Outcomes of a Transdisciplinary Rehabilitation Program for Patients with Consciousness Disorders (2006-2022, Argentina)
Introduction: After suffering brain damage with altered consciousness, clinically stable patients are referred to rehabilitation programs. The objective of this study is to describe the results of a transdisciplinary multisensory stimulation program in adults with altered consciousness admitted to a...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2025
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/42871 |
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I10-R327-article-42871 |
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ojs |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
consciousness disorders coma recovery scale-revise unresponsive wakefulness syndrome minimally conscious state rehabilitation trastornos de la conciencia estado vegetativo persistente lesiones encefálicas resultado del tratamiento consciência alterada escala de recuperação de coma revisada síndrome de vigília sem resposta estado minimamente consciente reabilitação |
| spellingShingle |
consciousness disorders coma recovery scale-revise unresponsive wakefulness syndrome minimally conscious state rehabilitation trastornos de la conciencia estado vegetativo persistente lesiones encefálicas resultado del tratamiento consciência alterada escala de recuperação de coma revisada síndrome de vigília sem resposta estado minimamente consciente reabilitação Rivas, Maria Elisa Ron, Melania Salierno, Fernando Martín Broggi, María Soledad Bonamico, Lucas Outcomes of a Transdisciplinary Rehabilitation Program for Patients with Consciousness Disorders (2006-2022, Argentina) |
| topic_facet |
consciousness disorders coma recovery scale-revise unresponsive wakefulness syndrome minimally conscious state rehabilitation trastornos de la conciencia estado vegetativo persistente lesiones encefálicas resultado del tratamiento consciência alterada escala de recuperação de coma revisada síndrome de vigília sem resposta estado minimamente consciente reabilitação |
| author |
Rivas, Maria Elisa Ron, Melania Salierno, Fernando Martín Broggi, María Soledad Bonamico, Lucas |
| author_facet |
Rivas, Maria Elisa Ron, Melania Salierno, Fernando Martín Broggi, María Soledad Bonamico, Lucas |
| author_sort |
Rivas, Maria Elisa |
| title |
Outcomes of a Transdisciplinary Rehabilitation Program for Patients with Consciousness Disorders (2006-2022, Argentina) |
| title_short |
Outcomes of a Transdisciplinary Rehabilitation Program for Patients with Consciousness Disorders (2006-2022, Argentina) |
| title_full |
Outcomes of a Transdisciplinary Rehabilitation Program for Patients with Consciousness Disorders (2006-2022, Argentina) |
| title_fullStr |
Outcomes of a Transdisciplinary Rehabilitation Program for Patients with Consciousness Disorders (2006-2022, Argentina) |
| title_full_unstemmed |
Outcomes of a Transdisciplinary Rehabilitation Program for Patients with Consciousness Disorders (2006-2022, Argentina) |
| title_sort |
outcomes of a transdisciplinary rehabilitation program for patients with consciousness disorders (2006-2022, argentina) |
| description |
Introduction: After suffering brain damage with altered consciousness, clinically stable patients are referred to rehabilitation programs. The objective of this study is to describe the results of a transdisciplinary multisensory stimulation program in adults with altered consciousness admitted to a rehabilitation center in Argentina between 2006 and 2022.
Methodology: A retrospective case series study was conducted that included 178 patients who completed the multisensory stimulation program. Consciousness was assessed with the Coma Recovery Scale – Revised (CRS-R), functional outcome with the Functional Independence Measure (FIM), and disability with the Disability Rating Scale (DRS).
Results: The majority of patients (68%) were men with a diagnosis of unresponsive wakefulness syndrome (RSVS). The median time of injury to admission was 77 days, and the average length of stay was 127 days. The median CRS-R at admission was 6 and 10 at discharge (p = 0.01). The highest percentage (61.8%) of emergence was in traumatic injuries. Patients who emerged showed a significant functional improvement, with a median FIM = 44 and DRS = 11. The stay was significantly shorter in those who emerged (70 vs. 163 days; p = 0.001).
Conclusion: These results highlight the benefit of a transdisciplinary multisensory stimulation program to improve diagnostic evaluation and promote recovery of consciousness in patients with severe brain injury. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2025 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/42871 |
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I10-R327-article-428712025-04-03T16:52:44Z Outcomes of a Transdisciplinary Rehabilitation Program for Patients with Consciousness Disorders (2006-2022, Argentina) Resultados de un Programa de Rehabilitación Transdisciplinario para Pacientes con Alteración de la Conciencia (2006-2022, Argentina) Resultados de um programa de reabilitação transdisciplinar para pacientes com alteração de consciência (2006-2022, Argentina) Rivas, Maria Elisa Ron, Melania Salierno, Fernando Martín Broggi, María Soledad Bonamico, Lucas consciousness disorders coma recovery scale-revise unresponsive wakefulness syndrome minimally conscious state rehabilitation trastornos de la conciencia estado vegetativo persistente lesiones encefálicas resultado del tratamiento consciência alterada escala de recuperação de coma revisada síndrome de vigília sem resposta estado minimamente consciente reabilitação Introduction: After suffering brain damage with altered consciousness, clinically stable patients are referred to rehabilitation programs. The objective of this study is to describe the results of a transdisciplinary multisensory stimulation program in adults with altered consciousness admitted to a rehabilitation center in Argentina between 2006 and 2022. Methodology: A retrospective case series study was conducted that included 178 patients who completed the multisensory stimulation program. Consciousness was assessed with the Coma Recovery Scale – Revised (CRS-R), functional outcome with the Functional Independence Measure (FIM), and disability with the Disability Rating Scale (DRS). Results: The majority of patients (68%) were men with a diagnosis of unresponsive wakefulness syndrome (RSVS). The median time of injury to admission was 77 days, and the average length of stay was 127 days. The median CRS-R at admission was 6 and 10 at discharge (p = 0.01). The highest percentage (61.8%) of emergence was in traumatic injuries. Patients who emerged showed a significant functional improvement, with a median FIM = 44 and DRS = 11. The stay was significantly shorter in those who emerged (70 vs. 163 days; p = 0.001). Conclusion: These results highlight the benefit of a transdisciplinary multisensory stimulation program to improve diagnostic evaluation and promote recovery of consciousness in patients with severe brain injury. Introducción: Después de sufrir daño cerebral con alteración de la conciencia, los pacientes estables clínicamente se derivan a programas de rehabilitación. El objetivo de este estudio es describir los resultados de un programa de estimulación multisensorial transdisciplinario en adultos con alteración de la conciencia admitidos en un centro de rehabilitación en Argentina entre 2006 y 2022. Metodología: Se realizó un estudio de serie de casos retrospectiva que incluyó a 178 pacientes que completaron el programa de estimulación multisensorial. Se evaluó el estado de conciencia con la Escala de Recuperación del Coma - Revisada (CRS-R), el resultado funcional con la Medida de Independencia Funcional (FIM) y la discapacidad con la Escala de Calificación de Discapacidad (DRS). Resultados: La mayoría de los pacientes (68%) eran hombres con un diagnóstico de síndrome de vigilia sin respuesta (SVSR). La mediana de tiempo de evolución al ingreso fue de 77 días, y la estadía promedio fue de 127 días. La mediana de la CRS-R al ingreso fue de 6 y de 10 al alta, (p = 0,01). El mayor porcentaje (61,8%) de emergencia fue en lesiones traumáticas. Los pacientes que emergieron, mostraron una mejora funcional significativa, con una mediana de FIM = 44 y de DRS = 11. La estadía fue significativamente más corta en aquellos que emergieron (70 vs. 163 días; p = 0,001). Conclusión: estos resultados destacan el beneficio de un programa de estimulación multisensorial transdisciplinario para mejorar la evaluación diagnóstica y promover la recuperación de la conciencia en pacientes con lesión cerebral grave. Introdução: Após sofrerem lesão cerebral com alteração de consciência, pacientes clinicamente estáveis são encaminhados para programas de reabilitação. O objetivo deste estudo é descrever os resultados de um programa transdisciplinar de estimulação multissensorial em adultos com alteração de consciência internados em um centro de reabilitação na Argentina entre 2006 e 2022. Metodologia: Foi realizado um estudo retrospectivo de série de casos que incluiu 178 pacientes que completaram o programa de estimulação multissensorial. A consciência foi avaliada com a Escala de Recuperação de Coma – Revisada (CRS-R), o resultado funcional com a Medida de Independência Funcional (MIF) e a incapacidade com a Escala de Avaliação de Incapacidade (DRS). Resultados: A maioria dos pacientes (68%) eram homens com diagnóstico de síndrome da vigília sem resposta (RSVS). A mediana do tempo de evolução até a admissão foi de 77 dias e a média de permanência foi de 127 dias. A mediana do CRS-R na admissão foi 6 e 10 na alta (p = 0,01). O maior percentual (61,8%) de emergências foi em lesões traumáticas. Os pacientes que emergiram apresentaram melhora funcional significativa, com mediana de MIF = 44 e DRS = 11. A permanência foi significativamente menor naqueles que emergiram (70 vs. 163 dias; p = 0,001). Conclusão: Estes resultados destacam o benefício de um programa de estimulação multissensorial transdisciplinar para melhorar a avaliação diagnóstica e promover a recuperação da consciência em pacientes com lesão cerebral grave. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42871 10.31053/1853.0605.v82.n1.42871 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 82 No. 1 (2025); 6-21 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 82 Núm. 1 (2025); 6-21 Revista da Faculdade de Ciências Médicas de Córdoba; v. 82 n. 1 (2025); 6-21 1853-0605 0014-6722 10.31053/1853.0605.v82.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/42871/48527 https://revistas.unc.edu.ar/index.php/med/article/view/42871/48592 Derechos de autor 2025 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |