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Validation of the Chinese Version of the SECONDs

Primary Purpose

Minimally Conscious State, Vegetative State

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Simplified Evaluation of CONsciousness Disorders (SECONDs)
Sponsored by
Hangzhou Normal University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Minimally Conscious State focused on measuring disorders of consciousness, vegetative state, minimally conscious state, consciousness

Eligibility Criteria

16 Years - 75 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • age ≥ 16 years old;
  • no administration of neuromuscular blockers or sedation within the 24 hours of enrolment;
  • the presence of periods of eye opening (indicating wakefulness and rest cycles);
  • a diagnosis of VS or MCS, based on more than 4 times behavioral assessment performed using the Coma Recovery Scale-Revised within 2 weeks.

Exclusion Criteria:

  • Coma;
  • documented history of prior brain injury;
  • psychiatric or neurologic illness;
  • neuromuscular blocking agents or sedative drugs administered within the prior 24 hours;
  • no documented history of a prior coma, critical illness or unstable medical condition;
  • upper limb contusions, fractures (based on the imaging examination) or flaccid paralysis (by using noxious stimuli to upper limbs, motor sub-scale scores <1).

Sites / Locations

  • International Vegetative State and Consciousness Science Institute, Hangzhou Normal University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Patients with vegetative state

Patients with minimally conscious state

Arm Description

Patients with vegetative state were assessed by the SECONDs and CRS-R for two days.

Patients with minimally conscious state were assessed by the SECONDs and CRS-R for two days.

Outcomes

Primary Outcome Measures

The level of consciousness in DOC patients
All patients were classified as the MCS and VS by the Coma recovery scale-revised

Secondary Outcome Measures

Full Information

First Posted
December 8, 2020
Last Updated
July 7, 2022
Sponsor
Hangzhou Normal University
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1. Study Identification

Unique Protocol Identification Number
NCT04687553
Brief Title
Validation of the Chinese Version of the SECONDs
Official Title
Validation of the Chinese Version of the Simplified Evaluation of CONsciousness Disorders (SECONDs)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
November 10, 2020 (Actual)
Primary Completion Date
July 1, 2021 (Actual)
Study Completion Date
July 1, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hangzhou Normal University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of this study was to translate the SECONDs from English into Chinese and determine the validity of this Chinese version
Detailed Description
The assessment is of great importance for the management and treatment in patients with disorders of consciousness. The Simplified Evaluation of CONsciousness Disorders is a useful tool to assess consciousness of DOC patients in bedside. The aim of this study was to translate the SECONDs from English into Chinese and determine the validity of this Chinese version. To test internal reliability and inter-rater reliability, both rater A and rater B assess the perception of pain on day 1; and to obtain test-retest reliability, rater A assessed all patients repeatedly on day 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Minimally Conscious State, Vegetative State
Keywords
disorders of consciousness, vegetative state, minimally conscious state, consciousness

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
The order of the administration was randomly selected. All patients' total scores assessed by rater A were recorded to test the internal consistency of SECONDs (A1). Meanwhile, to assess the concurrent validity, the scores of the CRS-R were recorded together with SECONDs by rater A on day 1. In order to analyze the test-retest reliability, rater A complete the second evaluation of SECONDs on day 2 (A2).
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
120 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Patients with vegetative state
Arm Type
Experimental
Arm Description
Patients with vegetative state were assessed by the SECONDs and CRS-R for two days.
Arm Title
Patients with minimally conscious state
Arm Type
Experimental
Arm Description
Patients with minimally conscious state were assessed by the SECONDs and CRS-R for two days.
Intervention Type
Diagnostic Test
Intervention Name(s)
Simplified Evaluation of CONsciousness Disorders (SECONDs)
Intervention Description
All patients were assessed by the Simplified Evaluation of CONsciousness Disorders (SECONDs)
Primary Outcome Measure Information:
Title
The level of consciousness in DOC patients
Description
All patients were classified as the MCS and VS by the Coma recovery scale-revised
Time Frame
Within 2 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: age ≥ 16 years old; no administration of neuromuscular blockers or sedation within the 24 hours of enrolment; the presence of periods of eye opening (indicating wakefulness and rest cycles); a diagnosis of VS or MCS, based on more than 4 times behavioral assessment performed using the Coma Recovery Scale-Revised within 2 weeks. Exclusion Criteria: Coma; documented history of prior brain injury; psychiatric or neurologic illness; neuromuscular blocking agents or sedative drugs administered within the prior 24 hours; no documented history of a prior coma, critical illness or unstable medical condition; upper limb contusions, fractures (based on the imaging examination) or flaccid paralysis (by using noxious stimuli to upper limbs, motor sub-scale scores <1).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Haibo Di, Pro.
Organizational Affiliation
International Vegetative State and Consciousness Science Institute, Hangzhou Normal University
Official's Role
Study Chair
Facility Information:
Facility Name
International Vegetative State and Consciousness Science Institute, Hangzhou Normal University
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310036
Country
China

12. IPD Sharing Statement

Learn more about this trial

Validation of the Chinese Version of the SECONDs

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