Coma Recovery Scale--Revised; Spanish Version

Tamashiro, Mercedes; Rivas, María Elisa; Ron, Melania; Salierno, Fernando; Dalera, Marisol; Olmos, Lisandro

doi:10.1037/t55774-000

Cited by 2 publications

(2 citation statements)

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“…Additional evidence focusing on the utility of the CRS-R identifies the benefit of serial use of the CRS-R to improve accuracy of identifying behavioral presentation of DoC (Wannez et al, 2017;Yang et al, 2021). Further evaluation and investigation of the CRS-R has produced development of a CRS-R index to improve total score interpretation and translation of the CRS-R into multiple languages for international use (Lombardi et al, 2007;Tamashiro et al, 2014;Binder et al, 2018;Annen et al, 2019;Zhang et al, 2019). Moreover, research also supports the use of the CRS-R to help inform the trajectory of DoC recovery and prognosis at the individual level (Bodien et al, 2016(Bodien et al, , 2022Giacino et al, 2018Giacino et al, , 2020a.…”

Section: Recommendations To Improve Diagnostic and Prognostic Accuracymentioning

confidence: 99%

Clinical application of recommendations for neurobehavioral assessment in disorders of consciousness: an interdisciplinary approach

Murtaugh

Rosenbaum

2023

Front. Hum. Neurosci.

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Accurate diagnosis, prognosis, and subsequent rehabilitation care planning for persons with Disorders of Consciousness (DoC) has historically posed a challenge for neurological care professionals. Evidence suggests rates of misdiagnosis may be as high as 40% when informal beside evaluations are used to determine level of consciousness. The presence of myriad medical, neurological, functional (motor, sensory, cognitive) and environmental confounds germane to these conditions complicates behavioral assessment. Achieving diagnostic certainty is elusive but critical to inform care planning, clinical decision making, and prognostication. Standardized neurobehavioral rating scales has been shown to improve accuracy in distinguishing between coma, unresponsive wakefulness syndrome/vegetative state and minimally consciousness state as compared to informal assessment methods. Thus, these scales are currently recommended for use as the informal “gold standard” for diagnostic assessment in DoC. The following paper will present an evidence-based approach to neurobehavioral assessment for use in clinical practice. Strategies for optimizing assessment and aiding in identification and management of confounds that can limit diagnostic accuracy will be provided. Finally, clinical application of an interdisciplinary approach to identifying and managing confounds will be discussed and how assessment results can be used to identify trends in performance and guide prognostic counseling with families.

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Section: Recommendations To Improve Diagnostic and Prognostic Accuracymentioning

confidence: 99%

Clinical application of recommendations for neurobehavioral assessment in disorders of consciousness: an interdisciplinary approach

Murtaugh

Rosenbaum

2023

Front. Hum. Neurosci.

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“…Extensions and adaptations of the CRS-R have expanded its use globally and to special populations and clinical questions. The CRS-R has been translated and validated in Spanish, 30 Italian, 31 32 33 French, 34 Portuguese, 35 Norwegian, 36 Russian, 37 German, 38 Polish, 39 Korean, 40 and Chinese 41 42 with validated versions forthcoming in Japanese, Hebrew and Brazilian Portuguese. The CRS-R is also available in Dutch, Swedish, Danish, and Greek, but has not been validated in these languages.…”

Section: Standardized Scales For Assessment Of Docmentioning

confidence: 99%

Behavioral Assessment of Patients with Disorders of Consciousness

et al. 2022

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Severe brain injury is associated with a period of impaired level of consciousness that can last from days to months and results in chronic impairment. Systematic assessment of level of function in patients with disorders of consciousness (DoC) is critical for diagnosis, prognostication, and evaluation of treatment efficacy. Approximately 40% of patients who are thought to be unconscious based on clinical bedside behavioral assessment demonstrate some signs of consciousness on standardized behavioral assessment. This finding, in addition to a growing body of literature demonstrating the advantages of standardized behavioral assessment of DoC, has led multiple professional societies and clinical guidelines to recommend standardized assessment over routine clinical evaluation of consciousness. Nevertheless, even standardized assessment is susceptible to biases and misdiagnosis, and examiners should consider factors, such as fluctuating arousal and aphasia, that may confound evaluation. We review approaches to behavioral assessment of consciousness, recent clinical guideline recommendations for use of specific measures to evaluate patients with DoC, and strategies for mitigating common biases that may confound the examination.

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Coma Recovery Scale--Revised; Spanish Version

Cited by 2 publications

References 0 publications

Clinical application of recommendations for neurobehavioral assessment in disorders of consciousness: an interdisciplinary approach

Clinical application of recommendations for neurobehavioral assessment in disorders of consciousness: an interdisciplinary approach

Behavioral Assessment of Patients with Disorders of Consciousness

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