Chronic disorders of consciousness: terminology and diagnostic criteria. The results of the first meeting of the Russian Working Group for Chronic Disorders of Consciousness

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Abstract

Introduction. To date, patients with chronic disorders of consciousness (CDC) represent a serious problem from the medical, social, and economic points of view. Because of the relatively small incidence of this condition, accumulation of the sufficient experience in its diagnosis and treatment remains a complex task, while the lack of a unified approach among Russian specialists to classification of the CDC makes it even harder to solve. At the same time, there are widely used terms overseas that are accepted by the medical community and used in current recommendations.

Aim. Specialists of the Federal State Funded Research Institution, Research Centre of Neurology, have put forward an initiative to create a Russian Working Group for Chronic Disorders of Consciousness, to discuss and approve unified Russian terminology for CDC and criteria for classifying CDC, and to then develop clinical recommendations for the diagnosis and treatment of patients with CDC.

Results. The first roundtable meeting on the issues related to CDC took place at the ХI Russian Congress of Neurologists in June 2019. The attendees included staff members from the FSFRI Research Centre of Neurology, FSFRI Federal Research and Clinical Centre of Intensive Care Medicine and Rehabilitation Medicine, the Polenov Neurosurgical Institute - Branch of the FSFI Almazov National Medical Research Centre, FSFEI HE Ural State Medical University, SFI Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, FSAEI HE Pirogov Russian National Research Medical University, SFHI Research Institute of Emergency Paediatric Surgery and Traumatology of the Moscow Department of Health, and the SFHI N.I. Sklifosovsky Research Institute of Emergency Medicine of the Moscow Department of Health. Based on the results of the meeting and voting, a list of terms was composed to describe CDC and the corresponding diagnostic criteria were approved. The roundtable discussion also included the working group’s future plans, and the development of a plan for Russian recommendations for the diagnosis and treatment of the CDC.

Conclusion. The terms and criteria mentioned in the article are recommended for use in clinical practice and research in Russia, for patients with CDC.

About the authors

Mikhail A. Piradov

Research Center of Neurology

Email: yazeva@neurology.ru
ORCID iD: 0000-0002-6338-0392

D. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Director

Россия, Moscow

Natalya A. Suponeva

Research Center of Neurology

Email: yazeva@neurology.ru
ORCID iD: 0000-0003-3956-6362

D. Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, principal researcher, Department of neurorehabilitation and physiotherapy

Россия, Moscow

Igor A. Voznyuk

St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Care;
S.M. Kirov Military Medical Academy

Email: yazeva@neurology.ru
Россия, St. Petersburg

Anatoly N. Kondratyev

Polenov Neurosurgical Institute — branch of the Almazov National Medical Research Centre

Email: yazeva@neurology.ru
Россия, St. Petersburg

Alexey V. Shchegolev

S.M. Kirov Military Medical Academy

Email: yazeva@neurology.ru
Россия, St. Petersburg

Andrey A. Belkin

Ural State Medical University

Email: yazeva@neurology.ru
Россия, Ekaterinburg

Oleg S. Zaitsev

N.N. Burdenko National Medical Research Center of Neurosurgery

Email: yazeva@neurology.ru
Россия, Moscow

Igor V. Pryanikov

Research Institute of Rehabilitation, Research and Clinical Center for Reanimatology and Rehabilitation

Email: yazeva@neurology.ru
Россия, Moscow

Marina V. Petrova

Research Institute of Rehabilitation, Research and Clinical Center for Reanimatology and Rehabilitation

Email: yazeva@neurology.ru
Россия, Moscow

Natalia E. Ivanova

Almazov National Medical Research Centre

Email: yazeva@neurology.ru
Россия, St. Petersburg

Elena V. Gnedovskaya

Research Center of Neurology

Email: yazeva@neurology.ru
Россия, Moscow

Yulia V. Ryabinkina

Research Center of Neurology

Email: yazeva@neurology.ru
ORCID iD: 0000-0001-8576-9983

D. Sci. (Med.), Head, Intensive critical care department

Россия, 125367 Moscow, Volokolamskoye shosse, 80

Dmitry V. Sergeev

Research Center of Neurology

Email: yazeva@neurology.ru
Россия, Moscow

Elizaveta G. Yazeva

Research Center of Neurology

Author for correspondence.
Email: yazeva@neurology.ru
Россия, Moscow

Liudmila A. Legostaeva

Research Center of Neurology

Email: yazeva@neurology.ru
Россия, Moscow

Ekaterina V. Fufaeva

Research Institute of Emergency Pediatric Surgery and Traumatology, Moscow Department of Health

Email: yazeva@neurology.ru
Россия, Moscow

Sergey S. Petrikov

N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Department of Health

Email: yazeva@neurology.ru
Россия, Moscow

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Copyright (c) 2020 Piradov M.A., Suponeva N.A., Voznyuk I.A., Kondratyev A.N., Shchegolev A.V., Belkin A.A., Zaitsev O.S., Pryanikov I.V., Petrova M.V., Ivanova N.E., Gnedovskaya E.V., Ryabinkina Y.V., Sergeev D.V., Yazeva E.G., Legostaeva L.A., Fufaeva E.V., Petrikov S.S.

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