Reference code: | NDE-94 |
Location: | BF-GMS
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Title:
| Simplified evaluation of CONsciousness disorders (SECONDs) in individuals with severe brain injury: A validation study
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Publication year: | 2021
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URL:
| https://www.sciencedirect.com/science/article/pii/S1877065720301603?via%3Dihub
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Abstract/Results: | ABSTRACT:
Background
The Coma Recovery Scale-Revised (CRS-R) is the gold standard to assess severely brain-injured patients with prolonged disorders of consciousness (DoC). However, the amount of time needed to complete this examination may limit its use in clinical settings. Objective. We aimed to validate a new faster tool to assess consciousness in individuals with DoC.
Methods
This prospective validation study introduces the Simplified Evaluation of CONsciousness Disorders (SECONDs), a tool composed of 8 items: arousal, localization to pain, visual fixation, visual pursuit, oriented behaviors, command-following, and communication (both intentional and functional). A total of 57 individuals with DoC were assessed on 2 consecutive days by 3 blinded examiners: one CRS-R and one SECONDs were performed on 1 day, whereas 2 SECONDs were performed on the other day. A Mann-Whitney U test was used to compare the duration of administration of the SECONDs versus the CRS-R, and weighted Fleiss’ kappa coefficients were used to assess inter-/intra-rater reliability as well as concurrent validity.
Results
In the 57 participants, the SECONDs was about 2.5 times faster to administer than the CRS-R. The comparison of the CRS-R versus the SECONDs on the same day or the best of the 3 SECONDs led to “substantial” or “almost perfect” agreement (kappa coefficients ranging from 0.78 to 0.85). Intra-/inter-rater reliability also showed almost perfect agreement (kappa coefficients from 0.85 to 0.91 and 0.82 to 0.85, respectively).
Conclusions
The SECONDs appears to be a fast, reliable and easy-to-use scale to diagnose DoC and may be a good alternative to other scales in clinical settings where time constraints preclude a more thorough assessment.
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Accessibility: | Document exists in file
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Language:
| eng
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Author:
| Aubinet, C.
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Secondary author(s):
| Cassol, H., Bodart, O., Sanz, L., Wannez, S., Martial, C., Thibaut, A., Martens, G., Carrière, M., Gosseries, O., Laureys, S., Chatelle, C.
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Document type:
| Article
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Number of reproductions:
| 3
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Percentiles:
| 4
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Reference:
| Aubinet, C., Cassol, H., Bodart, O., Sanz, L., Wannez, S., Martial, C., Thibaut, A., Martens, G., Carrière, M., Gosseries, O., Laureys, S., & Chatelle, C. (2021). Simplified evaluation of CONsciousness disorders (SECONDs) in individuals with severe brain injury: A validation study. Annals of Physical and Rehabilitation Medicine, 64(5), 101432. https://doi.org/10.1016/j.rehab.2020.09.001
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2-year Impact Factor: | 4.919|2020
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Impact factor notes: | Impact factor not available yet for 2021
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Times cited: | 21|2024-02-14
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Indexed document: | Yes
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Quartile: | Q1
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Keywords: | Coma / Disorders of consciousness / Trauma / Rehabilitation
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Simplified evaluation of CONsciousness disorders (SECONDs) in individuals with severe brain injury: A validation study |