دورية أكاديمية
أعرض في EDS

The Initiation of Swallowing Can Indicate the Prognosis of Disorders of Consciousness: A Self-Controlled Study.

التفاصيل البيبلوغرافية
العنوان: The Initiation of Swallowing Can Indicate the Prognosis of Disorders of Consciousness: A Self-Controlled Study.
المؤلفون: Wang J; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., Wang J; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., Hu X; Rehabilitation Center for Brain Damage, Wujing Hospital of Hangzhou City, Hangzhou, China., Xu L; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., Tian J; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., Li J; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., Fang D; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., Huang W; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., Sun Y; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., He M; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China., Laureys S; GIGA, GIGA-Consciousness, Coma Science Group, Neurology Department, University Hospital of Liege, University of Liège, Liège, Belgium., Di H; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, China.
المصدر: Frontiers in neurology [Front Neurol] 2019 Nov 14; Vol. 10, pp. 1184. Date of Electronic Publication: 2019 Nov 14 (Print Publication: 2019).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101546899 Publication Model: eCollection Cited Medium: Print ISSN: 1664-2295 (Print) Linking ISSN: 16642295 NLM ISO Abbreviation: Front Neurol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Lausanne : Frontiers Research Foundation, 2010]-
مستخلص: Objective: To detect the initiation of swallowing in patients with disorders of consciousness (DOC) as well as the relationship between the initiation of swallowing and the prognosis of DOC patients. Methods: Nineteen DOC patients were included in this study, and a self-controlled trial compared five different stimuli. The five different stimuli were as follows: (1) one command, as recommended by the Coma Recovery Scale-Revised (CRS-R), which was "open your mouth"; (2) placing a spoon in front of the patient's mouth without a command; (3) placing a spoon filled with water in front of the patient's mouth without a command; (4) one command-"there is a spoon; open your mouth"-with a spoon in front of the patient's mouth; (5) one command, "there is a spoon with water; open your mouth," with a spoon filled with water in front of the patient's mouth. All 19 patients were given these five stimuli randomly, and any one of the commands was presented four times to a patient, one at a time, at 15-s intervals. The sensitivity and specificity of the initiation of swallowing in detecting conscious awareness were determined. Results: None of the patients responded to the first four stimuli. However, six patients showed initiated swallowing toward the fifth stimulus. Among those six, five patients showed improvement in their consciousness state 6 months later. The sensitivity and specificity of the initiation of swallowing for DOC patients was 83.33% [95% CIs (36%, 100%)] and 92.31% [95% CIs (64%, 100%)], respectively. Conclusions: The initiation of swallowing can be an early indication of conscious behavior and can likely provide evidence of conscious awareness. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT03508336; Date of registration: 2018/4/16.
(Copyright © 2019 Wang, Wang, Hu, Xu, Tian, Li, Fang, Huang, Sun, He, Laureys and Di.)
References: PLoS One. 2013 Sep 25;8(9):e74711. (PMID: 24086365)
J Neurol. 2012 Jun;259(6):1087-98. (PMID: 22081100)
Geriatr Nurs. 2008 Nov-Dec;29(6):376-83. (PMID: 19064135)
Dysphagia. 2016 Aug;31(4):511-20. (PMID: 27090424)
BMC Neurol. 2009 Jul 21;9:35. (PMID: 19622138)
Dysphagia. 2007 Jul;22(3):266-75. (PMID: 17440775)
Arch Phys Med Rehabil. 1999 Apr;80(4):365-71. (PMID: 10206596)
Nutrition. 2007 Apr;23(4):308-17. (PMID: 17369022)
BMJ. 1996 Jul 6;313(7048):13-6. (PMID: 8664760)
BMC Neurol. 2013 Mar 18;13:27. (PMID: 23506054)
Funct Neurol. 2018 Jan/Mar;33(1):19-30. (PMID: 29633693)
Sci Rep. 2016 Sep 13;6:32917. (PMID: 27620348)
Brain Inj. 2006 Dec;20(13-14):1321-8. (PMID: 17378223)
Neuropsychol Rehabil. 2005 Jul-Sep;15(3-4):454-60. (PMID: 16350986)
Brain Inj. 2017;31(3):363-365. (PMID: 28125307)
NeuroRehabilitation. 2016;38(1):53-7. (PMID: 26889798)
Ann N Y Acad Sci. 2008;1129:130-8. (PMID: 18591475)
Neurology. 2007 Mar 20;68(12):895-9. (PMID: 17372124)
NeuroRehabilitation. 2004;19(4):299-304. (PMID: 15671584)
J Intern Med. 2001 May;249(5):413-22. (PMID: 11350565)
Prog Brain Res. 2009;177:33-48. (PMID: 19818893)
Arch Phys Med Rehabil. 2008 Aug;89(8):1556-62. (PMID: 18674990)
Cerebrovasc Dis. 2008;25(4):316-23. (PMID: 18303250)
Ann Neurol. 1986 Apr;19(4):326-34. (PMID: 3707084)
Lancet. 1990 Nov 3;336(8723):1105-7. (PMID: 1977988)
BMC Neurol. 2018 Apr 12;18(1):38. (PMID: 29649978)
Exp Brain Res. 2012 May;219(1):85-96. (PMID: 22441258)
J Clin Neurophysiol. 2015 Aug;32(4):294-303. (PMID: 26241238)
BMC Med. 2015 Apr 15;13:83. (PMID: 25880206)
Arch Ital Biol. 2012 Jun-Sep;150(2-3):36-43. (PMID: 23165869)
Prog Brain Res. 2009;177:49-61. (PMID: 19818894)
Neurology. 2002 Feb 12;58(3):349-53. (PMID: 11839831)
Neurosciences (Riyadh). 2010 Oct;15(4):231-6. (PMID: 20956918)
Acta Otorhinolaryngol Belg. 1994;48(2):143-55. (PMID: 8209677)
J Neurol Neurosurg Psychiatry. 2004 May;75(5):788. (PMID: 15090585)
Arch Phys Med Rehabil. 2004 Dec;85(12):2020-9. (PMID: 15605342)
Annu Rev Neurosci. 2014;37:457-78. (PMID: 25002279)
Neurogastroenterol Motil. 2009 Apr;21(4):361-9. (PMID: 19019014)
Arch Phys Med Rehabil. 2010 Dec;91(12):1795-813. (PMID: 21112421)
J Neurol. 2011 Jul;258(7):1373-84. (PMID: 21674197)
Arch Phys Med Rehabil. 2016 Mar;97(3):490-492.e1. (PMID: 26342571)
معلومات مُعتمدة: K99 AA020514 United States AA NIAAA NIH HHS; R00 AA020514 United States AA NIAAA NIH HHS
فهرسة مساهمة: Keywords: consciousness; disorders of consciousness; minimally conscious state; prognosis; swallowing
سلسلة جزيئية: ClinicalTrials.gov NCT03508336
تواريخ الأحداث: Date Created: 20191205 Latest Revision: 20240422
رمز التحديث: 20240422
مُعرف محوري في PubMed: PMC6868083
DOI: 10.3389/fneur.2019.01184
PMID: 31798516
قاعدة البيانات: MEDLINE
الوصف
تدمد:1664-2295
DOI:10.3389/fneur.2019.01184