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Level of consciousness

MedGen UID:
452295
Concept ID:
C0234425
Finding
Synonyms: Level of Consciousness; LOC - Level of consciousness
SNOMED CT: LOC - Level of consciousness (6942003); Level of consciousness (6942003)

Definition

The level of awareness of an organism. [from NCI]

Professional guidelines

PubMed

Menon K, Schlapbach LJ, Akech S, Argent A, Biban P, Carrol ED, Chiotos K, Jobayer Chisti M, Evans IVR, Inwald DP, Ishimine P, Kissoon N, Lodha R, Nadel S, Oliveira CF, Peters M, Sadeghirad B, Scott HF, de Souza DC, Tissieres P, Watson RS, Wiens MO, Wynn JL, Zimmerman JJ, Sorce LR; Pediatric Sepsis Definition Taskforce of the Society of Critical Care Medicine
Crit Care Med 2022 Jan 1;50(1):21-36. doi: 10.1097/CCM.0000000000005294. PMID: 34612847Free PMC Article
Arnts H, van Erp WS, Lavrijsen JCM, van Gaal S, Groenewegen HJ, van den Munckhof P
Neurosci Biobehav Rev 2020 May;112:270-278. Epub 2020 Feb 7 doi: 10.1016/j.neubiorev.2020.02.006. PMID: 32044373
European Association for the Study of the Liver. Electronic address: easloffice@easloffice.eu; Clinical practice guidelines panel, Wendon, J; Panel members, Cordoba J, Dhawan A, Larsen FS, Manns M, Samuel D, Simpson KJ, Yaron I; EASL Governing Board representative, Bernardi M
J Hepatol 2017 May;66(5):1047-1081. doi: 10.1016/j.jhep.2016.12.003. PMID: 28417882

Recent clinical studies

Etiology

Gomez LA, Shen Q, Doyle K, Vrosgou A, Velazquez A, Megjhani M, Ghoshal S, Roh D, Agarwal S, Park S, Claassen J, Kleinberg S
Neurocrit Care 2023 Feb;38(1):118-128. Epub 2022 Sep 15 doi: 10.1007/s12028-022-01586-0. PMID: 36109448Free PMC Article
Mélotte E, Maudoux A, Panda R, Kaux JF, Lagier A, Herr R, Belorgeot M, Laureys S, Gosseries O
Dysphagia 2023 Feb;38(1):42-64. Epub 2022 Jun 30 doi: 10.1007/s00455-022-10452-2. PMID: 35773497
Mart MF, Thompson JL, Ely EW, Pandharipande PP, Patel MB, Wilson JE, Williams Roberson S, Birdrow CI, Raman R, Brummel NE
Crit Care Med 2022 Nov 1;50(11):1618-1627. Epub 2022 Aug 23 doi: 10.1097/CCM.0000000000005656. PMID: 36005816Free PMC Article
Wichlińska-Lubińska M, Kozera G
Neurol Neurochir Pol 2019;53(6):413-420. Epub 2019 Nov 20 doi: 10.5603/PJNNS.a2019.0054. PMID: 31745969
Gummadavelli A, Kundishora AJ, Willie JT, Andrews JP, Gerrard JL, Spencer DD, Blumenfeld H
Neurosurg Focus 2015 Jun;38(6):E10. doi: 10.3171/2015.3.FOCUS1535. PMID: 26030698Free PMC Article

Diagnosis

Bodien YG, Barra A, Temkin NR, Barber J, Foreman B, Vassar M, Robertson C, Taylor SR, Markowitz AJ, Manley GT, Giacino JT, Edlow BL; TRACK-TBI Investigators
J Neurotrauma 2021 Dec;38(23):3295-3305. doi: 10.1089/neu.2021.0199. PMID: 34605668Free PMC Article
Rothner AD
Pediatr Ann 2018 Feb 1;47(2):e50-e54. doi: 10.3928/19382359-20180126-02. PMID: 29446794
Reith FC, Van den Brande R, Synnot A, Gruen R, Maas AI
Intensive Care Med 2016 Jan;42(1):3-15. Epub 2015 Nov 12 doi: 10.1007/s00134-015-4124-3. PMID: 26564211
Krimchansky BZ, Galperin T, Groswasser Z
Isr Med Assoc J 2006 Nov;8(11):819-23. PMID: 17180839
Brennan MR
Am Fam Physician 1995 Jan;51(1):157-62. PMID: 7810468

Therapy

Molteni E, Canas LDS, Briand MM, Estraneo A, Font CC, Formisano R, Fufaeva E, Gosseries O, Howarth RA, Lanteri P, Licandro GI, Magee WL, Veeramuthu V, Wilson P, Yamaki T, Slomine BS; as the Special Interest Group on DoC of the International Brain Injury Association (IBIA-DoC SIG)
Neurology 2023 Aug 8;101(6):e581-e593. Epub 2023 Jun 12 doi: 10.1212/WNL.0000000000207473. PMID: 37308301Free PMC Article
Kapur J, Elm J, Chamberlain JM, Barsan W, Cloyd J, Lowenstein D, Shinnar S, Conwit R, Meinzer C, Cock H, Fountain N, Connor JT, Silbergleit R; NETT and PECARN Investigators
N Engl J Med 2019 Nov 28;381(22):2103-2113. doi: 10.1056/NEJMoa1905795. PMID: 31774955Free PMC Article
Wichlińska-Lubińska M, Kozera G
Neurol Neurochir Pol 2019;53(6):413-420. Epub 2019 Nov 20 doi: 10.5603/PJNNS.a2019.0054. PMID: 31745969
Thibaut A, Schiff N, Giacino J, Laureys S, Gosseries O
Lancet Neurol 2019 Jun;18(6):600-614. Epub 2019 Apr 16 doi: 10.1016/S1474-4422(19)30031-6. PMID: 31003899
Roos KL, van de Beek D
Handb Clin Neurol 2010;96:51-63. Epub 2010 Jan 19 doi: 10.1016/S0072-9752(09)96004-3. PMID: 20109674

Prognosis

Friedman G, Turk KW, Budson AE
Curr Neurol Neurosci Rep 2023 Jul;23(7):345-352. Epub 2023 Jun 12 doi: 10.1007/s11910-023-01276-0. PMID: 37303019Free PMC Article
Fong TG, Inouye SK
Nat Rev Neurol 2022 Oct;18(10):579-596. Epub 2022 Aug 26 doi: 10.1038/s41582-022-00698-7. PMID: 36028563Free PMC Article
Anestis DM, Monioudis PM, Foroglou NG, Tsonidis CA, Tsitsopoulos PP
Acta Neurol Scand 2022 Jun;145(6):706-720. Epub 2022 Mar 3 doi: 10.1111/ane.13604. PMID: 35243607
Bodien YG, Barra A, Temkin NR, Barber J, Foreman B, Vassar M, Robertson C, Taylor SR, Markowitz AJ, Manley GT, Giacino JT, Edlow BL; TRACK-TBI Investigators
J Neurotrauma 2021 Dec;38(23):3295-3305. doi: 10.1089/neu.2021.0199. PMID: 34605668Free PMC Article
Molnár L, Fülesdi B, Németh N, Molnár C
Neurol India 2018 Mar-Apr;66(2):352-361. doi: 10.4103/0028-3886.227299. PMID: 29547154

Clinical prediction guides

Friedman G, Turk KW, Budson AE
Curr Neurol Neurosci Rep 2023 Jul;23(7):345-352. Epub 2023 Jun 12 doi: 10.1007/s11910-023-01276-0. PMID: 37303019Free PMC Article
Bodien YG, Barra A, Temkin NR, Barber J, Foreman B, Vassar M, Robertson C, Taylor SR, Markowitz AJ, Manley GT, Giacino JT, Edlow BL; TRACK-TBI Investigators
J Neurotrauma 2021 Dec;38(23):3295-3305. doi: 10.1089/neu.2021.0199. PMID: 34605668Free PMC Article
Enrichi C, Battel I, Zanetti C, Koch I, Ventura L, Palmer K, Meneghello F, Piccione F, Rossi S, Lazzeri M, Sommariva M, Turolla A
Respir Care 2017 Oct;62(10):1255-1263. Epub 2017 Jul 11 doi: 10.4187/respcare.05470. PMID: 28698267
Reith FC, Van den Brande R, Synnot A, Gruen R, Maas AI
Intensive Care Med 2016 Jan;42(1):3-15. Epub 2015 Nov 12 doi: 10.1007/s00134-015-4124-3. PMID: 26564211
Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y
Intensive Care Med 2001 May;27(5):859-64. doi: 10.1007/s001340100909. PMID: 11430542

Recent systematic reviews

Molteni E, Canas LDS, Briand MM, Estraneo A, Font CC, Formisano R, Fufaeva E, Gosseries O, Howarth RA, Lanteri P, Licandro GI, Magee WL, Veeramuthu V, Wilson P, Yamaki T, Slomine BS; as the Special Interest Group on DoC of the International Brain Injury Association (IBIA-DoC SIG)
Neurology 2023 Aug 8;101(6):e581-e593. Epub 2023 Jun 12 doi: 10.1212/WNL.0000000000207473. PMID: 37308301Free PMC Article
Heavner MS, Gorman EF, Linn DD, Yeung SYA, Miano TA
Pharmacotherapy 2022 Aug;42(8):667-676. Epub 2022 Jun 30 doi: 10.1002/phar.2712. PMID: 35707961Free PMC Article
Menon K, Schlapbach LJ, Akech S, Argent A, Biban P, Carrol ED, Chiotos K, Jobayer Chisti M, Evans IVR, Inwald DP, Ishimine P, Kissoon N, Lodha R, Nadel S, Oliveira CF, Peters M, Sadeghirad B, Scott HF, de Souza DC, Tissieres P, Watson RS, Wiens MO, Wynn JL, Zimmerman JJ, Sorce LR; Pediatric Sepsis Definition Taskforce of the Society of Critical Care Medicine
Crit Care Med 2022 Jan 1;50(1):21-36. doi: 10.1097/CCM.0000000000005294. PMID: 34612847Free PMC Article
Reith FC, Van den Brande R, Synnot A, Gruen R, Maas AI
Intensive Care Med 2016 Jan;42(1):3-15. Epub 2015 Nov 12 doi: 10.1007/s00134-015-4124-3. PMID: 26564211
Decker BS, Goldfarb DS, Dargan PI, Friesen M, Gosselin S, Hoffman RS, Lavergne V, Nolin TD, Ghannoum M; EXTRIP Workgroup
Clin J Am Soc Nephrol 2015 May 7;10(5):875-87. Epub 2015 Jan 12 doi: 10.2215/CJN.10021014. PMID: 25583292Free PMC Article

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