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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
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11 2023
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Source: Ann Neurol. 94(5):919-924
[PDF-821.85 KB]
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Alternative Title:Ann Neurol
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Description: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.
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Pubmed ID:37488068
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Pubmed Central ID:PMC10701693
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Volume:94
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Issue:5
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