A brief overview of the Coma Recovery Scale-Revised- Update from the COMBI

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A brief overview of the Coma Recovery Scale-Revised- Update from the COMBI
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Journal Article
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Year, Volume, Issue, Page(s):
2015, vol. 1, issue 30, pp 143–145
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Article provides an update from the Center for Outcome Measurement in Brain Injury (COMBI). The Coma Recovery Scale (CRS) was developed to detect subtle differences in neurobehavioral function and monitor recovery in patients with disorders of consciousness, particularly coma, vegetative state (VS), and minimally conscious states (MCS). This scale was revised in 2004 and is presently named the Coma Recovery Scale–Revised (CRS-R). The revised version consists of 23 hierarchically organized items subdivided into 6 subscales. These subscales assess audition, receptive and expressive language, visuoperception, communication ability, motor functions, and arousal level. Using the CRS-R allows clinicians to more easily provide a differential diagnosis, establish prognosis, gauge functional outcome, more effectively plan treatment, and accurately assess a patient’s response to treatment. The CRS-R is the only standardized neurobehavioral assessment instrument that directly incorporates all of the diagnostic criteria required to distinguish VS from MCS, as well as MCS from emergence from MCS.
Wiechman,SA, Carrougher GJ, Esselman PC, Klein MB, Martinez EM,Engrav LH, Gibran NS.
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