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Evaluation tool for mild consciousness disturbance at chronic stage

Research Project

Project/Area Number 18K10771
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 59010:Rehabilitation science-related
Research InstitutionNational Center for Geriatrics and Gerontology

Principal Investigator

Kondo Izumi  国立研究開発法人国立長寿医療研究センター, 病院, 副院長 (50215448)

Co-Investigator(Kenkyū-buntansha) 大沢 愛子  国立研究開発法人国立長寿医療研究センター, 病院, 医長 (10388944)
前島 伸一郎  金城大学, 看護学部, 教授 (50260815)
松居 徹  埼玉医科大学, 医学部, 教授 (70199735)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords意識障害 / 慢性期 / 高次脳機能障害 / 評価尺度 / 予後予測 / 効果判定 / 植物状態 / 社会性行動障害 / レジストリ / 遷延性 / 高次脳機能 / 頭部外傷 / 社会行動性障害 / 評価システム
Outline of Final Research Achievements

We constructed a system to screen out patients with head injuries in acute care hospitals who have a tendency to prolong mild disturbance of consciousness and to make them into a registration story. Registry operations could not be initiated due to the spread of COVID-19 infections. However, Rasch analysis for the National Agency for Automotive Safety and Victims' Aid (NASVA) score data used to develop the registry and nursing assessment scale has been performed. As a result of the analysis, it became clear that the degree of conformity of 10 items exceeded 1.5, and it was necessary to add a new explanation. In order to increase its usefulness, a difficulty map was created from the scaled scores of each item.

Academic Significance and Societal Importance of the Research Achievements

急性期の意識障害に対しては、1974年に太田らが、頭部外傷や脳血管障害の意識障害を正確かつ普遍的に評価するための尺度であるJapan Coma scale (JCS)を考案しており、我が国で広く用いられてきた。しかし、覚醒レベルが高次脳機能に影響を与えるだけでなく、頭部外傷自体が高次脳機能障害を起こすため、慢性期の軽微な意識障害の評価を、JCSで行うことはできず、このような患者が社会的な差別の対象になってきたことを考えると新たな評価尺度の作成が望まれる。このためのレジストリの作成とさらに看護評価のための尺度の基礎作りを行ったことは大きな学問的な意義があると考えられる。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (8 results)

All 2020 2019 2018

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (6 results) (of which Int'l Joint Research: 2 results,  Invited: 3 results)

  • [Journal Article] Use of the National Agency for Automotive Safety and Victims’ Aid Score Original (NASVA score-O) as an Evaluative Measure for Patients in an Unresponsive wakefulness State.2020

    • Author(s)
      Takano E, Teranishi T, Sinoda J, Nagamine Y, Honda C, Kondo I
    • Journal Title

      International Journal of Neurorehabilitation

      Volume: 7 Pages: 4-4

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Validation of the Japanese Version of the Quality of Life after Brain Injury (QOLIBRI) Scale2019

    • Author(s)
      Megumi Suzuki, Mariko Naito, Kikuo Ota, Klaus R.H. von Wild, Eiichi Saitoh, Izumi Kondo
    • Journal Title

      Brain & NeuroRehabilitation

      Volume: 12 Issue: 2 Pages: 1-11

    • DOI

      10.12786/bn.2019.12.e18

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 慢性期意識障害の評価2019

    • Author(s)
      近藤和泉
    • Organizer
      第56回日本リハビリテーション医学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Rasch analysis for the requirements of National Agency for Automotive Safety and Victims' Aid(NASVA) scoring system2019

    • Author(s)
      Izumi Kondo, Eiko Takano, Chiho Honda, Jun Shinoda, Yoshihide Nagamine, Aiko Osawa
    • Organizer
      13th, International Society of Physical and Rehabilitation Medicine (ISPRM) World Congress
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Current Situation Surrounding People with TBI and Their Caregivers Living in the Community2019

    • Author(s)
      Megumi Suzuki, Mariko Naito, Kikuo Ota, Izumi Kondo
    • Organizer
      13th, International Society of Physical and Rehabilitation Medicine (ISPRM) World Congress
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 慢性期軽症意識障害の評価システムの構築とその運用2019

    • Author(s)
      近藤和泉
    • Organizer
      第28回日本意識障害学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] NASVAスコアに対するRasch分析2018

    • Author(s)
      近藤和泉、高野映子、大沢愛子、長嶺義秀、本田千穂、篠田淳
    • Organizer
      第27回日本意識障害学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 慢性期軽症意識障害スケールの作成2018

    • Author(s)
      近藤和泉、大沢愛子、前島伸一郎、松居徹
    • Organizer
      第27回日本意識障害学会
    • Related Report
      2018 Research-status Report
    • Invited

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Published: 2018-04-23   Modified: 2022-01-27  

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