Predictive Value of the Disorders of Consciousness Scale (DOCS)

Pape, Theresa; Tang, Charlene; Guernon, Ann; Lundgren, Sandra; Blahnik, Melanie; Wei, Yongliang; Querubin, Melanie; Zollman, Felise S.; Soneru, Ileana

doi:10.1016/j.pmrj.2008.11.002

Cited by 14 publications

(14 citation statements)

References 33 publications

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“…Very few articles measured change on the SSAM ( n = 1) or DOCS ( n = 2) (Table 4). The two papers relating to the DOCS descriptively reported change during inpatient brain injury rehabilitation of a large sample showing change over time (Pape et al, 2009) and three detailed case studies showing change over time and responsiveness to medication changes influencing arousal (Pape, Senno, Guernon, & Kelly, 2005b). The regular serial assessment over time using the DOCS in the three cases highlights the value of regular assessment for intervention planning to maximise consciousness (Pape et al, 2005b).…”

Section: Resultsmentioning

confidence: 99%

Responsiveness of Instruments to Assess Disorders of Consciousness: A Literature Review

Doig

2012

Brain Impairment

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Objectives: To summarise available evidence for responsiveness of six key assessments used with patients with disorders of consciousness: Coma Recovery ScaleRevised (CRS-R), Disorders Of Consciousness Scale (DOCS), Sensory Modality Assessment and Rehabilitation Technique (SMART), Sensory Stimulation Assessment Measure (SSAM), Wessex Head Injury Matrix (WHIM), and the Western Neuro Sensory Stimulation Profile (WNSSP). Method: A literature search of five electronic databases was conducted using a systematic search strategy. Relevant literature was evaluated and pertinent information extracted. Results: Database searches using key terms initially yielded 132 articles. Following review for inclusion identified 24 articles. No studies were specifically designed to investigate responsiveness of any of the measures and therefore responsiveness data were either based on statistical significance of change post-treatment or descriptive analysis of change scores. The majority of studies identified used the CRS-R (n = 11), WHIM (n = 5) and WNSSP (n = 6) and have established responsiveness to change. There is some preliminary evidence for the responsiveness of the other measures, based on very few available studies: DOCS (n = 2), SMART (n = 1) or SSAM (n = 1). Conclusion: Future studies should seek to include responsiveness analysis, particularly in relation to the DOCS, SMART and SSAM.

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Section: Resultsmentioning

confidence: 99%

Responsiveness of Instruments to Assess Disorders of Consciousness: A Literature Review

Doig

2012

Brain Impairment

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“…During rehabilitation hospitalization, neurobehavioral evaluations using the Disorders of Consciousness Scale-25 (DOCS-25) [ 17 – 19 ] were conducted weekly until recovery of consciousness or completion of a sixth DOCS evaluation or discharge from the rehabilitation facility, whichever came first. The DOCS-25 is a bedside test administered by allied health clinicians [ 20 ]. Best behavioral responses, elicited with the 25 test stimuli, are scored according to a 3-point scale (0 = no response, 1 = generalized response, and 2 = localized response).…”

Section: Methodsmentioning

confidence: 99%

“…The DOCS minimal clinically important difference (MCID) is 2.58 which corresponds to the smallest amount of clinically meaningful DOCS change [ 21 ]. A final important note is that the DOCS also has strong prognostic validity for predicting recovery of consciousness for multiple time points within the first year of recovery [ 22 ] and independence with expressing needs 1 year after severe BI [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

Prescribing Multiple Neurostimulants during Rehabilitation for Severe Brain Injury

Herrold

Pape

Guernon

et al. 2014

The Scientific World Journal

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Background. Despite a lack of clear evidence, multiple neurostimulants are commonly provided after severe brain injury (BI). The purpose of this study is to determine if the number of neurostimulants received during rehabilitation was associated with recovery of full consciousness or improved neurobehavioral function after severe BI. Method. Data from 115 participants were extracted from a neurobehavioral observational study database for this exploratory, retrospective analysis. Univariate optimal data analysis was conducted to determine if the number of neurostimulants influenced classification of four outcomes: recovery of full consciousness during rehabilitation, recovery of full consciousness within one year of injury, and meaningful neurobehavioral improvement during rehabilitation defined as either at least a 4.7 unit (minimal detectable change) or 2.58 unit (minimal clinically important difference) gain on the Disorders of Consciousness Scale-25 (DOCS-25). Results. Number of neurostimulants was not significantly (P > 0.05) associated with recovery of full consciousness during rehabilitation, within one year of injury, or meaningful neurobehavioral improvement using the DOCS-25. Conclusions. Receiving multiple neurostimulants during rehabilitation may not influence recovery of full consciousness or meaningful neurobehavioral improvement. Given costs associated with additional medication, future research is needed to guide physicians about the merits of prescribing multiple neurostimulants during rehabilitation after severe BI.

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“…Cortical stimulation has also been performed with rTMS in a 26-year-old male remaining vegetative about 10 months after traumatic brain injury [65]. After a 6-week rTMS protocol of the right dorsolateral prefrontal cortex (30 sessions per day, 5 days per week), no adverse effect was observed and a Disorders of Consciousness Scale found a non-significant trend of neurobehavioral gains [66].…”

Section: Non-dbs Targets and Improvement Of Altered Arousal And Conscmentioning

confidence: 99%

Electrical modulation of neuronal networks in brain-injured patients with disorders of consciousness: A systematic review

Lemaire

Sontheimer

Nezzar

et al. 2014

Annales Françaises d'Anesthésie et de Réanimation

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Predictive Value of the Disorders of Consciousness Scale (DOCS)

Cited by 14 publications

References 33 publications

Responsiveness of Instruments to Assess Disorders of Consciousness: A Literature Review

Responsiveness of Instruments to Assess Disorders of Consciousness: A Literature Review

Prescribing Multiple Neurostimulants during Rehabilitation for Severe Brain Injury

Electrical modulation of neuronal networks in brain-injured patients with disorders of consciousness: A systematic review

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