Model System:

TBI

Reference Type:

Journal article

Accession No.:

J84133

Journal:

Brain Injury

Year, Volume, Issue, Page(s):

, 33, 13-14, 1640-1645

Publication Website:

Abstract:

Study evaluated the basic psychometric features of a modified version of the Coma Recovery Scale-Revised (CRS-R) for use in young children with disorders of consciousness. The CRS-R was modified to create the Coma Recovery Scale for Pediatrics (CRS-P) and administered to 33 typically developing children (ages 8 to 59 months). Total scores, subtest scores, and interrater reliability were evaluated. Performance on the two items representing emergence to conscious state (CS) â?? functional object use (FOU) and functional communication (FC) â?? was examined across the age range. Inter-rater reliability of CRS-P subscale scores was adequate (weighted kappa = .87â??1.00). All 4-year-olds, 75 percent of 3-year-olds, 10 percent of 2-year-olds, and 0 percent under 2 years scored at the CRS-P ceiling. Total and subtest scores were strongly correlated with age as were the two behaviors representing emergence to CS (FOU and FC). All children older than 12 months and none under 12 months of age met criteria for FOU; all children aged 3 years and older, 20 percent between 2 and 3 years, and none under 2 years met criteria for FC. The findings suggest that the CRS-P is appropriate for use in children as young as 12 months of age, with a strong association between performance and age at administration. The CRS-P also captures emergence to CS, a key clinical milestone.

Author(s):

Slomine, Beth S. |Suskauer, Stacy J. |Nicholson, Rachel |Giacino, Joseph T.|

Participating Centers: