Navigation Links
Misdiagnosis of disorders of consciousness still commonplace
Date:7/21/2009

A sixteen-month study of consensus-based diagnosis of patients with disorders of consciousness has shown that 41% of cases of minimally conscious state (MCS) were misdiagnosed as vegetative state (VS), a condition associated with a much lower chance of recovery. Researchers writing in the open access journal BMC Neurology have demonstrated that standardized neurobehavioral assessment is more sensitive than diagnoses determined by clinical consensus.

Steven Laureys, from the University of Liege, Belgium, worked with a team of researchers, including Caroline Schnakers and Joseph Giacino, to compare consensus-based diagnoses of VS and MCS to those based on the JFK Coma Recovery Scale-Revised (CRS-R), a well-established standardized neurobehavioral rating scale. Laureys said, "Differentiating the vegetative from the minimally conscious state is often one of the most challenging tasks facing clinicians involved in the care of patients with disorders of consciousness. Misdiagnosis can lead to grave consequences, especially in end-of-life decision-making".

The researchers prospectively followed 103 patients with mixed etiologies and compared the clinical consensus diagnosis provided by the physician on the basis of the medical staff's daily observations to diagnoses derived from the CRS-R. They found that of the 44 patients diagnosed with VS based on the clinical consensus of the medical team, 18 (41%) were found to be in MCS following standardized assessment with the CRS-R. According to Laureys, "It is likely that the examiners' reliance on unstructured bedside observations contributed to the high rate of misdiagnosis of VS patients. Unlike traditional bedside assessment, the CRS-R guards against misdiagnosis by incorporating items that directly reflect the existing diagnostic criteria for MCS, and by operationalizing scoring criteria for the identification of behaviors associated with consciousness".

The researchers conclude, "The r
'/>"/>

Contact: Graeme Baldwin
graeme.baldwin@biomedcentral.com
44-203-192-2165
BioMed Central
Source:Eurekalert

Page: 1 2

Related medicine news :

1. What is Being Done to Prevent Misdiagnosis?
2. Common misdiagnosis: most women believe they have a yeast infection when they dont
3. Putting the Medical Profession on Notice!: Widow Tells Tragic Story of How Her Husband Died Due to Misdiagnosis and Mistreatment
4. Misdiagnosis of rheumatoid arthritis
5. 3 clinical features identified to avoid misdiagnosis of TIAs
6. United Kingdom House of Commons Safety Group Recommends Carbon Monoxide Screening by Pulse CO-Oximetry(TM) to Reduce Misdiagnosis and Prevent Deaths
7. School-based overweight prevention program may cut risk of eating disorders among girls
8. UCLA receives $22.5 million to explore the fundamental biology of mental disorders
9. Oncologists are critical in managing psychiatric disorders in patients with advanced cancer
10. National Movement Disorders Interactive Experience Center Comes to Tampa Bay for First Time
11. Spectrum of Eating Disorders - from Anorexia to Obesity - are Cause for Rising Concern among K-12 Students and Educators
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/20/2014)... Akron, OH (PRWEB) October 20, 2014 ... new Assisted Living Center on Oct. 14. The $11 ... amenities and services, and a cooked-to-order kitchen with full-service ... forward Akron’s premier choice for first class Assisted Living ... groundbreaking. “Our residents deserve the highest quality of care ...
(Date:10/20/2014)... Final Cut Pro X Plugin developers from Pixel Film ... FCPX filmmakers . , “Fun, cool, and simple are ... Says Christina Austin, CEO of Pixel Film Studios. “It has ... comes with all the tools needed for a full ... added style, a title screen for an introduction, two lower ...
(Date:10/20/2014)... 2014 Houston plastic surgeon Dr. ... elements of his innovative True Form Tummy Tuck® ... residents and faculty at The University of Texas ... was once a medical student. Patronella, who is a ... plastic surgery practices in Texas, The Aesthetic Center ...
(Date:10/19/2014)... (PRWEB) October 20, 2014 Recently, BambooIndustry.com, ... has unveiled its new range of bamboo deckings ... for these natural items; they are now available at ... most people, it is hard to overstate the significance ... of attention to online services. The company’s workers are ...
(Date:10/19/2014)... Recently, Top10BestSEOHosting.com has unveiled its newest ... and HostMonster are the best VPS hosting suppliers ... is the method of partitioning a physical server ... the appearance and capabilities of running on someone’s ... pays close attention to VPS products and related ...
Breaking Medicine News(10 mins):Health News:Rockynol Retirement Community Expands Assisted Living Center 2Health News:Today Pixel Film Studios Announced the Release of the Citrus theme for Final Cut Pro X 2Health News:Plastic Surgeon Patronella Presents Artistically-Inspired Tummy Tuck Method to Future Generation of Plastic Surgeons in Texas 2Health News:High Quality Bamboo Deckings, New Items Unveiled By BambooIndustry.com 2Health News:The Best VPS Hosting Suppliers In The Market Unveiled By Top10BestSEOHosting.com 2
... -- There may be a link between H. pylori ... study. In some people, an H. pylori infection ... lead to ulcers in the stomach and small intestine. These bacteria ... In this study, researchers analyzed data from people who took ...
... in Word War I. Although Brazil remained neutral during most ... the war effort against the central powers. It was the ... encountered an unexpected and treacherous enemy in the African coast ... for: the Spanish flu. The Spanish flu swept ...
... screening to identify people infected with hepatitis C ... to a new report published in Clinical ... ). Significantly reducing HCV-related mortality and morbidity, however, ... only increased testing but also linking those infected ...
... -- A Loyola University Chicago Stritch School of Medicine study ... protein that enables cancer cells to establish tumors in distant ... way to new drugs to prevent breast cancer and other ... Adriano Marchese, PhD and colleagues is published in the ...
... experiencing economic and social growth might also see growing ... study from Rice University and the University of Colorado. ... developing countries may improve conditions such as malnutrition and ... lower socio-economic status. "It,s a troubling finding," ...
... This release is available in German . ... of lipids that separates the distinct internal environment of the ... also referred to as plasma membrane, disturbs the cellular functions ... example, downhill walking tears many little holes into the plasma ...
Cached Medicine News:Health News:Type of Bacteria May Be Linked to Diabetes 2Health News:The Brazilian Navy faces its worst enemy in WWI: The Spanish flu 2Health News:Broader screening for hepatitis C would be cost effective, study suggests 2Health News:How cancer cells start new tumor sites 2Health News:Economic and social growth of developing nations may increase obesity 2Health News:How muscle cells seal their membranes 2
(Date:10/19/2014)... SEATTLE, Wash. , Oct. 20, 2014 ... today that it will report its third quarter 2014 ... close of the U.S. financial markets. Following the announcement, ... conference call to discuss the results and provide a ... PDT). Access to the event can be obtained as ...
(Date:10/18/2014)... 18, 2014  In a policy paper ... the nation,s largest lesbian, gay, bisexual and transgender ... of Truvada for Pre-Exposure Prophylaxis (PrEP). PrEP is ... prevent the spread of a disease or infection ... name anti-HIV drug combination currently approved for PrEP, ...
(Date:10/17/2014)... , Oct. 17, 2014  Hanger, Inc. (NYSE: ... to report its results of operations for the quarter ... after the market closes.  A conference call to discuss ... ET, on Friday, November 7, 2014. Those wishing to ... until Friday, November 14, 2014 by dialing 1-855-859-2056 and ...
Breaking Medicine Technology:CTI BioPharma to Report Third Quarter 2014 Financial Results on October 29, 2014 2HRC Endorses PrEP, Calls for Bold Action to Expand Access to Anti-HIV Drug 2HRC Endorses PrEP, Calls for Bold Action to Expand Access to Anti-HIV Drug 3
8 inch Mayo-Hegar needle holder....
... a combination Spectral Optical Coherence Tomography (OCT) ... provides suberb, high-quality images of the vitreo-retina, ... of spectral technology, OTI's sytem can reach ... per second and provide images with a ...
... Digital Camera is a state-of-the-art, office-based nuclear cardiology ... provides full sized fields of view. When ... need a flexible system that can work around ... the Pulse reduces the costs of adding a ...
... is an ideal gamma camera ... the ability to perform bone ... Myocardial perfusion diagnosis and SPECT ... cost and space efficient solution ...
Medicine Products: