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, USA.

Funding

Transforming Research and Clinical Knowledge in Traumatic Brain InjuryU01NS086090 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIAZ-ARRASTIA, RAMON, GIACINO, JOSEPH THOMAS · 2013 to 2017
$19.1M
A Connectome-Based Clinical Trial Platform to Promote Early Recovery of Consciousness after Traumatic ComaDP2HD101400 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI EDLOW, BRIAN L. · 2019 to 2019
$2.5M
Kentucky Prevention Research CenterU48DP000039 · DP · UNIVERSITY OF KENTUCKY · PI DIGNAN, MARK B · 2005 to 2008
$2.5M
ACL HHS 90DP0039ACL HHS 90DPTB0011ACL HHS 90DPTB0027NCCDPHP CDC HHS U48 DP000039NICHD NIH HHS DP2 HD101400NINDS NIH HHS U01 NS086090
6 · The paper itself

Abstract

We developed and validated an abbreviated version of the Coma Recovery Scale-Revised (CRS-R), the CRS-R For Accelerated Standardized Testing (CRSR-FAST), to detect conscious awareness in patients with severe traumatic brain injury in the intensive care unit. In 45 consecutively enrolled patients, CRSR-FAST administration time was approximately one-third of the full-length CRS-R (mean [SD] 6.5 [3.3] vs 20.1 [7.2] minutes, p < 0.0001). Concurrent validity (simple kappa 0.68), test-retest (Mak's ρ = 0.76), and interrater (Mak's ρ = 0.91) reliability were substantial. Sensitivity, specificity, and accuracy for detecting consciousness were 81%, 89%, and 84%, respectively. The CRSR-FAST facilitates serial assessment of consciousness, which is essential for diagnostic and prognostic accuracy. ANN NEUROL 2023;94:919-924.

Indexed as

ComaConsciousnessConsciousness DisordersFeasibility StudiesHumansIntensive Care UnitsRecovery of FunctionReproducibility of Results

Identifiers

PMID37488068
PMCPMC10701693

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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.