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Updated: Jul 10, 2025

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
Prognostication and Trajectories of Recovery in Disorders of Consciousness
Mary E Russell1, Cindy B Ivanhoe2, Eboni A Reed3
1Physical Medicine and Rehabilitation Department, UT McGovern School of Medicine, TIRR Memorial Hermann-The Woodlands, Houston, TX 77030, USA.
Abstract:
Historically, there has been a pessimistic view regarding outcomes for patients with disorders of consciousness (DoC). There is a paucity of clinical diagnostic tools and prognostic protocols. Guidelines for the care of patients with DoC require behavioral observation, time, resources, and knowledge of the population. Many nonclinical factors such as patient wishes, family perception, and personal finances can indirectly influence long-term outcomes. Prognostic expectations need to be considered but we health-care professional cannot fully appreciate the decisions and influence of those decisions on the person served or on the care providers involved.
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