Reference code: | NDE-60 |
Location: | Arquivo PCA - Pasta 1/Outros Apoios
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Title:
| SECONDs administration guidelines: A fast tool to assess consciousness in brain-injured patients
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Publication year: | 2021
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URL:
| https://www.jove.com/t/61968/seconds-administration-guidelines-fast-tool-to-assess-consciousness?status=a63974k
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Abstract/Results: | ABSTRACT:
Establishing an accurate diagnosis is crucial for patients with disorders of consciousness (DoC) following a severe brain injury. The Coma Recovery Scale-Revised (CRS-R) is the recommended behavioral scale for assessing the level of consciousness among these patients, but its long duration of administration is a major hurdle in clinical settings. The Simplified Evaluation of CONsciousness Disorders (SECONDs) is a shorter scale that was developed to tackle this issue. It consists of six mandatory items, observation, command-following, visual pursuit, visual fixation, oriented behaviors, and arousal, and two conditional items, communication and localization to pain. The score ranges between 0 and 8 and corresponds to a specific diagnosis (i.e., coma, unresponsive wakefulness syndrome, minimally conscious state minus/plus, or emergence from the minimally conscious state). A first validation study on patients with prolonged DoC showed high concurrent validity and intra- and inter-rater reliability. The SECONDs requires less training than the CRS-R and its administration lasts about 7 minutes (interquartile range: 5-9 minutes). An additional index score allows the more precise tracking of a patient's behavioral fluctuation or evolution over time. The SECONDs is therefore a fast and valid tool for assessing the level of consciousness in patients with severe brain injury. It can easily be used by healthcare staff and implemented in time-constrained clinical settings, such as intensive care units, to help decrease misdiagnosis rates and to optimize treatment decisions. These administration guidelines provide detailed instructions for administering the SECONDs in a standardized and reproducible manner, which is an essential requirement for achieving a reliable diagnosis.
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Accessibility: | Document exists in file
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Language:
| eng
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Author:
| Sanz, L. R.
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Secondary author(s):
| Aubinet, C., Cassol, H., Bodart, O., Wannez, S., Bonin, E. A. , Barra, A., Lejeune, N., Martial, C., Chatelle, C., Ledoux, D., Laureys, S., Thibaut, A., Gosseries, O.
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Document type:
| Article
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Number of reproductions:
| 3
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Percentiles:
| 6
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Reference:
| Sanz, L. R. D., Aubinet, C., Cassol, H., Bodart, O., Wannez, S., Bonin, E. A., Barra, A., ... Gosseries, O. (2021). SECONDs administration guidelines: A fast tool to assess consciousness in brain-injured patients. Journal of Visualized Experiments (168), e61968. https://doi.org/10.3791/61968
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2-year Impact Factor: | 1.355|2020
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Impact factor notes: | Impact factor not available yet for 2021
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Times cited: | 12|2024-02-14
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Indexed document: | Yes
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Quartile: | Q3
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Keywords: | Disorders of consciousness / Shorter scale / Brain injury
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SECONDs administration guidelines: A fast tool to assess consciousness in brain-injured patients |