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The importance of instrumental assessment in disorders of consciousness: a comparison between American, European, and UK International recommendations

The use of instrumental tools for improving both the diagnostic accuracy and the prognostic soundness in patients with disorders of consciousness (DOC) plays an important role. However, the most recent international guidelines on DOC published by the American and the European Academies of Neurology...

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Autores principales: Magnani, F. G., Barbadoro, F., Cacciatore, M., Leonardi, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367125/
https://www.ncbi.nlm.nih.gov/pubmed/35948933
http://dx.doi.org/10.1186/s13054-022-04119-5
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author Magnani, F. G.
Barbadoro, F.
Cacciatore, M.
Leonardi, M.
author_facet Magnani, F. G.
Barbadoro, F.
Cacciatore, M.
Leonardi, M.
author_sort Magnani, F. G.
collection PubMed
description The use of instrumental tools for improving both the diagnostic accuracy and the prognostic soundness in patients with disorders of consciousness (DOC) plays an important role. However, the most recent international guidelines on DOC published by the American and the European Academies of Neurology and by the UK Royal College of Physicians contain heterogeneous recommendations on the implementation of these techniques in the clinical routine for both diagnosis and prognosis. With the present work, starting from the comparison of the DOC guidelines’ recommendations, we look for possible explanations behind such discrepancies considering the adopted methodologies and the reference health systems that could have affected the guidelines’ perspectives. We made a provocative argument about the need to find the most appropriate common methodology to retrieve and grade the evidence, increase the meta-analytic studies, and reduce the health policies that influence on the guidelines development that, in turn, should inform the health policies with the strongest scientific evidence. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13054-022-04119-5.
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spelling pubmed-93671252022-08-12 The importance of instrumental assessment in disorders of consciousness: a comparison between American, European, and UK International recommendations Magnani, F. G. Barbadoro, F. Cacciatore, M. Leonardi, M. Crit Care Perspective The use of instrumental tools for improving both the diagnostic accuracy and the prognostic soundness in patients with disorders of consciousness (DOC) plays an important role. However, the most recent international guidelines on DOC published by the American and the European Academies of Neurology and by the UK Royal College of Physicians contain heterogeneous recommendations on the implementation of these techniques in the clinical routine for both diagnosis and prognosis. With the present work, starting from the comparison of the DOC guidelines’ recommendations, we look for possible explanations behind such discrepancies considering the adopted methodologies and the reference health systems that could have affected the guidelines’ perspectives. We made a provocative argument about the need to find the most appropriate common methodology to retrieve and grade the evidence, increase the meta-analytic studies, and reduce the health policies that influence on the guidelines development that, in turn, should inform the health policies with the strongest scientific evidence. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13054-022-04119-5. BioMed Central 2022-08-10 /pmc/articles/PMC9367125/ /pubmed/35948933 http://dx.doi.org/10.1186/s13054-022-04119-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Perspective
Magnani, F. G.
Barbadoro, F.
Cacciatore, M.
Leonardi, M.
The importance of instrumental assessment in disorders of consciousness: a comparison between American, European, and UK International recommendations
title The importance of instrumental assessment in disorders of consciousness: a comparison between American, European, and UK International recommendations
title_full The importance of instrumental assessment in disorders of consciousness: a comparison between American, European, and UK International recommendations
title_fullStr The importance of instrumental assessment in disorders of consciousness: a comparison between American, European, and UK International recommendations
title_full_unstemmed The importance of instrumental assessment in disorders of consciousness: a comparison between American, European, and UK International recommendations
title_short The importance of instrumental assessment in disorders of consciousness: a comparison between American, European, and UK International recommendations
title_sort importance of instrumental assessment in disorders of consciousness: a comparison between american, european, and uk international recommendations
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367125/
https://www.ncbi.nlm.nih.gov/pubmed/35948933
http://dx.doi.org/10.1186/s13054-022-04119-5
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