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Prediction of Consciousness Recovery in Coma after Traumatic Brain Injury by Disorder of Consciousness Scale (DOCS)

机译:意识障碍量表(DOCS)对颅脑外伤后昏迷意识恢复的预测

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Objective: To determine the prediction value of disorder of consciousness scale (DOCS) for consciousness recovery after traumatic brain injury (TBI) leading to coma. Methods: This is a descriptive-cross-sectional study of the correlation between the level of patients’ consciousness in the first and second weeks and the first 2 months after traumatic brain injury, using DOCS scale. Results: The findings of the present study showed that the sensitivity and specificity of DOCS in determining individual’s consciousness after first week and two months after injury are 66% and 41% respectively, and regarding DOCSU2 the corresponding values were 94% and 50% (p=0.001). Conclusion: Passage of time is one of the most significant factors in predicting the resumption of consciousness in patients with brain injury, and more accurate results are expected following the acute phase. However, the application of disorder of consciousness scale could be of a great help to patients’ families and rehabilitation staff in regard to providing a better services to meet the patients” future needs.
机译:目的:确定意识障碍量表(DOCS)对创伤性脑损伤(TBI)导致昏迷后意识恢复的预测价值。方法:这是一项描述性横断面研究,使用DOCS量表对创伤性脑损伤后第一周,第二周和前两个月患者意识水平之间的相关性进行了研究。结果:本研究的结果表明,DOCS在确定伤后第一周和两个月后意识的敏感性和特异性分别为66%和41%,而对于DOCSU2,相应的值分别为94%和50%(p = 0.001)。结论:时间流逝是预测脑损伤患者意识恢复的最重要因素之一,急性期后预期结果会更准确。但是,意识障碍量表的应用可能对患者的家属和康复人员提供极大的帮助,以提供更好的服务来满足患者的未来需求。

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