BACKGROUND A patient in PDOC must demonstrate functional object use or functional communication to confirm they have emerged from this state. A range of tasks and stimuli are used and patients must achieve 100% accuracy. As consciousness occurs along a continuum, determining emergence is not straightforward. OBJECTIVE To establish the opinions of expert clinicians on how emergence is determined in practice. METHODS An online survey was completed by clinicians working in specialist rehabilitation settings across the UK. Questions were asked about diagnosis and confidence, informal assessment, formal assessment, and family involvement. Descriptive statistics were used to analyse responses to closed questions. Responses to open questions were analysed using thematic analysis. RESULTS Seventy-five surveys were analysed. Approximately a third (30.4 %) used tasks other than those recommended to determine emergence. A lack of confidence in tasks to detect the return of functional communication was reported by 46.4%. The majority (78.6%) reported they worked with patients who they felt had emerged, but could not demonstrate it based on the current criteria. A range of stimuli were employed, but 30.6% of respondents were not confident they could choose stimuli appropriately. Respondents reported a range of benefits and challenges when involving family in assessment.

中文翻译：

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评估长期意识障碍的出现：英国当前的观点和实践

背景 PDOC 中的患者必须展示功能对象的使用或功能交流，以确认他们已从这种状态中出现。使用一系列任务和刺激，患者必须达到 100% 的准确率。由于意识沿着连续体发生，因此确定出现并不简单。目的 建立专家临床医生关于如何在实践中确定出现的意见。方法 一项在线调查由在英国各地专科康复机构工作的临床医生完成。询问有关诊断和信心、非正式评估、正式评估和家庭参与的问题。描述性统计用于分析对封闭式问题的回答。使用主题分析法分析对开放问题的回答。结果 对七十五项调查进行了分析。大约三分之一（30。4 %) 使用了推荐的任务以外的任务来确定出现。46.4% 的受访者表示对检测功能性沟通恢复的任务缺乏信心。大多数 (78.6%) 报告说他们曾与他们认为已经出现的患者一起工作，但无法根据当前的标准证明这一点。使用了一系列刺激物，但 30.6% 的受访者不确定他们可以适当地选择刺激物。当让家人参与评估时，受访者报告了一系列好处和挑战。使用了一系列刺激物，但 30.6% 的受访者不确定他们可以适当地选择刺激物。当让家人参与评估时，受访者报告了一系列好处和挑战。使用了一系列刺激物，但 30.6% 的受访者不确定他们可以适当地选择刺激物。当让家人参与评估时，受访者报告了一系列好处和挑战。