biostudies-literatureUnknown9(2)Hermann B« Amicale des Anciens Internes des Hôpitaux de Paris &amp; Syndicat des Chefs de Cliniques et Assistants des Hôpitaux de Paris »Sorbonne UniversitéPhilippe FoundationAssistance Publique - Hôpitaux de ParisInstitut National de la Santé et de la Recherche MédicaleInvestissements d’avenirJames S. McDonnell FoundationAcadémie des Sciences- Lamonica Prize<h4>Objectives</h4>The clinical distinction between vegetative state/unresponsive wakefulness syndrome (UWS) and minimally conscious state (MCS) is a key step to elaborate a prognosis and formulate an appropriate medical plan for any patient suffering from disorders of consciousness (DoC). However, this assessment is often challenging and may require specialised expertise. In this study, we hypothesised that pooling subjective reports of the level of consciousness of a given patient across several nursing staff members can be used to clinically detect MCS.<h4>Setting and participants</h4>Patients referred to consciousness assessment were prospectively screened. MCS (target condition) was defined according to the best Coma Recovery Scale-Revised score (CRS-R) obtained from expert physiciansBMJ opene026211https://www.ebi.ac.uk/biostudies/studies/S-EPMC6410088biostudies-literatureWisdom of the caregivers: pooling individual subjective reports to diagnose states of consciousness in brain-injured patients, a monocentric prospective study.PMC6410088Bah FFanhan FGoudard GSaintini SAouni BTcha KHermann BLucas BBourmaleau JCoelho SPorcher RSeidel MDespois LHarchaoui NYanganju KJanvier CPepin FStender JEltebert CMaillard SNaccache LFaugeras FVerbaux LEngemann DPitié-Salpétrière hospital Neuro-ICUBriand SRaimondo FFrammezelle CSully YFournier PHarmancij MValente MChordi CGrinea ASitt JDFlament AColmar MCFontano MSDemertzi AEspiand HBolgert FCherruault FYata Azzi FARoselmac MOuarghi ADalibard MWeiss NPerez PLabat SDemeret SCamuzat ARichard-Gilis LKebli JRohaut BCottin VAbitbol JProneur EMaes VCourcoux KJacqueminet CLouis-joseph KPetit MMaurel RClaassen JDumarey EPicot ICoulibaly BLemoal AfalseWisdom of the caregivers: pooling individual subjective reports to diagnose states of consciousness in brain-injured patients, a monocentric prospective study.<h4>Objectives</h4>The clinical distinction between vegetative state/unresponsive wakefulness syndrome (UWS) and minimally conscious state (MCS) is a key step to elaborate a prognosis and formulate an appropriate medical plan for any patient suffering from disorders of consciousness (DoC). However, this assessment is often challenging and may require specialised expertise. In this study, we hypothesised that pooling subjective reports of the level of consciousness of a given patient across several nursing staff members can be used to clinically detect MCS.<h4>Setting and participants</h4>Patients referred to consciousness assessment were prospectively screened. MCS (target condition) was defined according to the best Coma Recovery Scale-Revised score (CRS-R) obtained from expert physicians2019-01-01T00:00:00Z2019 Feb2026-05-01T03:40:17.92Z2019-06-06T20:58:48ZS-EPMC64100883079223410.1136/bmjopen-2018-026211