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SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

Published on: February 6, 2021

Vegetative state outcomes improved over the last two decades.

Elena Aidinoff^1,2, Zeev Groswasser^1,2, Uri Bierman¹

¹a Loewenstein Rehabilitation Hospital , Raanana , Israel.

|December 22, 2017

Summary

Survival and consciousness recovery rates improved for patients in a vegetative state (VS) over two decades. Traumatic brain injury (TBI) and non-traumatic brain injury (NTBI) patients showed similar outcomes, suggesting advances in intensive care and rehabilitation.

Keywords:

Unawareness brain injury disorders of consciousness

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Area of Science:

Neuroscience
Intensive Care Medicine
Rehabilitation Medicine

Background:

Prolonged unawareness, often following brain injury, presents significant challenges in patient outcomes.
Vegetative state (VS) requires specialized intensive care and consciousness rehabilitation (ICCR) for potential recovery.

Purpose of the Study:

To investigate long-term outcomes in patients with prolonged vegetative states.
To identify factors influencing survival and consciousness recovery in VS patients.

Main Methods:

Retrospective analysis of 154 traumatic brain injury (TBI) and 52 non-traumatic brain injury (NTBI) patients.
Inclusion criteria: VS lasting over 1 month, admission for ICCR.

Main Results:

Overall survival rate was 67%, significantly higher than in previous studies.
Consciousness recovery rate was 54%, with higher rates in NTBI VS patients.
Factors affecting survival included age, length of stay in ICCR, and hydrocephalus.
Younger age, absence of hydrocephalus, and anti-Parkinsonian medication improved consciousness recovery.

Conclusions:

Significant improvements in survival and consciousness recovery for VS patients over two decades.
Outcomes for TBI and NTBI VS patients are comparable.
Advances in acute medical care and ICCR have positively impacted VS patient care.