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. 2013 Apr;1(2):86-9.

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

Somaye Kavusipur  1 , Zahra Rojhani Shirazi  1 , Zahra Ardekani  1 , Soqra Omidi  1
Affiliations

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

Somaye Kavusipur et al. Bull Emerg Trauma. 2013 Apr.

Abstract

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.

Keywords: Coma recovery; Consciousness; Disorder of consciousness scale (DOCS); Traumatic brain injury (TBI).

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Figures

Fig. 1
Fig. 1
Area under the curve for DOCS1 and DOCS2 in 24 patients with severe traumatic brain injury.
Fig. 2
Fig. 2
Area under the curve for changes in DOCS1 and DOCS2 in 24 patients with severe traumatic brain injury
See this image and copyright information in PMC

References

    1. Giacino TJ, Trott CT. Rehabilitative management of patients with disorders of consciousness: Grand rounds. J Head Trauma Rehabil. 2004;19(3):254–65. - PubMed
    1. Masson F, Thicoipe M, Mokni T, Aye P, Erny P, Dabadie P. Aquaitaine Group for Severe Brain Injury Study. Epidemiology of traumatic comas: a prospective population-based study. Brain Inj. 2003;17(4):279–93. - PubMed
    1. Kazanis I. CNS injury research; reviewing the last decade: methodological errors and a proposal for a new strategy. Brain Res Brain Res Rev. 2005;50(2):377–86. - PubMed
    1. Lippert-Grüner M, Wedekind C, Klug N. Outcome of prolonged coma following severe traumatic brain injury. Brain Inj. 2003;17(1):49–54. - PubMed
    1. Duff D. Review article: altered states of consciousness, theories of recovery, and assessment following a severe traumatic brain injury. Axone. 2001;23(1):18–23. - PubMed