A comparative study on assessment procedures and metric properties of two scoring systems of the Coma Recovery Scale-Revised items: standard and modified scores.
Clin Rehabil
; 31(9): 1226-1237, 2017 Sep.
Article
in En
| MEDLINE
| ID: mdl-28605973
ABSTRACT
OBJECTIVE:
The study compared the metric characteristics (discriminant capacity and factorial structure) of two different methods for scoring the items of the Coma Recovery Scale-Revised and it analysed scale scores collected using the standard assessment procedure and a new proposed method.DESIGN:
Cross sectional design/methodological study.SETTING:
Inpatient, neurological unit.PARTICIPANTS:
A total of 153 patients with disorders of consciousness were consecutively enrolled between 2011 and 2013. INTERVENTION All patients were assessed with the Coma Recovery Scale-Revised using standard (rater 1) and inverted (rater 2) procedures. MAIN OUTCOMEMEASURES:
Coma Recovery Scale-Revised score, number of cognitive and reflex behaviours and diagnosis.RESULTS:
Regarding patient assessment, rater 1 using standard and rater 2 using inverted procedures obtained the same best scores for each subscale of the Coma Recovery Scale-Revised for all patients, so no clinical (and statistical) difference was found between the two procedures. In 11 patients (7.7%), rater 2 noted that some Coma Recovery Scale-Revised codified behavioural responses were not found during assessment, although higher response categories were present. A total of 51 (36%) patients presented the same Coma Recovery Scale-Revised scores of 7 or 8 using a standard score, whereas no overlap was found using the modified score. Unidimensionality was confirmed for both score systems.CONCLUSION:
The Coma Recovery Scale Modified Score showed a higher discriminant capacity than the standard score and a monofactorial structure was also supported. The inverted assessment procedure could be a useful evaluation method for the assessment of patients with disorder of consciousness diagnosis.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Injury Severity Score
/
Coma
/
Recovery of Function
Type of study:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Year:
2017
Type:
Article