A Russian validation study of the Coma Recovery Scale-Revised (CRS-R)

Iazeva, E.G.; Legostaeva, L.A.; Zimin, A.A.; Sergeev, D.V.; Domashenko, M.A.; Samorukov, V.Y.; Yusupova, D.G.; Ryabinkina, J.V.; Suponeva, N.A.; Piradov, M.A.; Bodien, Y.G.; Giacino, J.T.

Авторы: Iazeva Elizaveta G., Legostaeva Liudmila A., Zimin Alexey A., Sergeev Dmitry V., Domashenko Maxim A., Samorukov Vladislav Y., Yusupova Dzhamilya G., Ryabinkina Julia V., Suponeva Natalia A., Piradov Michael A., Bodien Yelena G., Giacino Joseph T.
Журнал: Brain Injury
Том: 33
Номер: 2
Год издания: 2018
Издательство: Taylor & Francis
Местоположение издательства: United Kingdom
Первая страница: 218
Последняя страница: 225
DOI: 10.1080/02699052.2018.1539248
Аннотация: Introduction: The aim of the study was to develop and validate a Russian adaptation of the Coma Recovery Scale–Revised (CRS-R). Subjects and methods: We evaluated 58 patients with chronic disorders of consciousness (> 4 weeks post-injury, DOC) of various etiology and two patients in a locked-in state at different stages after coma. We tested sensitivity for changes over 1 week, reliability, criterion validity and diagnostic sensitivity of the Russian adaptation of the CRS-R in comparison with the Russian adaptations of Full Outline of UnResponsiveness Score (FOUR), and Glasgow Coma Scale (GCS). Results: We obtained good sensitivity for changes in neurological status over week (p < 0.0001) and good test-retest reliability (r = 0.997, p < 0.0001) of the CRS-R. Inter-rater reliability was good (κ = 0.99, p < 0.001). We showed high internal consistency (α = 0.87) of the scale and good criterion validity between other scales (r = 0.597 for GCS, and r = 0.900 for FOUR). CRS-R also demonstrated a higher sensitivity in differential diagnosis of DOC, as compared to GCS, and FOUR Score (p < 0.001). Conclusion: The results show that the Russian version of the CRS-R is a valid and sensitive tool for the evaluation of patients with chronic DOC, which can be used for differential diagnosis and for recovery assessment. KEYWORDS: Disorders of consciousness, minimally conscious state, vegetative state, validation, coma recovery scale-revised
Добавил в систему: Язева Елизавета Григорьевна

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