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-Reference-Cited by-同舟云学术

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

Published:2023-08-09 Issue:5 Volume:94 Page:919-924
ISSN:0364-5134
Container-title:Annals of Neurology
language:en
Short-container-title:Annals of Neurology

Author:

Bodien Yelena G.¹²^ORCID,Vora Isha³,Barra Alice¹⁴,Chiang Kevin⁵,Chatelle Camille¹⁴,Goostrey Kelsey¹,Martens Geraldine¹⁴⁶,Malone Christopher¹,Mello Jennifer⁷,Parlman Kristin⁸,Ranford Jessica⁹,Sterling Ally¹,Waters Abigail B.¹¹⁰,Hirschberg Ronald¹¹¹,Katz Douglas I.¹²¹³,Mazwi Nicole¹¹¹¹⁴,Ni Pengsheng¹⁵,Velmahos George⁵,Waak Karen⁸,Edlow Brian L.²¹⁶^ORCID,Giacino Joseph T.¹¹⁷

Affiliation:

1. Department of Physical Medicine and Rehabilitation Spaulding Rehabilitation Hospital, Harvard Medical School Charlestown MA USA

2. Center for Neurotechnology and Neurorecovery, Department of Neurology Massachusetts General Hospital and Harvard Medical School Boston MA USA

3. Department of Rehabilitation Sciences MGH Institute of Health Professions Boston MA USA

4. Coma GIGA Science Group University of Liege Liege Belgium

5. Department of Surgery Massachusetts General Hospital Boston MA USA

6. Department of Surgery University of Montréal Montréal QC Canada

7. Department of Speech‐language and Swallowing Massachusetts General Hospital Boston MA USA

8. Department of Physical Therapy Massachusetts General Hospital Boston MA USA

9. Department of Occupational Therapy Massachusetts General Hospital Boston Boston MA USA

10. Department of Clinical and Health Psychology University of Florida Gainesville FL USA

11. Department of Physical Medicine and Rehabilitation Massachusetts General Hospital, Harvard Medical School Boston MA USA

12. Department of Neurology Boston University Chobanian & Avedisian School of Medicine Boston MA USA

13. Encompass Health Braintree Rehabilitation Braintree MA USA

14. Department of Rehabilitation Medicine University of Washington Seattle WA USA

15. Biostatistics & Epidemiology Data Analytic Center, Department of Health Law, Policy, and Management Boston University School of Public Health Boston MA USA

16. Athinoula A. Martinos Center for Biomedical Imaging Massachusetts General Hospital Charlestown MA USA

17. Department of Psychiatry Massachusetts General Hospital Boston MA USA

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

Funder

James S. McDonnell Foundation

National Institute of Neurological Disorders and Stroke

National Institute on Disability, Independent Living, and Rehabilitation Research

Tiny Blue Dot Foundation

Publisher

Wiley

Subject

Neurology (clinical),Neurology

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ana.26740

Reference21 articles.