Prognostication and Trajectories of Recovery in Disorders of Consciousness.

Disorders of consciousness (DoC) Minimally conscious Outcomes Prognostication Rehabilitation Trajectories of recovery Withdrawal of life-sustaining treatment (WoLST)

Journal

Physical medicine and rehabilitation clinics of North America
ISSN: 1558-1381
Titre abrégé: Phys Med Rehabil Clin N Am
Pays: United States
ID NLM: 9102787

Informations de publication

Date de publication:
Feb 2024
Historique:
medline: 24 11 2023
pubmed: 23 11 2023
entrez: 22 11 2023
Statut: ppublish

Résumé

Historically, there has been a pessimistic view regarding outcomes for patients with disorders of consciousness (DoC). There is a paucity of clinical diagnostic tools and prognostic protocols. Guidelines for the care of patients with DoC require behavioral observation, time, resources, and knowledge of the population. Many nonclinical factors such as patient wishes, family perception, and personal finances can indirectly influence long-term outcomes. Prognostic expectations need to be considered but we health-care professional cannot fully appreciate the decisions and influence of those decisions on the person served or on the care providers involved.

Identifiants

pubmed: 37993187
pii: S1047-9651(23)00105-5
doi: 10.1016/j.pmr.2023.09.001
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

167-173

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure The authors have nothing to disclose.

Auteurs

Mary E Russell (ME)

Physical Medicine and Rehabilitation Department, UT McGovern School of Medicine, TIRR Memorial Hermann-The Woodlands, Houston, TX 77030, USA. Electronic address: mary.e.russell@uth.tmc.edu.

Cindy B Ivanhoe (CB)

Physical Medicine and Rehabilitation Department, UT McGovern School of Medicine, TIRR Memorial Hermann, Houston, TX 77030, USA.

Eboni A Reed (EA)

Physical Medicine and Rehabilitation Department, Baylor College of Medicine, Houston, TX 77030, USA.

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Classifications MeSH