Consideration in clinical management of patients with disorders of consciousness
10.3760/cma.j.cn115354-20250103-00004
- VernacularTitle:意识障碍患者临床管理逻辑的思考
- Author:
Meiqi LI
1
;
Siyu DAI
;
Steven LAUREYS
;
Haibo DI
Author Information
1. 杭州师范大学国际植物状态和意识科学研究所，杭州 310000
- Publication Type:Journal Article
- Keywords:
Disorders of consciousness;
Clinical management;
Ethical decision
- From:
Chinese Journal of Neuromedicine
2025;24(5):443-448
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, survival rate of patients with severe brain injury has been improved with the development of emergency care skills, yet disorders of consciousness (DoC) patients still have poor outcome and need prolonged life support, burdening the families and society. There are still deficiencies in precise diagnosis, individualized treatment and end-of-life decision-making. Based on this, we give the following propositions: promoting multimodal assessment to reduce misdiagnosis; developing individualized plans based on assessment results, stratifying and managing patients at acute or chronic phases, classifying and managing patients with different consciousness levels, improving the legal and ethical framework, scientifically assessing end-of-life decisions, and implementing comprehensive care with multidisciplinary collaboration to enhance DoC patients' quality of life.
