Background

Recent studies suggest that late recovery from vegetative state (VS) is more prevalent today than previously thought. This study examined the decline in the rate of recovery from VS with time after admission to rehabilitation, and established a new time frame, in which the odds of recovery from VS remain substantial.

Methods

Data of 206 patients with VS after traumatic and non-traumatic brain injuries (TBI and NTBI), who were treated at the Loewenstein Rehabilitation Hospital (LRH), in Raanana, Israel, between 2003 and 2015, and described in a previous publication, were further analysed. Rate of recovery from VS was monitored at several time points after admission to intensive care and consciousness rehabilitation (ICCR).

Results

The odds of consciousness recovery were at least 54% at admission to ICCR, and 48%, 33%, 19%, and 7% at 3, 6, 9, and 12 months after admission, respectively.

Conclusions

The rate of recovery from VS decreases significantly with time, but contrary to previous consensus, 6–12 months after admission to ICCR, the odds of recovery from VS after TBI and NTBI remain substantial.

中文翻译：

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营养期不同时期后意识恢复。

背景

最近的研究表明，如今从营养状态（VS）的晚期恢复比以前认为的更为普遍。这项研究检查了康复后从VS恢复的速度随时间的下降，并建立了一个新的时间框架，其中从VS恢复的几率仍然很大。

方法

曾在2003年至2015年之间在以色列Raanana的Loewenstein康复医院（LRH）接受治疗的206例创伤性和非创伤性脑损伤后VS患者的数据（TBI和NTBI）已在以前的出版物中进行了描述进一步分析。在重症监护和意识康复（ICCR）入院后的几个时间点，对VS的恢复率进行了监测。

结果

接受ICCR时意识恢复的几率至少为54％，入院后3、6、9和12个月分别为48％，33％，19％和7％。

结论

从VS恢复的速度随时间显着下降，但与先前的共识相反，入院ICCR后6-12个月，在TBI和NTBI后从VS恢复的可能性仍然很大。