The sensory modality assessment and rehabilitation technique (SMART): a valid and reliable assessment for vegetative state and minimally conscious state patients
The sensory modality assessment and rehabilitation technique (SMART): a valid and reliable assessment for vegetative state and minimally conscious state patients
复制标题
DOI：
10.1080/02699050410001719952
复制
发表时间：
2004-12-01
期刊：
影响因子：
1.9
通讯作者：
Munday, R
中科院分区：
文献类型：
--
作者：
Gill-Thwaites, H;Munday, R
主要目标：为了建立的可靠性和有效性的感觉形态评估和康复技术（SMART）作为一种工具，用于区分意识的患者与深刻的brain damage.Research design：A comparative prospective study was carried.Method and procedures：60例被诊断为植物人状态（VS）入院时进行了评估，在2个月的时间间隔。Rancho等级来自转诊医生，SMART和西方神经感觉刺激配置文件（WNSSP）scores.Main结局和结果：观察者内类内相关性（ICC）为0.97，观察者间ICC为0.96，这意味着观察者内和观察者之间的评分变化很小。SMART与医生或WNSSP评分之间存在适度但显著的相关性。WNSSP与SMART之间的相关性（r = 0.70）高于WNSSP与医生评分之间的相关性（r = 0.451）和SMART与医生评分之间的相关性（r = 0.474）。结论：SMART是鉴别VS和最小意识状态（MCS）的有效和可靠的评估方法。
Primary objective: To establish the reliability and validity of the Sensory Modality Assessment and Rehabilitation Technique (SMART) as a tool for discriminating awareness in patients with profound brain damage.Research design: A comparative prospective study was conducted.Method and procedures: Sixty subjects diagnosed in vegetative state (VS) on admission were assessed at 2-monthly intervals. Rancho level ratings derived from referring physicians, SMART and Western Neuro Sensory Stimulation Profile (WNSSP) scores were compared.Main outcomes and results: The intra-observer intra class correlation (ICC) was 0.97 and inter-observer ICC was 0.96, implying very little within and between observer scoring variations. A modest, although significant correlation was established between SMART and either physician or WNSSP scores. However, the correlation between the WNSSP and SMART was higher (r = 0.70) than that between WNSSP and physicians scores (r = 0.451) or between SMART and physicians (r = 0.474).Conclusion: SMART is a valid and reliable assessment for discriminating awareness in VS and Minimally Conscious State (MCS).