Application of the Coma Recovery Scale-Revised in decannulation of patients with tracheotomy after stroke
Objective To investigate the predictive value of the Coma Recovery Scale-Revised(CRS-R)in decannulation of patients with tracheotomy after stroke.Methods The clinical data of 129 patients with tracheotomy after stroke admitted in the rehabilitation center of Jianhu Clinical Medical College,Yangzhou University from January 2019 to December 2023 were collected.All patients were divided into non-decannulation group and successful decannulation group according to whether decannulation was performed at 30 and 90 d after admission to the rehabilitation center.The general data of the two groups were analyzed;the predictive value of Glasgow Coma Scale(GCS)and CRS-R scores for decannulation in patients with tracheotomy after stroke were evaluated.Results Among the 129 patients with tracheotomy after stroke,54 patients(41.9%)had successfully decannulation at 30 d after admission to the rehabilitation center,and 82 patients(63.6%)had successfully decannulation at 90 d after admission to the rehabilitation center;at 30 and 90 d after admission to the rehabilitation center,there were statistically significant differences in stroke history,GCS and CRS-R scores between the two groups(P<0.05).At 30 and 90 d after admission to the rehabilitation center,there were statistically significant differences in the area under curve(AUC)of GCS and CRS-R scores for predicting decannulation(P<0.001);the optimal cut-off values of CRS-R score for predicting decannulation were 10.5 and 6.5 points at 30 and 90 d after admission to the rehabilitation center,respectively.Conclusion GCS and CRS-R scores have certain predictive value for decannulation,and CRS-R score is better than GCS score.
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