Nociception Coma Scale-Revised with Personalized Painful Stimulus Versus Standard Stimulation in Persons with Disorders of Consciousness: An International Multicenter Study

伤害性昏迷量表修订版——针对意识障碍患者个性化疼痛刺激与标准刺激的比较:一项国际多中心研究

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作者:Rita Formisano, Marta Aloisi, Giulia Ferri, Sara Schiattone, Anna Estraneo, Alfonso Magliacano, Enrique Noé, Maria Dolores Navarro Pérez, Bahia Hakiki, Anna Maria Romoli, Erik Bertoletti, Gloria Leonardi, Aurore Thibaut, Charlotte Martial, Olivia Gosseries, Marie Brisbois, Nicolas Lejeune, Myrtha O'

Conclusions

A more in-depth and tailored assessment of pain perception in persons with a DoC may lead to better acknowledgment of its presence and by extension an objective foundation for more aggressive and appropriate pain management.

Methods

Sixty-one patients with prolonged DoCs (pDoCs) were enrolled from seven European post-acute rehabilitation centers. Responsiveness and pain perception were assessed by CRS-R and NCS-R with standard stimulus (NCS-R-SS) and personalized stimulation (NCS-R-PS). ClinicalTrials.gov Identifier: NCT06012357.

Results

our results support our prior findings on the superiority and the validity of the personalized painful stimulus approach in assessment of pain in persons with DoCs in comparison with the standardized pain assessment methodology. Conclusions: A more in-depth and tailored assessment of pain perception in persons with a DoC may lead to better acknowledgment of its presence and by extension an objective foundation for more aggressive and appropriate pain management.

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