BMJ 2000;321:196 ( 22 July )

News

New technique helps to assess vegetative state

Zosia Kmietowicz, London
The first 150 words of the full text of this article appear below.

Doctors and relatives of patients with brain injury can now determine more accurately whether they have any awareness thanks to a technique developed by staff at the Royal Hospital for Neuro-Disability in London.

The sensory modality assessment and rehabilitation technique (SMART), which took 10 years to develop, is the brainchild of occupational therapists in the brain injury unit at the hospital. Dissatisfied with the lack of a standardised tool for assessing patients with brain injuries, they set about making their own.

In 1996 a study showed that after assessment with SMART 43% of the patients who had been admitted to the brain injury unit and believed to be in a vegetative state had been wrongly diagnosed (BMJ 1996; 313:13-6).

Dr Keith Andrew, director of medical and research services, who carried out the study, commented: "The slow-to-recover patient is often incorrectly labelled as being in vegetative state. Although aware of their surroundings, . . . [Full text of this article]


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Relevant Article

Misdiagnosis of the vegetative state: retrospective study in a rehabilitation unit
Keith Andrews, Lesley Murphy, Ros Munday, and Clare Littlewood
BMJ 1996 313: 13-16. [Abstract] [Full Text]

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Leg Crossing In Patients In A Vegetative State: A Sign Of Returning Awareness
Bruno Zanotti
bmj.com, 30 Nov 2000 [Full text]



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