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Can behavioural observations made during the SMART assessment detect the potential for later emergence from vegetative state?

dc.contributor.authorTeixeira, Liliana
dc.contributor.authorGill-Thwaites, Helen
dc.contributor.authorReynolds, Frances
dc.contributor.authorDuport, Sophie
dc.date.accessioned2019-05-10T12:08:50Z
dc.date.available2019-05-10T12:08:50Z
dc.date.issued2016-10-27
dc.description.abstractThe management of prolonged disorders of consciousness (PDOC) such as vegetative state (VS) is a major clinical challenge. Presently there are no validated prognostic markers for emergence from VS apart from age, aetiology and time spent in VS. This study explores whether or not the behavioural observation component of the SMART assessment can detect the potential for later emergence from VS. For this retrospective study 14 patients were selected who were originally assessed by the SMART as being in VS. Clinical records showed that seven of these patients have since emerged from VS (Group 1) and the other half have remained in VS (Group 2). The number, type and frequency of behaviours observed during the first five and the last five sessions of the SMART assessment were compared between the groups. The results suggest that the patients who emerged exhibited a significantly higher number of different behaviour types than those who remained in VS (p = .045). Finding an accurate predictor of prognosis for emergence from VS would assist in optimising the treatment and cost-effective management of this population in the future. Since this is a small sample the results should be reviewed with some caution but they suggest that the patients who later emerge from VS can be differentiated behaviourally from those who remain in VS.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLiliana da Conceição Teixeira, Helen Gill-Thwaites, Frances Reynolds & Sophie Duport (2018) Can behavioural observations made during the SMART assessment detect the potential for later emergence from vegetative state?, Neuropsychological Rehabilitation, 28:8, 1340-1349, DOI: 10.1080/09602011.2016.1243482pt_PT
dc.identifier.doi10.1080/09602011.2016.1243482pt_PT
dc.identifier.issn0960-2011
dc.identifier.urihttp://hdl.handle.net/10400.8/3940
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectBehaviour assessmentpt_PT
dc.subjectBehavioural observation techniquespt_PT
dc.subjectSensory modality assessment and rehabilitation techniquept_PT
dc.subjectVegetative statept_PT
dc.subjectPrognosispt_PT
dc.subjectRecovery of functionpt_PT
dc.subjectRetrospective studiespt_PT
dc.subjectDisorders of consciousnesspt_PT
dc.subjectMinimally conscious statept_PT
dc.titleCan behavioural observations made during the SMART assessment detect the potential for later emergence from vegetative state?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1349pt_PT
oaire.citation.issue8pt_PT
oaire.citation.startPage1340pt_PT
oaire.citation.titleNeuropsychological Rehabilitationpt_PT
oaire.citation.volume28pt_PT
person.familyNameda Conceição Teixeira
person.givenNameLiliana
person.identifier1298780
person.identifier.ciencia-id9811-DD3D-DD0F
person.identifier.orcid0000-0001-9408-859X
person.identifier.ridAAD-8708-2019
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationb949135a-bbec-4770-8d74-502c0ba04029
relation.isAuthorOfPublication.latestForDiscoveryb949135a-bbec-4770-8d74-502c0ba04029

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