Clinical application of recommendations for neurobehavioral assessment in disorders of consciousness: an interdisciplinary approach Article Swipe
Brooke Murtaugh
,
Amy Rosenbaum
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fnhum.2023.1129466
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fnhum.2023.1129466
Accurate diagnosis, prognosis, and subsequent rehabilitation care planning for persons with Disorders of Consciousness (DoC) has historically posed a challenge for neurological care professionals. Evidence suggests rates of misdiagnosis may be as high as 40% when informal beside evaluations are used to determine level of consciousness. The presence of myriad medical, neurological, functional (motor, sensory, cognitive) and environmental confounds germane to these conditions complicates behavioral assessment. Achieving diagnostic certainty is elusive but critical to inform care planning, clinical decision making, and prognostication. Standardized neurobehavioral rating scales has been shown to improve accuracy in distinguishing between coma, unresponsive wakefulness syndrome/vegetative state and minimally consciousness state as compared to informal assessment methods. Thus, these scales are currently recommended for use as the informal “gold standard” for diagnostic assessment in DoC. The following paper will present an evidence-based approach to neurobehavioral assessment for use in clinical practice. Strategies for optimizing assessment and aiding in identification and management of confounds that can limit diagnostic accuracy will be provided. Finally, clinical application of an interdisciplinary approach to identifying and managing confounds will be discussed and how assessment results can be used to identify trends in performance and guide prognostic counseling with families.
Related Topics
Concepts
Persistent vegetative state
Minimally conscious state
Gold standard (test)
Psychology
Consciousness
Level of consciousness
Rehabilitation
Wakefulness
Consciousness Disorders
Clinical judgment
Medicine
Psychiatry
Developmental psychology
Neuroscience
Electroencephalography
Medical physics
Internal medicine
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3389/fnhum.2023.1129466
- https://www.frontiersin.org/articles/10.3389/fnhum.2023.1129466/pdf
- OA Status
- gold
- Cited By
- 8
- References
- 93
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4384029726
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4384029726Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fnhum.2023.1129466Digital Object Identifier
- Title
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Clinical application of recommendations for neurobehavioral assessment in disorders of consciousness: an interdisciplinary approachWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-07-12Full publication date if available
- Authors
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Brooke Murtaugh, Amy RosenbaumList of authors in order
- Landing page
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https://doi.org/10.3389/fnhum.2023.1129466Publisher landing page
- PDF URL
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https://www.frontiersin.org/articles/10.3389/fnhum.2023.1129466/pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/articles/10.3389/fnhum.2023.1129466/pdfDirect OA link when available
- Concepts
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Persistent vegetative state, Minimally conscious state, Gold standard (test), Psychology, Consciousness, Level of consciousness, Rehabilitation, Wakefulness, Consciousness Disorders, Clinical judgment, Medicine, Psychiatry, Developmental psychology, Neuroscience, Electroencephalography, Medical physics, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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8Total citation count in OpenAlex
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2025: 7, 2024: 1Per-year citation counts (last 5 years)
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93Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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