Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.22/19978 |
Resumo: | The recommended way to assess consciousness in prolonged disorders of consciousness is to observe the patient's responses to sensory stimulation. Multiple assessment sessions have to be completed in order to reach a correct diagnosis. There is, however, a lack of data on how many sessions are sufficient for validity and reliability. The aim of this study was to identify the number of Sensory Modality Assessment and Rehabilitation Technique (SMART) assessment sessions needed to reach a reliable diagnosis. A secondary objective was to identify which sensory stimulation modalities are more useful to reach a diagnosis. A retrospective analysis of all the adult patients (who received a SMART assessment) admitted to a specialist brain injury unit over the course of 4 years was conducted (n = 35). An independent rater analyzed the SMART levels for each modality and session and provided a suggestive diagnosis based on the highest SMART level per session. For the vast majority of patients between 5 and 6 sessions was sufficient to reach the final clinical diagnosis. The visual, auditory, tactile, and motor function modalities were found to be more associated with the final diagnosis than the olfactory and gustatory modalities. These findings provide for the first time a rationale for optimizing the time spent on assessing patients using SMART. |
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Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousnessAssessmentDiagnosisDisorders of consciousnessMinimally conscious stateVegetative state (unresponsive wakefulness syndrome)The recommended way to assess consciousness in prolonged disorders of consciousness is to observe the patient's responses to sensory stimulation. Multiple assessment sessions have to be completed in order to reach a correct diagnosis. There is, however, a lack of data on how many sessions are sufficient for validity and reliability. The aim of this study was to identify the number of Sensory Modality Assessment and Rehabilitation Technique (SMART) assessment sessions needed to reach a reliable diagnosis. A secondary objective was to identify which sensory stimulation modalities are more useful to reach a diagnosis. A retrospective analysis of all the adult patients (who received a SMART assessment) admitted to a specialist brain injury unit over the course of 4 years was conducted (n = 35). An independent rater analyzed the SMART levels for each modality and session and provided a suggestive diagnosis based on the highest SMART level per session. For the vast majority of patients between 5 and 6 sessions was sufficient to reach the final clinical diagnosis. The visual, auditory, tactile, and motor function modalities were found to be more associated with the final diagnosis than the olfactory and gustatory modalities. These findings provide for the first time a rationale for optimizing the time spent on assessing patients using SMART.FrontiersRepositório Científico do Instituto Politécnico do Portoda Conceição Teixeira, LilianaBlacker, DanielleCampos, CarlosGarrett, CarolinaDuport, SophieRocha, Nuno2022-02-15T11:58:14Z2021-12-012021-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdftext/plain; charset=utf-8http://hdl.handle.net/10400.22/19978engda Conceição Teixeira, L., Blacker, D., Campos, C., Garrett, C., Duport, S., & Rocha, N. B. (2021). Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness [Original Research]. Frontiers in Human Neuroscience, 15. https://doi.org/10.3389/fnhum.2021.72863710.3389/fnhum.2021.7286371662-5161info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-13T13:14:53Zoai:recipp.ipp.pt:10400.22/19978Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:40:03.154427Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness |
title |
Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness |
spellingShingle |
Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness da Conceição Teixeira, Liliana Assessment Diagnosis Disorders of consciousness Minimally conscious state Vegetative state (unresponsive wakefulness syndrome) |
title_short |
Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness |
title_full |
Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness |
title_fullStr |
Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness |
title_full_unstemmed |
Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness |
title_sort |
Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness |
author |
da Conceição Teixeira, Liliana |
author_facet |
da Conceição Teixeira, Liliana Blacker, Danielle Campos, Carlos Garrett, Carolina Duport, Sophie Rocha, Nuno |
author_role |
author |
author2 |
Blacker, Danielle Campos, Carlos Garrett, Carolina Duport, Sophie Rocha, Nuno |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Instituto Politécnico do Porto |
dc.contributor.author.fl_str_mv |
da Conceição Teixeira, Liliana Blacker, Danielle Campos, Carlos Garrett, Carolina Duport, Sophie Rocha, Nuno |
dc.subject.por.fl_str_mv |
Assessment Diagnosis Disorders of consciousness Minimally conscious state Vegetative state (unresponsive wakefulness syndrome) |
topic |
Assessment Diagnosis Disorders of consciousness Minimally conscious state Vegetative state (unresponsive wakefulness syndrome) |
description |
The recommended way to assess consciousness in prolonged disorders of consciousness is to observe the patient's responses to sensory stimulation. Multiple assessment sessions have to be completed in order to reach a correct diagnosis. There is, however, a lack of data on how many sessions are sufficient for validity and reliability. The aim of this study was to identify the number of Sensory Modality Assessment and Rehabilitation Technique (SMART) assessment sessions needed to reach a reliable diagnosis. A secondary objective was to identify which sensory stimulation modalities are more useful to reach a diagnosis. A retrospective analysis of all the adult patients (who received a SMART assessment) admitted to a specialist brain injury unit over the course of 4 years was conducted (n = 35). An independent rater analyzed the SMART levels for each modality and session and provided a suggestive diagnosis based on the highest SMART level per session. For the vast majority of patients between 5 and 6 sessions was sufficient to reach the final clinical diagnosis. The visual, auditory, tactile, and motor function modalities were found to be more associated with the final diagnosis than the olfactory and gustatory modalities. These findings provide for the first time a rationale for optimizing the time spent on assessing patients using SMART. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-01 2021-12-01T00:00:00Z 2022-02-15T11:58:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.22/19978 |
url |
http://hdl.handle.net/10400.22/19978 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
da Conceição Teixeira, L., Blacker, D., Campos, C., Garrett, C., Duport, S., & Rocha, N. B. (2021). Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness [Original Research]. Frontiers in Human Neuroscience, 15. https://doi.org/10.3389/fnhum.2021.728637 10.3389/fnhum.2021.728637 1662-5161 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf text/plain; charset=utf-8 |
dc.publisher.none.fl_str_mv |
Frontiers |
publisher.none.fl_str_mv |
Frontiers |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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