A new tool to assess responsiveness in disorders of consciousness (DoC): a preliminary study on the Brief Post-Coma Scale (BPCS)

Introduction The Brief Post-Coma Scale (BPCS) is an easy diagnostic tool for individuals with disorders of consciousness (DoC), in a reduced version from a previously Post-Coma Scale, that could distinguish patients in the minimally conscious state (MCS) from those in unresponsive wakefulness syndro...

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Bibliographic Details
Published in:Neurological sciences 2018-09, Vol.39 (9), p.1651-1656
Main Authors: Formisano, Rita, Aloisi, Marta, Iosa, Marco, Contrada, Marianna, Rizza, Federica, Sattin, Davide, Leonardi, Matilde, D’Ippolito, Mariagrazia
Format: Article
Language:English
Subjects:
Area Under Curve
Brain Injuries, Traumatic - complications
Brain Injuries, Traumatic - diagnosis
Brief Communication
Cognitive ability
Coma
Consciousness
Consciousness Disorders - diagnosis
Consciousness Disorders - therapy
Diagnosis, Differential
Disability Evaluation
Female
Glasgow Outcome Scale
Humans
Italy
Long-Term Care
Male
Medicine
Medicine & Public Health
Middle Aged
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Outcome Assessment (Health Care)
Preliminary Data
Psychiatry
Rehabilitation
Rehabilitation Centers
Reproducibility of Results
ROC Curve
Sleep and wakefulness
Statistical analysis
Unconsciousness
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Summary:Introduction The Brief Post-Coma Scale (BPCS) is an easy diagnostic tool for individuals with disorders of consciousness (DoC), in a reduced version from a previously Post-Coma Scale, that could distinguish patients in the minimally conscious state (MCS) from those in unresponsive wakefulness syndrome (UWS), formerly defined as vegetative state (VS). Objective Aim of the study was to assess the diagnostic validity of the BPCS in comparison with the Coma Recovery Scale-Revised (CRS-R), in its Italian validated version, the Disability Rating Scale (DRS), the Level of Cognitive Functioning (LCF), and the Glasgow Outcome Scale (GOS). Methods In an Italian multicenter study on 545 patients with DoC, 36 post-acute rehabilitation wards, 32 long-term care centers, and 2 family associations participated to data collection. Results Statistically significant correlations were found between the BPCS and the other clinical scales: R  = 0.586 ( p  
ISSN:1590-1874
1590-3478
DOI:10.1007/s10072-018-3466-3