Disorders of Consciousness: Outcomes, Comorbidities, and Care Needs

被引：46
作者：
Whyte, John [1 ]
Nakase-Richardson, Risa [2 ,3 ,4 ]
机构：
[1] Moss Rehabil Res Inst, Elkins Pk, PA 19027 USA
[2] James A Haley Vet Hosp, Mental Hlth & Behav Sci Serv, Tampa, FL 33612 USA
[3] Univ S Florida, Dept Psychol, Tampa, FL 33620 USA
[4] Ctr Excellence Maximizing Rehabil Outcomes, Tampa, FL USA
来源：
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2013年 / 94卷 / 10期
关键词：
Brain injuries; Consciousness disorders; Healthcare delivery; Minimally conscious state; Prognosis; Rehabilitation; Systems of care; Vegetative state; VEGETATIVE STATE; REHABILITATION; AWARENESS; RECOVERY;
D O I：
10.1016/j.apmr.2013.07.003
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Over the last decade, research on patients with disorders of consciousness (DOC) has suggested that their prognosis for functional recovery early after injury is surprisingly positive, particularly for those with traumatic etiologies; that meaningful recovery proceeds for longer intervals than previously appreciated; and that such individuals are often medically complex and challenging to manage However, access to intensive specialty rehabilitation is limited for most individuals with DOC in the United States. The evolving understanding of DOC calls for a reconsideration of appropriate models of care. This collection of articles provides insight into the functional recovery of individuals with DOC, new tools for assessing prognosis, and the patterns of comorbidity that complicate the recovery process. In addition, models of care from the United States and Europe that attempt to address the needs of patients as well as their caregivers are presented. (c) 2013 by the American Congress of Rehabilitation Medicine
引用
收藏
页码：1851 / 1854
页数：4
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