作者
Joseph T Giacino, Douglas I Katz, Nicholas D Schiff, John Whyte, Eric J Ashman, Stephen Ashwal, Richard Barbano, Flora M Hammond, Steven Laureys, Geoffrey SF Ling, Risa Nakase-Richardson, Ronald T Seel, Stuart Yablon, Thomas SD Getchius, Gary S Gronseth, Melissa J Armstrong
发表日期
2018/9/4
来源
Neurology
卷号
91
期号
10
页码范围
450-460
出版商
Lippincott Williams & Wilkins
简介
Objective
To update the 1995 American Academy of Neurology (AAN) practice parameter on persistent vegetative state and the 2002 case definition on minimally conscious state (MCS) and provide care recommendations for patients with prolonged disorders of consciousness (DoC).
Methods
Recommendations were based on systematic review evidence, related evidence, care principles, and inferences using a modified Delphi consensus process according to the AAN 2011 process manual, as amended.
Recommendations
Clinicians should identify and treat confounding conditions, optimize arousal, and perform serial standardized assessments to improve diagnostic accuracy in adults and children with prolonged DoC (Level B). Clinicians should counsel families that for adults, MCS (vs vegetative state [VS]/unresponsive wakefulness syndrome [UWS]) and traumatic (vs nontraumatic) etiology are associated with …
学术搜索中的文章
JT Giacino, DI Katz, ND Schiff, J Whyte, EJ Ashman… - Neurology, 2018