
pmid: 22277244
To describe the clinical characteristics and short-term pattern of evolution of a sample of patients within 1 year after acquiring a brain injury that led to a vegetative state (VS) or a minimally conscious state (MCS).Cohort study.Inpatient brain injury rehabilitation program.Patients with acquired brain injury (N=32; 47% traumatic, 37.5% hemorrhagic, 15.5% anoxic) who were in a VS or an MCS according to Coma Recovery Scale-Revised (CRS-R) scores.Integrative multisensory program comprising daily physical rehabilitation procedures and multimodal sensory stimulation.All patients were assessed with a Spanish version of the CRS-R at admission and then monthly for at least 6 months or until emergence from MCS.At the time of admission, 12 patients were diagnosed as being in a VS and 20 as being in an MCS. Eight patients were able to emerge from their MCS during follow-up. Seven of these 8 patients were diagnosed as being in an MCS at inclusion, and only 1 was diagnosed as being in a VS. Emergence from an MCS was mostly associated with improvement in both the communication and motor function scales (n=4). Lesser chronicity (P=.01) and the presence of more than visual behavioral responses at admission (P=.05) were both significant predictors of emergence from an MCS.The CRS-R seems appropriate for establishing an immediate prognosis in this population. A quick referral of these patients for specialized assessment and rehabilitation facilities is recommended.
Adult, Male, Behavior, Time Factors, Trauma Severity Indices, Adolescent, Persistent Vegetative State, Age Factors, Middle Aged, Translating, Prognosis, Cohort Studies, Disability Evaluation, Sex Factors, Spain, Brain Injuries, Educational Status, Humans, Female, Prospective Studies
Adult, Male, Behavior, Time Factors, Trauma Severity Indices, Adolescent, Persistent Vegetative State, Age Factors, Middle Aged, Translating, Prognosis, Cohort Studies, Disability Evaluation, Sex Factors, Spain, Brain Injuries, Educational Status, Humans, Female, Prospective Studies
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