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Archives of physical medicine and rehabilitation
07, 2023;104 (7): 1054-1061.

Coma Recovery Scale-Revised Predicts Disability Rating Scale in Acute Rehabilitation of Severe Traumatic Brain Injury.

Susan Onami, Duc Tran, Christine Koh-Pham, Wendy Shih, Bradley Chi, Jiahao Peng, David Shavlik, Pramil Singh, Joseph Giacino
Author Information
  1. Susan Onami: Physical Medicine & Rehabilitation, Loma Linda University, Loma Linda, CA.
  2. Duc Tran: Physical Medicine & Rehabilitation, Loma Linda University, Loma Linda, CA.
  3. Christine Koh-Pham: Physical Medicine & Rehabilitation, Loma Linda University, Loma Linda, CA. Electronic address: ckohpham@llu.edu.
  4. Wendy Shih: Research Consulting Group, Loma Linda University School of Public Health, Loma Linda, CA.
  5. Bradley Chi: Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
  6. Jiahao Peng: Research Consulting Group, Loma Linda University School of Public Health, Loma Linda, CA.
  7. David Shavlik: Research Consulting Group, Loma Linda University School of Public Health, Loma Linda, CA.
  8. Pramil Singh: Research Consulting Group, Loma Linda University School of Public Health, Loma Linda, CA.
  9. Joseph Giacino: Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital, Charleston, MA.
PMID: 36736600 DOI: 10.1016/j.apmr.2023.01.007

Abstract

OBJECTIVE: To explore the prognostic value of the Coma Recovery Scale-Revised (CRS-R) in predicting disability outcomes in patients with severe traumatic brain injury using the Disability Rating Scale (DRS).
DESIGN: Secondary analysis including linear and logistic regressions were performed.
SETTING: Data were collected in a previous clinical trial.
PARTICIPANTS: One hundred eighty-four participants across 3 countries (N=184).
MAIN OUTCOME MEASURES: Disability Rating Scales.
RESULTS: Analyses showed an inverse relation between CRS-R scores obtained at baseline and change in DRS scores at 6 weeks. Similarly, changes in CRS-R scores between baseline and 4 weeks were also found to have an inverse relation to change in DRS scores at 6 weeks.
CONCLUSIONS: This study generates a tool that can be used to predict the probability that a patient with severe traumatic brain injury lands in 1 of 3 disability categories. The CRS-R may be useful in prognostication of disability in patients with severe traumatic brain injury.

Keywords

Coma recovery scale revised Disability rating scale Prognostication Rehabilitation Traumatic brain injury

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Grants

  1. 90DPTB0027/ACL HHS

MeSH Term

Humans
Coma
Recovery of Function
Brain Injuries
Prognosis
Brain Injuries, Traumatic
Glasgow Coma Scale
Journal Article
Article has an altmetric score of 1

Word Cloud

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