{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T03:31:21Z","timestamp":1782703881760,"version":"3.54.5"},"reference-count":23,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Disorders of consciousness (DoC) includes coma, vegetative state (VS), minimally conscious state (MCS), and emergence from the MCS. Aneurysmal rupture with high-grade SAH, traumatic brain injury, and neoplastic brain lesions are some of the frequent pathologies leading to DoC. The diagnostic errors among these DoC are as high as ranging from 25% to 45%, with a probable error in the conclusion of patients\u2019 state, treatment choice, end-of-life decision-making, and prognosis. Some studies also reported that 37\u201343% of patients were misdiagnosed in VS while demonstrating signs of awareness. Despite its wide acceptance, Coma Recovery Scale-Revised (CRS-r) remained underused or inappropriately utilized, which may lead to substandard or unprofessional patient care. Literature is rare on the knowledge of CRS-r among physicians published from India and across the globe. Therefore, we carried out the present study to ascertain physicians\u2019 knowledge on CRS-r and raise awareness about its justifiable clinical utilization. We also explored the factors associated with this perceived level of experience among participants and recommend frequent physicians\u2019 training for care of patients with DoC.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>An institution-based cross-sectional online survey was conducted from June 8 to July 7, 2020, among Ninety-six physicians recruited using a convenient sampling technique. Twenty-item, validated, reliable, and a pilot-tested questionnaire was used to assess the knowledge regarding CRS-r and collect socio-demographic variables. The analysis was performed using the Statistical Package for the Social Sciences version 23. Bivariate and multivariate logistic regression analyses were employed to assess the association of participants\u2019 socio-demographic variables and their parent department of work with the knowledge. <jats:italic>P<\/jats:italic> &lt; 0.05 was considered statistically significant in the multivariate analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>A total of Ninety-six participants were included in the analysis, and only 33.3% of them were found to have adequate knowledge of CRS-r. Multivariate analysis revealed that age (adjusted odds ratio [AOR] = 31.66; 95% CI: 6.25\u2013160.36), gender (AOR = 44.16; 95% CI: 7.43\u2013268.23), and parent department of working (AOR = 0.148; 95% CI: 0.06\u20130.39) were significantly associated with the knowledge.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Knowledge of the physicians on CRS-r is found to be exceptionally low. It has a strong tendency to adversely affect patients\u2019 optimal care with disorders of consciousness (DoC). Therefore, it is crucial to expand physicians\u2019 knowledge and awareness regarding CRS-r to adequately screen patients with DoC.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_935_2020","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T09:56:24Z","timestamp":1615197384000},"page":"93","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Coma recovery scale: Key clinical tool ignored enough in disorders of consciousness"],"prefix":"10.25259","volume":"12","author":[{"given":"Jitender","family":"Chaturvedi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiv Kumar","family":"Mudgal","sequence":"additional","affiliation":[{"name":"Department of Nursing, Akal College of Nursing, Eternal University, Baru Sahib, Himachal Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejas","family":"Venkataram","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Neuroanaesthesia, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishant","family":"Goyal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil Kumar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh Kumar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard R.","family":"Bendok","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2021,3,8]]},"reference":[{"key":"10.25259\/SNI_935_2020\/ref-1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.3389\/fneur.2012.00028","article-title":"Physicians\u2019 knowledge 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