Guideline: Neurorehabilitation in patients with disorder of consciousness. Recommendations from the Spanish Society of Neurorehabilitation
Introduction: Clinical practice guidelines in neurorehabilitation for adults with disorders of consciousness by the Spanish Neurorehabilitation Society. This document is based on a review of international clinical practice guidelines published between 2015 and 2022. Method: A total of 7 articles, co...
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Elsevier España
2025-01-01
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| author | E. Noé M.D. Navarro B. Moliner M. O’Valle J. Olaya A. Maza R. Llorens J. Ferri R. Rodríguez T. Pérez M. Bernabéu C. Colomer A. Gómez C. González A. Juárez-Belaúnde C. López S. Laxe R. Pelayo M. Ríos I. Quemada Enrique Noé Sebastián María Dolores Navarro Pérez Belén Moliner Muñoz Myrtha O’Valle Rodríguez José Olaya Sanchez Roberto Llorens Rodríguez Anny Maza Pino Joan Ferri Campos Rubén Rodríguez Duarte Teresa Pérez Nieves Montserrat Bernabeu Carolina Colomer Font Antonio Gómez Blanco Carlos González Alted Alan Juárez Belaúnde Cristina López Pascua Sara Laxe García Raúl Pelayo Vergara Marcos Ríos Lago Ignacio Quemada |
| author_facet | E. Noé M.D. Navarro B. Moliner M. O’Valle J. Olaya A. Maza R. Llorens J. Ferri R. Rodríguez T. Pérez M. Bernabéu C. Colomer A. Gómez C. González A. Juárez-Belaúnde C. López S. Laxe R. Pelayo M. Ríos I. Quemada Enrique Noé Sebastián María Dolores Navarro Pérez Belén Moliner Muñoz Myrtha O’Valle Rodríguez José Olaya Sanchez Roberto Llorens Rodríguez Anny Maza Pino Joan Ferri Campos Rubén Rodríguez Duarte Teresa Pérez Nieves Montserrat Bernabeu Carolina Colomer Font Antonio Gómez Blanco Carlos González Alted Alan Juárez Belaúnde Cristina López Pascua Sara Laxe García Raúl Pelayo Vergara Marcos Ríos Lago Ignacio Quemada |
| author_sort | E. Noé |
| collection | DOAJ |
| description | Introduction: Clinical practice guidelines in neurorehabilitation for adults with disorders of consciousness by the Spanish Neurorehabilitation Society. This document is based on a review of international clinical practice guidelines published between 2015 and 2022. Method: A total of 7 articles, corresponding to 5 clinical practice guidelines published between 2015 and 2022, were selected by the group of authors from a pool of 48 bibliographic references extracted from various databases in accordance with predefined search criteria. Following this review, forty recommendations were formulated and subjected to evaluation by an expert committee using a 9-point Likert scale: 1–3 (inappropriate recommendation), 4–6 (uncertain recommendation), and 7–9 (appropriate recommendation), following the methodology of the “Modified Nominal Group Technique.” Any recommendation endorsed by at least 75% of the experts as “appropriate” (with a score of 7–9) was considered accepted. Conclusions: This document presents 40 recommendations categorised according to the level of evidence provided by the reviewed studies. These recommendations represent a consensus among experts and pertain to various aspects related to: 1) clinical assessment, 2) complementary diagnostic tests, 3) prognosis, and 4) treatment in this specific population. Resumen: Introducción: Guía para la práctica clínica en neurorrehabilitación de personas adultas en estado alterado de la consciencia (EAC) de la Sociedad Española de Neurorrehabilitación. Documento basado en la revisión de guías de práctica clínica internacionales publicadas entre 2015–2022. Método: Un total de 7 artículos correspondientes a 5 guías de práctica clínica publicadas entre 2015–2022, fueron seleccionadas por el grupo de autores de un total de 48 referencias bibliográficas extraídas de diferentes bases de datos de acuerdo a los criterios de búsqueda. En base a dicha revisión se establecieron cuarenta recomendaciones sometidas a evaluación por un comité de expertos que evaluaron cada recomendación con una escala de 9 puntos de tipo Likert: 1–3 (recomendación inapropiada), 4–6 (recomendación incierta) y 7–9 (recomendación apropiada), de acuerdo a la metodología del Modified Nominal Group Technique. Toda recomendación, valorada por al menos un 75% de los expertos como «apropiada» (puntuación: 7–9) se consideró como aceptada. Conclusiones: Se establecen 40 recomendaciones según el nivel de evidencia que ofrecen los estudios revisados referentes a aspectos consensuados entre expertos dirigidos a definir aspectos relacionados con la: 1) evaluación clínica, 2) pruebas complementarias, 3) pronóstico y 4) tratamiento, en esta población. |
| format | Article |
| id | doaj-art-898b688da0b346fc8962addb275910db |
| institution | Kabale University |
| issn | 2173-5808 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier España |
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| series | Neurología (English Edition) |
| spelling | doaj-art-898b688da0b346fc8962addb275910db2025-01-26T05:03:47ZengElsevier EspañaNeurología (English Edition)2173-58082025-01-0140192117Guideline: Neurorehabilitation in patients with disorder of consciousness. Recommendations from the Spanish Society of NeurorehabilitationE. Noé0M.D. Navarro1B. Moliner2M. O’Valle3J. Olaya4A. Maza5R. Llorens6J. Ferri7R. Rodríguez8T. Pérez9M. Bernabéu10C. Colomer11A. Gómez12C. González13A. Juárez-Belaúnde14C. López15S. Laxe16R. Pelayo17M. Ríos18I. Quemada19Enrique Noé Sebastián20María Dolores Navarro Pérez21Belén Moliner Muñoz22Myrtha O’Valle Rodríguez23José Olaya Sanchez24Roberto Llorens Rodríguez25Anny Maza Pino26Joan Ferri Campos27Rubén Rodríguez Duarte28Teresa Pérez Nieves29Montserrat Bernabeu30Carolina Colomer Font31Antonio Gómez Blanco32Carlos González Alted33Alan Juárez Belaúnde34Cristina López Pascua35Sara Laxe García36Raúl Pelayo Vergara37Marcos Ríos Lago38Ignacio Quemada39IRENEA-Instituto de Rehabilitación Neurológica, Hospital Vithas Virgen del Consuelo, Valencia, Spain; Corresponding author.IRENEA-Instituto de Rehabilitación Neurológica, Fundación Hospitales Vithas, Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica, Fundación Hospitales Vithas, Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica, Fundación Hospitales Vithas, Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica, Fundación Hospitales Vithas, Valencia, SpainNeurorehabilitation and Brain Research Group, Instituto Universitario de Investigación en Tecnología Centrada en el Ser Humano, Universitat Politècnica de València, Valencia, SpainNeurorehabilitation and Brain Research Group, Instituto Universitario de Investigación en Tecnología Centrada en el Ser Humano, Universitat Politècnica de València, Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica, Fundación Hospitales Vithas, Valencia, SpainInstituto Charbel, Jerez, SpainClínica San Vicente, Madrid, SpainInstitut Guttmann, Barcelona, SpainIRENEA-Instituto de Rehabilitación Neurológica, Fundación Hospitales Vithas, Valencia, SpainCentro Estatal de Atención al Daño Cerebral-CEADAC, Madrid, SpainCentro Estatal de Atención al Daño Cerebral-CEADAC, Madrid, SpainHospital Fundación Instituto San José, Madrid, SpainCentro Lescer, Madrid, SpainHospital Clínic de Barcelona, Barcelona, SpainInstitut Guttmann, Barcelona, SpainHermanas Hospitalarias, Madrid, SpainRed Menni de Daño Cerebral, Bilbao, SpainIRENEA-Instituto de Rehabilitación Neurológica. Fundación Hospitales Vithas. Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica. Fundación Hospitales Vithas. Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica. Fundación Hospitales Vithas. Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica. Fundación Hospitales Vithas. Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica. Fundación Hospitales Vithas. Valencia, SpainNeurorehabilitation and Brain Research Group, Instituto Universitario de Investigación en Tecnología Centrada en el Ser Humano, Universitat Politècnica de València. Valencia, SpainNeurorehabilitation and Brain Research Group, Instituto Universitario de Investigación en Tecnología Centrada en el Ser Humano, Universitat Politècnica de València. Valencia, SpainIRENEA-Instituto de Rehabilitación Neurológica. Fundación Hospitales Vithas. Valencia, SpainInstituto Charbel. Jerez de la Frontera, Cádiz, SpainClínica San Vicente. Madrid, SpainInstitut Guttmann. Barcelona, SpainIRENEA-Instituto de Rehabilitación Neurológica. Fundación Hospitales Vithas. Valencia, SpainCentro Estatal de Atención al Daño Cerebral-CEADAC. Madrid, SpainCentro Estatal de Atención al Daño Cerebral-CEADAC. Madrid, SpainHospital Fundación Instituto San José. Madrid, SpainCentro Lescer. Madrid, SpainHospital Clínic de Barcelona. Barcelona, SpainInstitut Guttmann. Barcelona, SpainHermanas Hospitalarias. Madrid, SpainRed Menni de Daño Cerebral. Bilbao, SpainIntroduction: Clinical practice guidelines in neurorehabilitation for adults with disorders of consciousness by the Spanish Neurorehabilitation Society. This document is based on a review of international clinical practice guidelines published between 2015 and 2022. Method: A total of 7 articles, corresponding to 5 clinical practice guidelines published between 2015 and 2022, were selected by the group of authors from a pool of 48 bibliographic references extracted from various databases in accordance with predefined search criteria. Following this review, forty recommendations were formulated and subjected to evaluation by an expert committee using a 9-point Likert scale: 1–3 (inappropriate recommendation), 4–6 (uncertain recommendation), and 7–9 (appropriate recommendation), following the methodology of the “Modified Nominal Group Technique.” Any recommendation endorsed by at least 75% of the experts as “appropriate” (with a score of 7–9) was considered accepted. Conclusions: This document presents 40 recommendations categorised according to the level of evidence provided by the reviewed studies. These recommendations represent a consensus among experts and pertain to various aspects related to: 1) clinical assessment, 2) complementary diagnostic tests, 3) prognosis, and 4) treatment in this specific population. Resumen: Introducción: Guía para la práctica clínica en neurorrehabilitación de personas adultas en estado alterado de la consciencia (EAC) de la Sociedad Española de Neurorrehabilitación. Documento basado en la revisión de guías de práctica clínica internacionales publicadas entre 2015–2022. Método: Un total de 7 artículos correspondientes a 5 guías de práctica clínica publicadas entre 2015–2022, fueron seleccionadas por el grupo de autores de un total de 48 referencias bibliográficas extraídas de diferentes bases de datos de acuerdo a los criterios de búsqueda. En base a dicha revisión se establecieron cuarenta recomendaciones sometidas a evaluación por un comité de expertos que evaluaron cada recomendación con una escala de 9 puntos de tipo Likert: 1–3 (recomendación inapropiada), 4–6 (recomendación incierta) y 7–9 (recomendación apropiada), de acuerdo a la metodología del Modified Nominal Group Technique. Toda recomendación, valorada por al menos un 75% de los expertos como «apropiada» (puntuación: 7–9) se consideró como aceptada. Conclusiones: Se establecen 40 recomendaciones según el nivel de evidencia que ofrecen los estudios revisados referentes a aspectos consensuados entre expertos dirigidos a definir aspectos relacionados con la: 1) evaluación clínica, 2) pruebas complementarias, 3) pronóstico y 4) tratamiento, en esta población.http://www.sciencedirect.com/science/article/pii/S2173580825000021NeurorrehabilitaciónDaño cerebral adquiridoEstados alterados de la conscienciaEstado de mínima conscienciaEstado vegetativoEstado de vigilia sin respuesta |
| spellingShingle | E. Noé M.D. Navarro B. Moliner M. O’Valle J. Olaya A. Maza R. Llorens J. Ferri R. Rodríguez T. Pérez M. Bernabéu C. Colomer A. Gómez C. González A. Juárez-Belaúnde C. López S. Laxe R. Pelayo M. Ríos I. Quemada Enrique Noé Sebastián María Dolores Navarro Pérez Belén Moliner Muñoz Myrtha O’Valle Rodríguez José Olaya Sanchez Roberto Llorens Rodríguez Anny Maza Pino Joan Ferri Campos Rubén Rodríguez Duarte Teresa Pérez Nieves Montserrat Bernabeu Carolina Colomer Font Antonio Gómez Blanco Carlos González Alted Alan Juárez Belaúnde Cristina López Pascua Sara Laxe García Raúl Pelayo Vergara Marcos Ríos Lago Ignacio Quemada Guideline: Neurorehabilitation in patients with disorder of consciousness. Recommendations from the Spanish Society of Neurorehabilitation Neurología (English Edition) Neurorrehabilitación Daño cerebral adquirido Estados alterados de la consciencia Estado de mínima consciencia Estado vegetativo Estado de vigilia sin respuesta |
| title | Guideline: Neurorehabilitation in patients with disorder of consciousness. Recommendations from the Spanish Society of Neurorehabilitation |
| title_full | Guideline: Neurorehabilitation in patients with disorder of consciousness. Recommendations from the Spanish Society of Neurorehabilitation |
| title_fullStr | Guideline: Neurorehabilitation in patients with disorder of consciousness. Recommendations from the Spanish Society of Neurorehabilitation |
| title_full_unstemmed | Guideline: Neurorehabilitation in patients with disorder of consciousness. Recommendations from the Spanish Society of Neurorehabilitation |
| title_short | Guideline: Neurorehabilitation in patients with disorder of consciousness. Recommendations from the Spanish Society of Neurorehabilitation |
| title_sort | guideline neurorehabilitation in patients with disorder of consciousness recommendations from the spanish society of neurorehabilitation |
| topic | Neurorrehabilitación Daño cerebral adquirido Estados alterados de la consciencia Estado de mínima consciencia Estado vegetativo Estado de vigilia sin respuesta |
| url | http://www.sciencedirect.com/science/article/pii/S2173580825000021 |
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