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

Details

• Alternative Title:
  Ann Neurol
• Personal Author:
  Bodien, Yelena G. ; Vora, Isha ; Barra, Alice ; Chiang, Kevin ; Chatelle, Camille ; Goostrey, Kelsey ; Martens, Geraldine ; Malone, Christopher ; Mello, Jennifer ; Parlman, Kristin ; Ranford, Jessica ; Sterling, Ally ; Waters, Abigail B. ; Hirschberg, Ronald ; Katz, Douglas I. ; Mazwi, Nicole ; Ni, Pengsheng ; Velmahos, George ; Waak, Karen ; Edlow, Brian L. ; Giacino, Joseph T.
• 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.
• Subjects:
  Coma Consciousness Consciousness Disorders Feasibility Studies Humans Intensive Care Units Recovery Of Function Reproducibility Of Results
• Source:
  Ann Neurol. 94(5):919-924
• Pubmed ID:
  37488068
• Pubmed Central ID:
  PMC10701693
• Document Type:
  Journal Article
• Funding:
  90DPTB0027/ACL/ACL HHSUnited States/ ; DP2 HD101400/HD/NICHD NIH HHSUnited States/ ; U01 NS086090/NS/NINDS NIH HHSUnited States/ ; U48 DP000039/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  94
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:d7ba8555e19982ace4a43d40be806b700f55cdf11646fb08b1ae381d9094dc7b9dbedef5d8cf988446725c539a049f042b38cb67101fbcf4ee19d5c130e72a8c
• Download URL:
  https://stacks.cdc.gov/view/cdc/137157/cdc_137157_DS1.pdf
• File Type:
  [PDF - 821.85 KB ]