Cited by 53Traumatic Brain Injury ResearchTranscranial Magnetic Stimulation StudiesTraumatic Brain Injury and Neurovascular Disturbances

Measuring Consciousness in the Intensive Care Unit

Open access
Edlow, Brian L., Fecchio, Matteo, Bodien, Yelena G., Comanducci, Angela, Rosanova, Mario, Casarotto, Silvia, Young, Michael J., Li, Jian +5 more·2023·Neurocritical Care

Abstract

Early reemergence of consciousness predicts long-term functional recovery for patients with severe brain injury. However, tools to reliably detect consciousness in the intensive care unit are lacking. Transcranial magnetic stimulation electroencephalography has the potential to detect consciousness in the intensive care unit, predict recovery, and prevent premature withdrawal of life-sustaining therapy.

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Crossref · 10.1007/s12028-023-01706-4

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  • A crude but practical proxy for IIT's integrated information measure, explicitly designed to test the theory's core tenets, has been successfully employed to detect covert consciousness in behaviorally unresponsive patients.

    “Indeed, a crude-but-practical proxy for IIT's integrated information measure, explicitly designed to test the theory's core tenets, has been successfully employed to detect covert consciousness in behaviorally unresponsive patients”

    From Dissociating Artificial Intelligence from Artificial Consciousness (2024) · cites this paper as [33]

    The Introduction describes PCI as a primitive consciousness detector inspired by theoretical principles and reports strong performance in conscious brain-injured patients and patients who had recovered behaviorally to a minimally conscious state. It does not say PCI was explicitly designed to test IIT’s core tenets or establish successful detection of covert consciousness in behaviorally unresponsive patients. No page numbers are available in our copy. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 1

  1. [29]Giacino JT, Kalmar K, and Whyte J, The JFK Coma Recovery Scale-Revised: measurement characteristics and diagnostic utility. Arch Phys Med Rehabil, 2004; 85: 2020– 9. 15605342

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Authors
Edlow, B. L., Fecchio, M., Bodien, Y. G., Comanducci, A., Rosanova, M., Casarotto, S., Young, M. J., Li, J., Dougherty, D. D., Koch, C., Tononi, G., Massimini, M., & Boly, M.
Affiliations
  • Harvard University (US)
  • Università Campus Bio-Medico (IT)
  • University of Milan (IT)
  • University of Wisconsin–Madison (US)
Corresponding author
Edlow, Brian L.
Venue
Neurocritical Care
Published
2023-04-08
Volume
38
Issue
3
Pages
584-590
ISSN
  • 1541-6933 (ISSN-L)
  • 1556-0961
OpenAlex
W4362704947
Cited by
50
References
73
Citations by year
2026: 9 · 2025: 16 · 2024: 17 · 2023: 8
Type
journal article
Language
en
Open access
Locations
  • Neurocritical Care (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Tiny Blue Dot Foundation
  • NIH Office of the Director (DP2HD101400)
  • National Institute of Neurological Disorders and Stroke (R21NS109627, K23NS112473)
  • NIH Blueprint for Neuroscience Research (F32MH123001)
  • James S. McDonnell Foundation
  • American Academy of Neurology
Topics
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
  • Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Keywords
consciousness assessment, transcranial magnetic stimulation, EEG, severe brain injury, intensive care unit, functional recovery prediction, withdrawal of life-sustaining treatment, vegetative state
MeSH terms
Consciousness, Consciousness Disorders, Electroencephalography, Humans, Intensive Care Units, Transcranial Magnetic Stimulation

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