Close

Presentation

International Variability in the Assessment and Management of Disorders of Consciousness and Prediction of Recovery
SessionComa Care
DescriptionThis session will explore the international variability in the assessment and management of disorders of consciousness (DoC) and prediction of recovery. The identification, evaluation, intervention, exploration, prognostication and limitation of therapy for patients with DoC will be reviewed through an international lens. The myriad factors that impact the diagnosis and management of DoC including 1) financial, 2) legal and regulatory, 3) cultural, 4) religious and 5) psychosocial considerations will be discussed. As data comparing patients with DoC internationally are limited, findings from the general critical care or neurocritical care literature will be described when information specific to patients with DoC is unavailable.

There is a need for improvements in clinical care, education, advocacy and research related to patients with DoC worldwide. It is imperative to standardize methodology to evaluate consciousness and prognosticate outcome. Further, education is needed to 1) generate awareness of the impact of the aforementioned considerations on patients with DoC and 2) develop techniques to optimize communication about DoC with families. It is necessary to promote equity in access to expertise and resources for patients with DoC to enhance the care of patients with DoC worldwide. Improving understanding and management of patients with DoC requires harmonization of existing datasets, development of registries where none exist and establishment of international clinical trial networks that include patients in all phases along the spectrum of care. The work of international organizations like the Curing Coma Campaign can hopefully minimize international variability in the diagnosis and management of DoC and optimize care.
Event Type
Breakout Session
TimeTuesday, October 15th3:05pm - 3:25pm PDT
LocationHarbor Ballrooms D-I
Tracks
Science of Neurocritical Care
Focus Areas
Bedside Nursing
Coma
Diversity, Equity, and Inclusion
Global Neurocritical Care
Target Audiences
Intermediate