
Clinical Decision Making in Severe Brain Injury
Lyn S. Turkstra, MA
Department of Speech and Hearing Sciences University of Arizona Tucson, AZ 85721
Arch Neurol. 1992;49(4):349-350.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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To the Editor.
—The recently published findings of the Traumatic Coma Data Bank1 (TCDB) have significant implications for clinical decision making in severe brain injury, particularly the observations that 52% of patients who were diagnosed as being in a vegetative state (VS) at approximately 1 month after trauma "recovered consciousness" by 1 year and that there were no good predictors of status at 1 or 3 years among this subset of VS patients. These observations have direct implications for the American Academy of Neurology (AAN) Position Statement on persistent VS.2 First, there is a risk of erroneously applying the AAN "1 to 3 months" criterion for diagnosis of persistent VS to traumatically brain-injured patients, simply because no other guidelines are provided in the position statement. How
. . . [Full Text PDF of this Article]
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