Is the Nociception Coma Scale-Revised a Useful Clinical Tool for Managing Pain in Patients With Disorders of Consciousness?

作者: Camille Chatelle , Marie-Daniele De Val , Antonio Catano , Cristo Chaskis , Pierrette Seeldrayers

DOI: 10.1097/AJP.0000000000000259

关键词:

摘要: OBJECTIVES: Our objective was to assess the clinical interest of Nociception Coma Scale Revised (NCS-R) in pain management patients with disorders consciousness. METHODS: Thirty-nine potential painful conditions (e.g., due fractures, decubitus ulcers or spasticity) were assessed during nursing cares before and after administration an analgesic treatment tailored each patient's status. In addition NCS-R, Glasgow (GCS) used order observe fluctuations Twenty-three them had no prior assessment whereas has been adapted other 16 patients. We performed non-parametric Wilcoxon tests investigate difference NCS-R GCS total scores but also subscores versus treatment. The effect level consciousness etiology using a U Mann Whitney. RESULTS: statistically lower when compared obtained found that motor, verbal facial expression than On hand, we between DISCUSSION: results suggest is interesting tool for management. Besides, this seems useful balance needed reduced preserved Language: en

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