Coma Recovery Scale (Revised): Difference between revisions
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The lowest score on each subscale represents reflexive activity, and the highest respresents behaviours mediated by cognitive input. | The lowest score on each subscale represents reflexive activity, and the highest respresents behaviours mediated by cognitive input. | ||
The total score ranges between 0 (worst) and 23 (best) | The total score ranges between 0 (worst) and 23 (best). | ||
== Reference<br> == | == Reference<br> == | ||
Giacino,Kalmar and Whyte <ref name="CRS-R 1" /> studied 80 patients with severe acquired brain injury. These individuals were aditted to an inpatient Coma Intervention Programme with a diagnosis of either vegetative state (VS) or minimally conscious state (MCS). They compared the CRS-R to the Disability Rating Scale (DRS), and found that the total scores showed "significant correlation" between the 2 scales, which indicates acceptable concurrent validity. | Giacino,Kalmar and Whyte <ref name="CRS-R 1" /> studied 80 patients with severe acquired brain injury. These individuals were aditted to an inpatient Coma Intervention Programme with a diagnosis of either vegetative state (VS) or minimally conscious state (MCS). They compared the CRS-R to the Disability Rating Scale (DRS), and found that the total scores showed "significant correlation" between the 2 scales, which indicates acceptable concurrent validity. | ||
In addition, the CRS-R was able to distinguish 10 patients in an MCS who were scored as in VS by the DRS. | In addition, the CRS-R was able to distinguish 10 patients in an MCS who were scored as in VS by the DRS. | ||
== Evidence == | == Evidence == | ||
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== Links == | == Links == | ||
A pdf of the [http://www.tbims.org/combi/crs/CRS%20Syllabus.pdf CRS-R Administration and Scoring Guidelines]: | A pdf of the [http://www.tbims.org/combi/crs/CRS%20Syllabus.pdf CRS-R Administration and Scoring Guidelines]: | ||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == |
Revision as of 10:54, 10 March 2016
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Objective
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The Coma Recovery Scale [CRS-R] , also known as the JFK Coma Recovery Scale - Revised, is used to assess patients with a disorder of consciousness, commonly coma[1].
It may be used to differentiate between vegetative state (VS) and minimally conscious state (MCS)[2]. It can also be used to monitor emergence from minimally conscious state (EMCS or MCS+)[2].
Intended Population
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Traumatic Brain Injury (TBI)
Stroke (CVA)
Brain Tumour
Method of Use[edit | edit source]
The CRS consists of 23 items, grouped into 6 subscales:
- Auditory
- Visual
- Motor
- Oromotor
- Communication
- Arousal
The lowest score on each subscale represents reflexive activity, and the highest respresents behaviours mediated by cognitive input.
The total score ranges between 0 (worst) and 23 (best).
Reference
[edit | edit source]
Giacino,Kalmar and Whyte [1] studied 80 patients with severe acquired brain injury. These individuals were aditted to an inpatient Coma Intervention Programme with a diagnosis of either vegetative state (VS) or minimally conscious state (MCS). They compared the CRS-R to the Disability Rating Scale (DRS), and found that the total scores showed "significant correlation" between the 2 scales, which indicates acceptable concurrent validity.
In addition, the CRS-R was able to distinguish 10 patients in an MCS who were scored as in VS by the DRS.
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous
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Links[edit | edit source]
A pdf of the CRS-R Administration and Scoring Guidelines:
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 1.0 1.1 Giacino, J. T., K. Kalmar and J. Whyte (2004). "The JFK Coma Recovery Scale-Revised: measurement characteristics and diagnostic utility." Arch Phys Med Rehabil Dec 2004: 2020-9
- ↑ 2.0 2.1 Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessmentfckLRSchnakers C, Vanhaudenhuyse A, Giacino J, et al. "Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessment". BMC Neurol. 2009; 9:35.