Subscribe to RSS
DOI: 10.1055/a-1887-7104
The Curing Coma Campaign and the Future of Coma Research
Abstract
Recovery from coma or disordered consciousness is a central issue in patients with acute brain injuries such as stroke, trauma, cardiac arrest, and brain infections. Yet, major gaps remain in the scientific underpinnings of coma and this has led to inaccuracy in prognostication and limited interventions for coma recovery. Even so, recent studies have begun to elucidate mechanisms of consciousness early and prolonged after acute brain injury and some pilot interventions have begun to be tested. The importance and scope of this led in 2019 to the development of the Curing Coma Campaign, an initiative of the Neurocritical Care Society designed to provide a platform for scientific collaboration across the patient care continuum and to empower a community for purposes of research, education, implementation science, and advocacy. Seen as a “grand challenge,” the Curing Coma Campaign has developed an infrastructure of scientific working groups and operational modules, along with a 10-year roadmap.
Keywords
coma - disorders of consciousness - endotype - persistent vegetative state - cognitive motor dissociationPublication History
Accepted Manuscript online:
29 June 2022
Article published online:
13 September 2022
© 2022. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Bodien YG, Barra A, Temkin NR. et al; TRACK-TBI Investigators. Diagnosing level of consciousness: the limits of the Glasgow Coma Scale Total Score. J Neurotrauma 2021; 38 (23) 3295-3305
- 2 El Ahmadieh TY, Bedros N, Stutzman SE. et al. Automated pupillometry as a triage and assessment tool in patients with traumatic brain injury. World Neurosurg 2021; 145: e163-e169
- 3 Lugo GJ, Beletanga M, Goldstein L, Rana M, Jonas R, Torres AR. Assessment and treatment of concussion in the pediatric population. Semin Neurol 2021; 41 (02) 132-146
- 4 Hocker S, Shah S, Vespa P. et al; Attendees of the 5th Neurocritical Care Research Network Conference. The future of neurocritical care research: proceedings and recommendations from the Fifth Neurocritical Care Research Network Conference. Neurocrit Care 2020; 32 (01) 311-316
- 5 Olson DM, Hemphill III JC. Curing Coma Campaign and its Executive Committee. The Curing Coma Campaign: challenging the paradigm for disorders of consciousness. Neurocrit Care 2021; 35 (Suppl. 01) 1-3
- 6 Luppi AI, Cain J, Spindler LRB. et al; Curing Coma Campaign and Its Contributing Collaborators. Mechanisms underlying disorders of consciousness: bridging gaps to move toward an integrated translational science. Neurocrit Care 2021; 35 (Suppl. 01) 37-54
- 7 Koehler PJ, Wijdicks EF. Historical study of coma: looking back through medical and neurological texts. Brain 2008; 131 (Pt 3): 877-889
- 8 Scolding N, Owen AM, Keown J. Prolonged disorders of consciousness: a critical evaluation of the new UK guidelines. Brain 2021; 144 (06) 1655-1660
- 9 Stevens RD, Diringer MN. Coma Science: the territory and the map. Neurocrit Care 2021; 35 (Suppl. 01) 24-26
- 10 Helbok R, Rass V, Beghi E. et al. The curing coma campaign International Survey on coma epidemiology, evaluation, and therapy (COME TOGETHER). Neurocrit Care 2022; 37: 47-59
- 11 Plum F, Posner JB. The Diagnosis of Stupor and Coma. Philadelphia, PA: F.A. Davis Company; 1966
- 12 Posner JB, Saper CB, Schiff ND. et al. Plum and Posner's Diagnosis and Treatment of Stupor and Coma. 5th ed.. New York, NY: Oxford University Press; 2019
- 13 Giacino JT, Katz DI, Schiff ND. et al. Comprehensive systematic review update summary: disorders of consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research. Neurology 2018; 91 (10) 461-470
- 14 Provencio JJ, Hemphill JC, Claassen J. et al. Neurocritical Care Society Curing Coma Campaign. The Curing Coma Campaign: framing initial scientific challenges - proceedings of the First Curing Coma Campaign Scientific Advisory Council Meeting. Neurocrit Care 2020; 33 (01) 1-12
- 15 Chhuom TW, Thompson HJ. Older spousal dyads and the experience of recovery in the year after traumatic brain injury. J Neurosci Nurs 2021; 53 (02) 57-62
- 16 Goss AL, Creutzfeldt CJ. Neuropalliative care in the inpatient setting. Semin Neurol 2021; 41 (05) 619-630
- 17 Mayasi Y, Geocadin RG. Updates on the management of neurologic complications of post-cardiac arrest resuscitation. Semin Neurol 2021; 41 (04) 388-397
- 18 Edlow BL, Barra ME, Zhou DW. et al. Personalized connectome mapping to guide targeted therapy and promote recovery of consciousness in the intensive care unit. Neurocrit Care 2020; 33 (02) 364-375
- 19 Chatelle C, Rosenthal ES, Bodien YG, Spencer-Salmon CA, Giacino JT, Edlow BL. EEG correlates of language function in traumatic disorders of consciousness. Neurocrit Care 2020; 33 (02) 449-457
- 20 Sanz LRD, Thibaut A, Edlow BL, Laureys S, Gosseries O. Update on neuroimaging in disorders of consciousness. Curr Opin Neurol 2021; 34 (04) 488-496
- 21 Olson DM, Graffagnino C. Consciousness, coma, and caring for the brain-injured patient. AACN Clin Issues 2005; 16 (04) 441-455
- 22 Hannawi Y, Stevens RD. Mapping the connectome following traumatic brain injury. Curr Neurol Neurosci Rep 2016; 16 (05) 44
- 23 Stevens RD, Hannawi Y, Puybasset L. MRI for coma emergence and recovery. Curr Opin Crit Care 2014; 20 (02) 168-173
- 24 Edlow JA, Rabinstein A, Traub SJ, Wijdicks EF. Diagnosis of reversible causes of coma. Lancet 2014; 384 (9959): 2064-2076
- 25 Wijdicks EF, Bamlet WR, Maramattom BV, Manno EM, McClelland RL. Validation of a new coma scale: the FOUR score. Ann Neurol 2005; 58 (04) 585-593
- 26 Edlow BL, Claassen J, Schiff ND, Greer DM. Recovery from disorders of consciousness: mechanisms, prognosis and emerging therapies. Nat Rev Neurol 2021; 17 (03) 135-156
- 27 Giacino JT, Edlow BL. Covert consciousness in the intensive care unit. Trends Neurosci 2019; 42 (12) 844-847
- 28 Septien S, Rubin MA. Disorders of consciousness: ethical issues of diagnosis, treatment, and prognostication. Semin Neurol 2018; 38 (05) 548-554
- 29 Edlow BL, Chatelle C, Spencer CA. et al. Early detection of consciousness in patients with acute severe traumatic brain injury. Brain 2017; 140 (09) 2399-2414
- 30 Mulkey M, Everhart DE, Gencarelli A, Sorrell A, Kim S. A review of neuronal pathways associated with consciousness. J Neurosci Nurs 2021; 53 (01) 39-43
- 31 Di Perri C, Thibaut A, Heine L, Soddu A, Demertzi A, Laureys S. Measuring consciousness in coma and related states. World J Radiol 2014; 6 (08) 589-597
- 32 Luauté J, Morlet D, Mattout J. BCI in patients with disorders of consciousness: clinical perspectives. Ann Phys Rehabil Med 2015; 58 (01) 29-34
- 33 Schiff ND. Cognitive motor dissociation following severe brain injuries. JAMA Neurol 2015; 72 (12) 1413-1415
- 34 Suarez JI, Martin RH, Bauza C. et al; PRINCE Study Investigators. Worldwide organization of neurocritical care: results from the PRINCE Study Part 1. Neurocrit Care 2020; 32 (01) 172-179
- 35 Venkatasubba Rao CP, Suarez JI, Martin RH. et al; PRINCE Study Investigators. Global survey of outcomes of neurocritical care patients: analysis of the PRINCE Study Part 2. Neurocrit Care 2020; 32 (01) 88-103
- 36 Kent B. Implementing research findings into practice: frameworks and guidance. Int J Evid-Based Healthc 2019; 17 (Suppl. 01) S18-S21
- 37 Gurses AP, Rosen MA, Pronovost PJ. Improving guideline compliance and healthcare safety using human factors engineering: the case of Ebola. J Patient Saf Risk Manag 2018; 23: 93-95
- 38 Edlow BL, Sanz LRD, Polizzotto L. et al; Curing Coma Campaign and Its Contributing Members. Therapies to restore consciousness in patients with severe brain injuries: a gap analysis and future directions. Neurocrit Care 2021; 35 (Suppl. 01) 68-85
- 39 Hammond FM, Katta-Charles S, Russell MB. et al; Curing Coma Campaign and Its Contributing Members. Research needs for prognostic modeling and trajectory analysis in patients with disorders of consciousness. Neurocrit Care 2021; 35 (Suppl. 01) 55-67
- 40 Kondziella D, Menon DK, Helbok R. et al; Contributing Collaborators of the Curing Coma Campaign. A precision medicine framework for classifying patients with disorders of consciousness: advanced classification of consciousness endotypes (ACCESS). Neurocrit Care 2021; 35 (Suppl. 01) 27-36
- 41 National Institutes of Health. NINDS Common Data Elements. USA.gov; 2021
- 42 Damani R, Mayer S, Dhar R. et al; Unruptured Intracranial Aneurysms and SAH CDE Project Investigators. Common data element for unruptured intracranial aneurysm and subarachnoid hemorrhage: recommendations from Assessments and Clinical Examination Workgroup/Subcommittee. Neurocrit Care 2019; 30 (Suppl. 01) 28-35
- 43 Maas AI, Harrison-Felix CL, Menon D. et al. Common data elements for traumatic brain injury: recommendations from the interagency working group on demographics and clinical assessment. Arch Phys Med Rehabil 2010; 91 (11) 1641-1649
- 44 Li X, Li C, Hu N, Wang T. Music interventions for disorders of consciousness: a systematic review and meta-analysis. J Neurosci Nurs 2020; 52 (04) 146-151
- 45 Olson DM, Ortega-Pérez S. The cue-response theory and nursing care of the patient with acquired brain injury. J Neurosci Nurs 2019; 51 (01) 43-47
- 46 Tsai YC, Liu CJ, Huang HC. et al. A meta-analysis of dynamic prevalence of cognitive deficits in the acute, subacute, and chronic phases after traumatic brain injury. J Neurosci Nurs 2021; 53 (02) 63-68
- 47 Dupriest K, Rogers K, Thakur B, Venkatachalam AM, Stutzman SE. Postoperative pain management is influenced by previous cannabis use in neurosurgical patients. J Neurosci Nurs 2021; 53 (02) 87-91
- 48 Pierce AE, Moreno-Walton L, Boatright D. et al. Advancing diversity and inclusion: an organized approach through a medical specialty academy. AEM Educ Train 2019; 4 (Suppl. 01) S40-S46
- 49 Olzmann JA. Diversity through equity and inclusion: the responsibility belongs to all of us. Mol Biol Cell 2020; 31 (25) 2757-2760
- 50 Francis CL, Cabrera-Muffly C, Shuman AG, Brown DJ. The value of diversity, equity, and inclusion in otolaryngology. Otolaryngol Clin North Am 2022; 55 (01) 193-203
- 51 Chyu J, Peters CE, Nicholson TM. et al. Women in leadership in urology: the case for increasing diversity and equity. Urology 2021; 150: 16-24
- 52 Ayyala MS, Skarupski K, Bodurtha JN. et al. Mentorship is not enough: exploring sponsorship and its role in career advancement in academic medicine. Acad Med 2019; 94 (01) 94-100
- 53 Katan M, Luft A. Global burden of stroke. Semin Neurol 2018; 38 (02) 208-211
- 54 Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2021; 396 (10267): 2006-2017
- 55 GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020; 396 (10258): 1204-1222
- 56 Carroll E, Lewis A. Neuroprognostication after cardiac arrest: Who recovers? Who progresses to brain death?. Semin Neurol 2021; 41 (05) 606-618
- 57 Ebong I, Haghighat Z, Bensalem-Owen M. Approach to loss of consciousness: distinguishing epileptic seizures, psychogenic nonepileptic seizures, and syncope. Semin Neurol 2021; 41 (06) 667-672
- 58 Claassen J, Akbari Y, Alexander S. et al. Proceedings of the First Curing Coma Campaign NIH Symposium: challenging the future of research for coma and disorders of consciousness. Neurocrit Care 2021; 35: 4-23
- 59 Provencio JJ, Hemphill JC. Response to: Communication and well-being considerations in disorders of consciousness. Neurocrit Care 2021; 34 (02) 704-705
- 60 Mainali S, Hemphill JC, Olson DM. et al. Getting ready to celebrate world coma day. Currents; ; February 15, 2021
- 61 Mainali S, Chou SH-Y, McNett MM. et al. The Curing Coma Campaign. Currents; ; January 16, 2020
- 62 Hocker S, Mainali S, Andrew A. The future of neurocritical care: looking for a blue ocean. Currents; ; January 17, 2019
- 63 Moran M. A grand initiative to improve coma care in disorders of consciousness likened to a ‘moonshot’. Neurology Today; 2020: 1-44