TY - JOUR
T1 - Common Data Elements for Disorders of Consciousness
T2 - Recommendations from the Working Group in the Pediatric Population
AU - the Curing Coma Campaign, its Contributing Members
AU - Boerwinkle, Varina L.
AU - Appavu, Brian
AU - Cediel, Emilio Garzon
AU - Erklaurer, Jennifer
AU - Lalgudi Ganesan, Saptharishi
AU - Gibbons, Christie
AU - Hahn, Cecil
AU - LaRovere, Kerri L.
AU - Moberg, Dick
AU - Natarajan, Girija
AU - Molteni, Erika
AU - Reuther, William R.
AU - Slomine, Beth S.
N1 - Funding Information:
No funding directly supported this work.
Publisher Copyright:
© Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society 2023.
PY - 2024/2
Y1 - 2024/2
N2 - Background: The fundamental gap obstructing forward progress of evidenced-based care in pediatric and neonatal disorders of consciousness (DoC) is the lack of defining consensus-based terminology to perform comparative research. This lack of shared nomenclature in pediatric DoC stems from the inherently recursive dilemma of the inability to reliably measure consciousness in the very young. However, recent advancements in validated clinical examinations and technologically sophisticated biomarkers of brain activity linked to future abilities are unlocking this previously formidable challenge to understanding the DoC in the developing brain. Methods: To address this need, the first of its kind international convergence of an interdisciplinary team of pediatric DoC experts was organized by the Neurocritical Care Society’s Curing Coma Campaign. The multidisciplinary panel of pediatric DoC experts proposed pediatric-tailored common data elements (CDEs) covering each of the CDE working groups including behavioral phenotyping, biospecimens, electrophysiology, family and goals of care, neuroimaging, outcome and endpoints, physiology and big Data, therapies, and pediatrics. Results: We report the working groups’ pediatric-focused DoC CDE recommendations and disseminate CDEs to be used in studies of pediatric patients with DoC. Conclusions: The CDEs recommended support the vision of progressing collaborative and successful internationally collaborative pediatric coma research.
AB - Background: The fundamental gap obstructing forward progress of evidenced-based care in pediatric and neonatal disorders of consciousness (DoC) is the lack of defining consensus-based terminology to perform comparative research. This lack of shared nomenclature in pediatric DoC stems from the inherently recursive dilemma of the inability to reliably measure consciousness in the very young. However, recent advancements in validated clinical examinations and technologically sophisticated biomarkers of brain activity linked to future abilities are unlocking this previously formidable challenge to understanding the DoC in the developing brain. Methods: To address this need, the first of its kind international convergence of an interdisciplinary team of pediatric DoC experts was organized by the Neurocritical Care Society’s Curing Coma Campaign. The multidisciplinary panel of pediatric DoC experts proposed pediatric-tailored common data elements (CDEs) covering each of the CDE working groups including behavioral phenotyping, biospecimens, electrophysiology, family and goals of care, neuroimaging, outcome and endpoints, physiology and big Data, therapies, and pediatrics. Results: We report the working groups’ pediatric-focused DoC CDE recommendations and disseminate CDEs to be used in studies of pediatric patients with DoC. Conclusions: The CDEs recommended support the vision of progressing collaborative and successful internationally collaborative pediatric coma research.
KW - Coma
KW - Common data elements
KW - Consciousness
KW - Disorder of consciousness
KW - Neonatal
KW - Pediatric
KW - Standardization
UR - http://www.scopus.com/inward/record.url?scp=85178963223&partnerID=8YFLogxK
U2 - 10.1007/s12028-023-01870-7
DO - 10.1007/s12028-023-01870-7
M3 - Article
C2 - 38062304
AN - SCOPUS:85178963223
SN - 1541-6933
VL - 40
SP - 65
EP - 73
JO - NEUROCRITICAL CARE
JF - NEUROCRITICAL CARE
IS - 1
ER -