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Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Hospital Course, Confounders, and Medications.

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Affiliations

  • 1. Massachusetts General Hospital, Boston, MA, USA.
      Authors
    • Barra ME 1
    (1 author)
  • 2. Division of Neurosciences Critical Care, Departments of Neurology, Neurosurgery, and Anesthesiology and Critical Care Medicine, The Johns Hopkins University and The Johns Hopkins Hospital, Baltimore, MD, USA.
      Authors
    • Zink EK 2
    • Farrokh S 2
    • Suarez JI 2
    (3 authors)
  • 3. Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
      Authors
    • Bleck TP 3
    (1 author)
  • 4. Universidad de La Sabana, Chía, Colombia.
      Authors
    • Cáceres E 4
    (1 author)
  • 5. Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
      Authors
    • Foreman B 5
    (1 author)
    • Show all (9)

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Neurocritical Care, 23 Aug 2023, 39(3):586-592
https://doi.org/10.1007/s12028-023-01803-4 PMID: 37610641 

This article has been corrected. See Neurocrit Care. 2024 Aug 21. doi: 10.1007/s12028-024-02099-8.

Abstract 

The convergence of an interdisciplinary team of neurocritical care specialists to organize the Curing Coma Campaign is the first effort of its kind to coordinate national and international research efforts aimed at a deeper understanding of disorders of consciousness (DoC). This process of understanding includes translational research from bench to bedside, descriptions of systems of care delivery, diagnosis, treatment, rehabilitation, and ethical frameworks. The description and measurement of varying confounding factors related to hospital care was thought to be critical in furthering meaningful research in patients with DoC. Interdisciplinary hospital care is inherently varied across geographical areas as well as community and academic medical centers. Access to monitoring technologies, specialist consultation (medical, nursing, pharmacy, respiratory, and rehabilitation), staffing resources, specialty intensive and acute care units, specialty medications and specific surgical, diagnostic and interventional procedures, and imaging is variable, and the impact on patient outcome in terms of DoC is largely unknown. The heterogeneity of causes in DoC is the source of some expected variability in care and treatment of patients, which necessitated the development of a common nomenclature and set of data elements for meaningful measurement across studies. Guideline adherence in hemorrhagic stroke and severe traumatic brain injury may also be variable due to moderate or low levels of evidence for many recommendations. This article outlines the process of the development of common data elements for hospital course, confounders, and medications to streamline definitions and variables to collect for clinical studies of DoC.

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Read article at publisher's site: https://doi.org/10.1007/s12028-023-01803-4

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Academy of Medical Sciences (1)

National Institute for Health Research (NIHR) (1)