首页|Validation of the Chinese version of the Coma Recovery Scale-Revised (CRS-R)

Validation of the Chinese version of the Coma Recovery Scale-Revised (CRS-R)

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  • NSTL
  • Taylor & Francis
Primary Objective: This study aims to validate the Chinese version of the Coma Recovery Scale-Revised (CRS-R)。 Methods: One hundred sixty-nine patients were assessed with both the CRS-R and the Glasgow Coma Scale (GCS)， diagnosed as being in unresponsive wakefulness syndrome (UWS， formerly known as vegetative state)， minimally conscious state (MCS)， or emergence from MCS (EMCS)。 A subgroup of 50 patients has been assessed twice by the same rater， within 24 h。 Patient outcome was documented six months after assessment。 Results: The internal consistency for the CRS-R total score was excellent (Cronbach's alpha = 0。84)。 Good test-retest reliability was obtained for CRS-R total score and subscale scores (intra-class correlation coefficient [ICC] = 0。87 and ICC = 0。66-0。84， respectively)。 Inter-rater reliability was high (ICC = 0。719; p < 0。01)。 Concurrent validity was good between CRS-R total scale and GCS total scale。 Diagnostic validity was excellent compared with GCS (emerged from UWS: 24%; emerged from MCS: 28%)。 When considering patient outcome， diagnostic validity was good。 In addition， false-positive rates have been detected for both diagnoses。 Conclusion: The Chinese version of the CRS-R is a reliable and sensitive tool and can discriminate patients in UWS， MCS， and EMCS successfully。

Behavioral scaleComa Recovery Scale-Revisedconsciousnessunresponsive wakefulness syndromeminimally conscious state

Zhang, Ying、Wang, Jing、Schnakers, Caroline、He, Minhui、Luo, Hong、Nie, Yunzhi、Huang, Wangshan、Hu, Xiaohua、Cheng, Lijuan、Wang, Fuyan、Laureys, Steven、Di, Haibo

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Hangzhou Normal Univ, Int Vegetat State & Consciousness Sci Inst, Hangzhou 310036, Zhejiang

Casa Colina Hosp & Ctr Healthcare, Res Inst, Pomona, CA USA

Hangzhou Normal Univ, Affiliated Hosp, Hangzhou, Zhejiang, Peoples R China

Hangzhou Wujing Hosp, Dept Rehabil, Hangzhou, Zhejiang, Peoples R China

Hosp Liege, Univ & Neurol Dept, Coma Sci Grp, GIGA,GIGA Consciousness, Liege, Belgium

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2019

10.1080/02699052.2019.1566832

Brain injury

Brain injury

ISSHP
ISSN：0269-9052
年,卷(期)：2019.33(4)
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