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February 5, 2026Current Opinion in Critical Care

Disorders of consciousness in the ICU: gaps in establishing and communicating the prognosis

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Authors

SDSiena DuarteUniversity of WashingtonVYVivian YangUniversity of California, San FranciscoEBEléonore BouchereauInserm

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Implication

This review highlights challenges in prognostication for patients with disorders of consciousness, suggesting implications for clinical decision-making.

Key Points

  • The review focuses on challenges in establishing accurate prognostication for patients with disorders of consciousness in the ICU.
  • Reviewed current literature on disorders of consciousness and prognostication techniques.
  • Identified cognitive biases affecting decision-making among clinicians and surrogate decision-makers.
  • Explored innovative neurodiagnostic techniques and their limitations.
  • Emphasized the importance of multimodal assessments for improving prognostic accuracy.
  • Prognostic uncertainty and cognitive biases are significant barriers to accurate decision-making.
  • Multimodal assessments are underutilized but enhance prognostic accuracy.
  • Existing neurodiagnostic techniques are limited by availability and validation issues.
  • Improving communication about prognosis can lead to better goal-concordant care.

Cite This Study

Duarte et al. (2026) studied this question.

synapsesocial.com/papers/698435f0f1d9ada3c1fb553dhttps://doi.org/10.1097/mcc.0000000000001363
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