TY - JOUR
PY - 2018//
TI - A validation of the Polish version of the Coma Recovery Scale-Revised (CRSR)
JO - Brain injury
A1 - Binder, Marek
A1 - Górska, Urszula
A1 - Wójcik-Krzemień, Anna
A1 - Gociewicz, Krzysztof
SP - 242
EP - 246
VL - 32
IS - 2
N2 - PRIMARY OBJECTIVE: The aim of this study was to determine the validity of the Polish version of the Coma Recovery Scale-Revised (CRS-R).
METHODS AND DESIGN: Two trained raters, A and B, administered CRS-R on a group of 20 patients with severe brain injury (median age ± SD, 38.0 ± 14.39 years). Both rater A and rater B completed their assessment on day 1, and rater A repeated their assessment on day 2. Inter-rater and test-retest reliability were evaluated with an intra-class correlation coefficient and Spearman rank correlation. Internal consistency was estimated with Cronbach's α. Agreement in diagnostic impression was determined using Cohen's κ.
RESULTS: Inter-rater reliability for CRS-R total scores and test-retest reliability was excellent: (ρ = 0.76, p < 0.001) and (ρ = 0.92, p < 0.001), respectively. Inter-rater diagnostic agreement was good (κ = 0.72, p < 0.001). Inter-rater reliability for subscales was fair to excellent. Internal consistency was excellent (Cronbach's α = 0.85).
CONCLUSION: The Polish version of CRS-R can be administered reliably by trained raters and can successfully differentiate between vegetative state (VS), minimally conscious (MCS), and patients emerging from a minimally conscious state (EMCS).
Language: en
LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2017.1406991 ID - ref1 ER -