Guía: Neurorrehabilitación en pacientes en estados alterados de la consciencia. Recomendaciones de la Sociedad Española de Neurorrehabilitación

IF 3.1 4区医学 Q2 CLINICAL NEUROLOGY

Neurologia Pub Date : 2025-01-01 DOI:10.1016/j.nrl.2024.08.003

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 , I. Quemada

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Abstract

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 seven articles, corresponding to five 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, 40 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 categorized 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.

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指南：意识受损患者的神经康复。西班牙神经康复学会的建议

西班牙神经康复学会关于成人意识障碍神经康复的临床实践指南。本文件基于对2015年至2022年期间发布的国际临床实践指南的审查。方法作者组按照预先设定的检索标准，从不同数据库中提取的48篇参考文献中选择7篇文章，对应2015 - 2022年间发表的5篇临床实践指南。在此综述之后，制定了40项建议，并由专家委员会使用9点李克特量表进行评估：1-3（不适当的建议），4-6（不确定的建议）和7-9（适当的建议），采用修改名义小组技术的方法。任何被至少75%的专家认可为“适当”的建议（得分为7-9）被认为是接受的。本文件提出了40项建议，根据所审查的研究提供的证据水平进行分类。这些建议代表了专家之间的共识，涉及以下各个方面：(1)临床评估；(2)辅助诊断试验；(3)预后，(4)该特定人群的治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurologia 医学-临床神经学

CiteScore

5.90

自引率

2.60%

发文量

135

审稿时长

48 days

期刊介绍： Neurología es la revista oficial de la Sociedad Española de Neurología y publica, desde 1986 contribuciones científicas en el campo de la neurología clínica y experimental. Los contenidos de Neurología abarcan desde la neuroepidemiología, la clínica neurológica, la gestión y asistencia neurológica y la terapéutica, a la investigación básica en neurociencias aplicada a la neurología. Las áreas temáticas de la revistas incluyen la neurologia infantil, la neuropsicología, la neurorehabilitación y la neurogeriatría. Los artículos publicados en Neurología siguen un proceso de revisión por doble ciego a fin de que los trabajos sean seleccionados atendiendo a su calidad, originalidad e interés y así estén sometidos a un proceso de mejora. El formato de artículos incluye Editoriales, Originales, Revisiones y Cartas al Editor, Neurología es el vehículo de información científica de reconocida calidad en profesionales interesados en la neurología que utilizan el español, como demuestra su inclusión en los más prestigiosos y selectivos índices bibliográficos del mundo.