{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:53:47Z","timestamp":1740142427879,"version":"3.37.3"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003To improve the diagnostic accuracy of the state of consciousness of patients with severe brain injury, Giacino et al. introduced the Coma Recovery Scale (CRS) in 1991, which underwent revision in 2004, resulting in the revised CRS scale (CRS-R).<\/jats:p><jats:p>\n          Objective\u2003To determine the concurrent validity, as well as inter- and intrarater agreement of the CRS-R's adaptation to Brazilian Portuguese.<\/jats:p><jats:p>\n          Methods\u2003This study involved a sample of 30 patients with severe brain injury. Concurrent evaluations were also performed with the Glasgow Coma Scale (GCS) and the Full Outline of UnResponsiveness (FOUR) scale. A total of seven rehabilitation experts were recruited to assess the inter- and intrarater reliability agreement.<\/jats:p><jats:p>\n          Results\u2003Interrater reliability was moderate to high for auditory, visual, motor, verbal, communication, and arousal subscales (Cohen weighted kappa\u2009=\u20090.765 to 0.892; p\u2009&lt;\u20090.001). Significant inter and intrarater intraclass correlation coefficients were observed for the total CRS-R scores, all of which were statistically significant (p\u2009&lt;\u20090.001). Also, total CRS-R scores exhibited a high correlation with the total GCS and FOUR scores, indicating acceptable concurrent validity (p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n          Conclusion\u2003The Brazilian Portuguese version of CRS-R can be reliably administered by trained examiners. This study demonstrated substantial to almost perfect interrater agreement for the total score and subscales, as well as high concurrent validity between the Brazilian Portuguese version of CRS-R and the other two standardized behavioral scales.<\/jats:p>","DOI":"10.1055\/s-0044-1791657","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:03:19Z","timestamp":1732147399000},"page":"001-008","source":"Crossref","is-referenced-by-count":0,"title":["Validation to Brazilian Portuguese of the coma recovery scale-revised"],"prefix":"10.1055","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7802-8690","authenticated-orcid":false,"given":"Ana Paula Silva","family":"Champs","sequence":"additional","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o, Belo Horizonte MG, Brazil."}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1329-7749","authenticated-orcid":false,"given":"Thayse Nayara Freitas do Vale","family":"Santanna","sequence":"additional","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o, Salvador BA, Brazil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7479-4489","authenticated-orcid":false,"given":"Christian Marques","family":"Couto","sequence":"additional","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o, Rio de Janeiro RJ, Brazil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6446-7473","authenticated-orcid":false,"given":"Roberta Correa","family":"Macedo","sequence":"additional","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o, Salvador BA, Brazil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1773-2358","authenticated-orcid":false,"given":"Patricia Sola","family":"Penna","sequence":"additional","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o, Rio de Janeiro RJ, Brazil."}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9677-6633","authenticated-orcid":false,"given":"Luciana Charchar Vilas Boas","family":"Cruz","sequence":"additional","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o, Belo Horizonte MG, Brazil."}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3088-5547","authenticated-orcid":false,"given":"Rafael Xavier da","family":"Silva-Neto","sequence":"additional","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o, Belo Horizonte MG, Brazil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9921-1582","authenticated-orcid":false,"given":"Luiz S\u00e9rgio","family":"Vaz","sequence":"additional","affiliation":[{"name":"Rede SARAH de Hospitais de Reabilita\u00e7\u00e3o, Belo Horizonte MG, Brazil."}]}],"member":"194","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1016\/S1474-4422(18)30415-0","article-title":"Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016","volume":"18","author":"GBD 2016 Traumatic Brain Injury and Spinal Cord Injury Collaborators","year":"2019","journal-title":"Lancet Neurol"},{"issue":"05","key":"ref2","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1136\/jnnp-2015-310958","article-title":"Preserved consciousness in vegetative and minimal conscious states: systematic review and meta-analysis","volume":"87","author":"D Kondziella","year":"2016","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"7048","key":"ref3","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1136\/bmj.313.7048.13","article-title":"Misdiagnosis of the vegetative state: retrospective study in a rehabilitation unit","volume":"313","author":"K Andrews","year":"1996","journal-title":"BMJ"},{"issue":"03","key":"ref4","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1212\/WNL.0b013e3181e8e8cc","article-title":"Late recovery after traumatic, anoxic, or hemorrhagic long-lasting vegetative state","volume":"75","author":"A Estraneo","year":"2010","journal-title":"Neurology"},{"issue":"03","key":"ref5","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1212\/WNL.0b013e3181e8e8df","article-title":"Long-term outcomes of chronic minimally conscious and vegetative states","volume":"75","author":"J Luaut\u00e9","year":"2010","journal-title":"Neurology"},{"issue":"10","key":"ref6","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1212\/WNL.0000000000005928","article-title":"Comprehensive systematic review update summary: Disorders of consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research","volume":"91","author":"J T Giacino","year":"2018","journal-title":"Neurology"},{"issue":"05","key":"ref7","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1111\/ene.14151","article-title":"European Academy of Neurology guideline on the diagnosis of coma and other disorders of consciousness","volume":"27","author":"D Kondziella","year":"2020","journal-title":"Eur J Neurol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1186\/1741-7015-8-68","article-title":"Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome","volume":"8","author":"S Laureys","year":"2010","journal-title":"BMC Med"},{"issue":"35","key":"ref9","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1186\/1471-2377-9-35","article-title":"Diagnostic accuracy of the vegetative and minimally conscious state: clinical consensus versus standardized neurobehavioral assessment","volume":"9","author":"C Schnakers","year":"2009","journal-title":"BMC Neurol"},{"issue":"03","key":"ref10","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1212\/wnl.58.3.349","article-title":"The minimally conscious state: definition and diagnostic criteria","volume":"58","author":"J T Giacino","year":"2002","journal-title":"Neurology"},{"issue":"05","key":"ref11","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1007\/s00415-019-09628-y","article-title":"Minimally conscious state \u201cplus\u201d: diagnostic criteria and relation to functional recovery","volume":"267","author":"A Thibaut","year":"2020","journal-title":"J Neurol"},{"issue":"04","key":"ref12","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1080\/13554790902724904","article-title":"Detecting consciousness in a total locked-in syndrome: an active event-related paradigm","volume":"15","author":"C Schnakers","year":"2009","journal-title":"Neurocase"},{"issue":"11","key":"ref13","doi-asserted-by":"publisher","first-page":"1332","DOI":"10.3109\/02699052.2013.809555","article-title":"Functional locked-in syndrome as recovery phase of vegetative state","volume":"27","author":"R Formisano","year":"2013","journal-title":"Brain Inj"},{"issue":"11","key":"ref14","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1016\/0003-9993(91)90008-7","article-title":"Monitoring rate of recovery to predict outcome in minimally responsive patients","volume":"72","author":"J T Giacino","year":"1991","journal-title":"Arch Phys Med Rehabil"},{"issue":"12","key":"ref15","doi-asserted-by":"publisher","first-page":"2020","DOI":"10.1016\/j.apmr.2004.02.033","article-title":"The JFK Coma Recovery Scale-Revised: measurement characteristics and diagnostic utility","volume":"85","author":"J T Giacino","year":"2004","journal-title":"Arch Phys Med Rehabil"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The measurement of observer agreement for categorical data","volume":"33","author":"J R Landis","year":"1977","journal-title":"Biometrics"},{"issue":"04","key":"ref17","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/s1075-4210(97)90005-5","article-title":"The history of the Glasgow Coma Scale: an interview with professor Bryan Jennett. Interview by Carole Rush","volume":"3","author":"B Jennett","year":"1997","journal-title":"Int J Trauma Nurs"},{"issue":"04","key":"ref18","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1002\/ana.20611","article-title":"Validation of a new coma scale: The FOUR score","volume":"58","author":"E F Wijdicks","year":"2005","journal-title":"Ann Neurol"},{"issue":"05","key":"ref19","doi-asserted-by":"publisher","first-page":"1129","DOI":"10.1111\/j.1365-2648.2010.05559.x","article-title":"Assessment of comatose patients: a Portuguese instrument based on the Coma Recovery Scale - revised and using nursing standard terminology","volume":"67","author":"J F Sim\u00f5es","year":"2011","journal-title":"J Adv Nurs"},{"issue":"10","key":"ref20","doi-asserted-by":"publisher","first-page":"786","DOI":"10.1080\/02699050802403557","article-title":"A French validation study of the Coma Recovery Scale-Revised (CRS-R)","volume":"22","author":"C Schnakers","year":"2008","journal-title":"Brain Inj"},{"issue":"7872","key":"ref21","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/s0140-6736(74)91639-0","article-title":"Assessment of coma and impaired consciousness. A practical scale","volume":"2","author":"G Teasdale","year":"1974","journal-title":"Lancet"},{"issue":"05","key":"ref22","doi-asserted-by":"publisher","first-page":"488","DOI":"10.3109\/02699052.2011.558043","article-title":"Validation of the Italian version of the Coma Recovery Scale-Revised (CRS-R)","volume":"25","author":"S Sacco","year":"2011","journal-title":"Brain Inj"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1744","DOI":"10.3109\/02699052.2014.947621","article-title":"A Spanish validation of the Coma Recovery Scale-Revised (CRS-R)","volume":"28","author":"M Tamashiro","year":"2014","journal-title":"Brain Inj"},{"issue":"03","key":"ref24","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1016\/j.apmr.2015.08.422","article-title":"Sensitivity and Specificity of the Coma Recovery Scale\u2013Revised Total Score in Detection of Conscious Awareness","volume":"97","author":"Y G Bodien","year":"2016","journal-title":"Arch Phys Med Rehabil"},{"issue":"01","key":"ref25","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1089\/neu.2011.1829","article-title":"Longitudinal outcome of patients with disordered consciousness in the NIDRR TBI Model Systems Programs","volume":"29","author":"R Nakase-Richardson","year":"2012","journal-title":"J Neurotrauma"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/S0079-6123(09)17707-5","article-title":"Natural history of recovery from brain injury after prolonged disorders of consciousness: outcome of patients admitted to inpatient rehabilitation with 1-4 year follow-up","volume":"177","author":"D I Katz","year":"2009","journal-title":"Prog Brain Res"},{"issue":"04","key":"ref27","first-page":"259","article-title":"Effect of zolpidem in chronic disorders of consciousness: a prospective open-label study","volume":"28","author":"M Thonnard","year":"2013","journal-title":"Funct Neurol"},{"issue":"03","key":"ref28","doi-asserted-by":"publisher","first-page":"647","DOI":"10.4103\/ajns.AJNS_272_16","article-title":"Efficacy of Amantadine in Improving Cognitive Dysfunction in Adults with Severe Traumatic Brain Injury in Indian Population: A Pilot Study","volume":"13","author":"P S Ghate","year":"2018","journal-title":"Asian J Neurosurg"}],"container-title":["Arquivos de Neuro-Psiquiatria"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1791657.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:03:21Z","timestamp":1732147401000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1791657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":28,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,8,26]]},"published-print":{"date-parts":[[2024,11]]}},"alternative-id":["s00441791657"],"URL":"https:\/\/doi.org\/10.1055\/s-0044-1791657","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0004-282X","1678-4227"],"issn-type":[{"type":"print","value":"0004-282X"},{"type":"electronic","value":"1678-4227"}],"subject":[],"published":{"date-parts":[[2024,11]]}}}