Prognostic models for prolonged disorders of consciousness: an integrative review
Song, Ming2,5; Yang, Yi6; Yang, Zhengyi2,5; Cui, Yue2,5; Yu, Shan2,5; He, Jianghong7; Jiang, Tianzi1,2,3,4,5
刊名CELLULAR AND MOLECULAR LIFE SCIENCES
2020-04-18
期号8页码:17
关键词Disorders of consciousness Prognostic model Outcome Conscious recovery Prediction
ISSN号1420-682X
DOI10.1007/s00018-020-03512-z
英文摘要

Disorders of consciousness (DoC) are acquired conditions of severe altered consciousness. During the past decades, some prognostic models for DoC have been explored on the basis of a variety of predictors, including demographics, neurological examinations, clinical diagnosis, neurophysiology and brain images. In this article, a systematic review of pertinent literature was conducted. We identified and evaluated 21 prognostic models involving a total of 1201 DoC patients. In terms of the reported accuracies of predicting the prognosis of DoC, these 21 models vary widely, ranging from 60 to 90%. Using improvement of consciousness level as favorable outcome criteria, we performed a quantitative meta-analysis, and found that the pooled sensitivity and specificity of the hybrid model that combined more than one technique were both superior to those of any single technique, including EEG and fMRI at the tasks and resting state. These results support the view that any single technique has its own advantages and limitations; and the integrations of multiple techniques, including diverse brain images and different paradigms, have the potential to improve predictive accuracy for DoC. Then, we provide methodological points of view and some prospects about future research. Totally, in comparison to a great many diagnostic methods for the DoC, the research of prognostic models is sparse and preliminary, still largely in its infancy with many challenges and opportunities.

资助项目Natural Science Foundation of China[31870984] ; Natural Science Foundation of China[31771076] ; Natural Science Foundation of China[81600919] ; Natural Science Foundation of China[81671855] ; Youth Innovation Promotion Association CAS
WOS关键词ACQUIRED BRAIN-INJURY ; VEGETATIVE STATE ; CLINICAL-DIAGNOSIS ; SYSTEMATIC REVIEWS ; PREDICT RECOVERY ; STIMULATION ; EEG ; OUTCOMES
WOS研究方向Biochemistry & Molecular Biology ; Cell Biology
语种英语
出版者SPRINGER BASEL AG
WOS记录号WOS:000527465100001
资助机构Natural Science Foundation of China ; Youth Innovation Promotion Association CAS
内容类型期刊论文
源URL[http://ir.ia.ac.cn/handle/173211/39373]  
专题自动化研究所_脑网络组研究中心
通讯作者He, Jianghong; Jiang, Tianzi
作者单位1.Chinese Acad Sci, CAS Ctr Excellence Brain Sci & Intelligence Techn, Beijing 100190, Peoples R China
2.Chinese Acad Sci, Inst Automat, Brainnetome Ctr, Beijing 100190, Peoples R China
3.Univ Elect Sci & Technol China, Sch Life Sci & Technol, Minist Educ, Key Lab Neuroinformat, Chengdu 625014, Peoples R China
4.Univ Queensland, Queensland Brain Inst, Brisbane, Qld 4072, Australia
5.Chinese Acad Sci, Natl Lab Pattern Recognit, Inst Automat, Beijing 100190, Peoples R China
6.Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100070, Peoples R China
7.Peoples Liberat Army Gen Hosp, Med Ctr 7, Dept Neurosurg, Beijing 100070, Peoples R China
推荐引用方式
GB/T 7714
Song, Ming,Yang, Yi,Yang, Zhengyi,et al. Prognostic models for prolonged disorders of consciousness: an integrative review[J]. CELLULAR AND MOLECULAR LIFE SCIENCES,2020(8):17.
APA Song, Ming.,Yang, Yi.,Yang, Zhengyi.,Cui, Yue.,Yu, Shan.,...&Jiang, Tianzi.(2020).Prognostic models for prolonged disorders of consciousness: an integrative review.CELLULAR AND MOLECULAR LIFE SCIENCES(8),17.
MLA Song, Ming,et al."Prognostic models for prolonged disorders of consciousness: an integrative review".CELLULAR AND MOLECULAR LIFE SCIENCES .8(2020):17.
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