Clinical application of Chinese Nanjing persistent vegetative state scale.
10.1097/CM9.0000000000000806
- Author:
Pei-Dong WANG
1
;
Li GAO
2
;
Hai-Bo DI
3
;
Jing-Qi LI
4
;
Ying-Ying NI
5
;
De-Sheng WANG
6
;
Xin-Sheng DING
7
Author Information
1. Brain Resuscitation Research and Treatment Center, Nanjing Zijin Hospital, Nanjing, Jiangsu 210007, China.
2. Department of Neurology, the Third People's Hospital of Chengdu, Chengdu, Sichuan 610031, China.
3. Research Institute on Consciousness Disturbance, Hangzhou Normal University, Hangzhou, Zhejiang 311121, China.
4. Department of Rehabilitation, Armed Police Hospital of Hangzhou, Hangzhou, Zhejiang 310051, China.
5. Department of Neurological Rehabilitation, Guangdong 999 Brain Hospital, Guangzhou, Guangdong 510510, China.
6. Department of Neurological Rehabilitation, Heilongjiang Convalescent Hospital, Haerbin, Heilongjiang 150018, China.
7. The 1st Affiliated Hospital and Affiliated Sir Run Run Hospital, Nanjing Medical University, Nanjing, Jiangsu 210029, China.
- Publication Type:Journal Article
- From:
Chinese Medical Journal
2020;133(12):1404-1408
- CountryChina
- Language:English
-
Abstract:
BACKGROUND:It is a challenge to characterize the consciousness level of patients with severe disturbance of consciousness and predict their prognosis effectively for Chinese doctors. We aimed to investigate the psychometric property and the diagnostic practicality of severe disturbance of consciousness by Chinese Nanjing persistent vegetative state scale (CNPVSS) which was first set up in 1996 and modified in 2001 and 2011.
METHODS:The concurrent validity, inter-rater consistency and diagnostic accuracy of CNPVSS and Chinese version of coma recovery scale-revised (CRS-R) were investigated by assessment of 380 patients with severe disorders of consciousness.
RESULTS:Total scores of the CNPVSS were correlated significantly with that of the CRS-R, indicating acceptable concurrent validity. Sub-scale analysis showed moderate to high inter-rater reliability and test-retest reliability. CNPVSS was superior to CRS-R on the diagnosis sensitivity. The CNPVSS was able to distinguish 65 patients in emergence from minimal consciousness state who were misclassified as in minimal consciousness state (MCS) by the CRS-R, and it could also distinguish two patients in MCS who were misclassified as in vegetative state by the CRS-R.
CONCLUSION:The CNPVSS is an appropriate measurement and is sensitive to distinguish the MCS patients from the VS patients.
