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Li\u00e8ge Belgium" } ], "person_or_org": { "family_name": "Audrey Maudoux", "name": "Audrey Maudoux", "type": "personal" } }, { "affiliations": [ { "name": "Otorhinolaryngology Head and Neck Surgery DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Sabrina Delhalle", "name": "Sabrina Delhalle", "type": "personal" } }, { "affiliations": [ { "name": "GIGA Consciousness, Coma Science Group and Neurology DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Charlotte Martial", "name": "Charlotte Martial", "type": "personal" } }, { "affiliations": [ { "name": "GIGA Consciousness, Coma Science Group and Neurology DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Georgios Antonopoulos", "name": "Georgios Antonopoulos", "type": "personal" } }, { "affiliations": [ { "name": "GIGA Consciousness, Coma Science Group and Neurology DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Stephen Karl Larroque", "name": "Stephen Karl Larroque", "type": "personal" } }, { "affiliations": [ { "name": "GIGA Consciousness, Coma Science Group and Neurology DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Sarah Wannez", "name": "Sarah Wannez", "type": "personal" } }, { "affiliations": [ { "name": "Hypnosis and Pain GIGA Center and Algology and Palliative Care DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Marie-Elisabeth Faymonville", "name": "Marie-Elisabeth Faymonville", "type": "personal" } }, { "affiliations": [ { "name": "Physical and Rehabilitation Medicine DepartmentUniversity Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Jean-Fran\u00e7ois Kaux", "name": "Jean-Fran\u00e7ois Kaux", "type": "personal" } }, { "affiliations": [ { "name": "GIGA Consciousness, Coma Science Group and Neurology DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Steven Laureys", "name": "Steven Laureys", "type": "personal" } }, { "affiliations": [ { "name": "GIGA Consciousness, Coma Science Group and Neurology DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Olivia Gosseries", "name": "Olivia Gosseries", "type": "personal" } }, { "affiliations": [ { "name": "Hypnosis and Pain GIGA Center and Algology and Palliative Care DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium GIGA Consciousness, Coma Science Group and Neurology DepartmentUniversity and University Hospital of LiegeLi\u00e8geBelgium" } ], "person_or_org": { "family_name": "Audrey Vanhaudenhuyse", "name": "Audrey Vanhaudenhuyse", "type": "personal" } } ], "description": "
Objective
\n\nThe aim of the study is to explore the possibility of oral feeding in unresponsive wakefulness syndrome/vegetative state (UWS/VS) patients.
\n\nMethod
\n\nWe reviewed the clinical information of 68 UWS/VS patients (mean age 45 ± 11; range 16–79 years) searching for mention of oral feeding. UWS/VS diagnosis was made after repeated behavioural assessments using the Coma Recovery Scale—Revised. Patients also had complementary neuroimaging evaluations (positron emission tomography, functional magnetic resonance imaging and electroencephalography and diffusion tensor imaging).
\n\nResults
\n\nOut of the 68 UWS/VS patients, only two could resume oral feeding (3%). The first patient had oral feeding (only liquid and semi liquid) in addition to gastrostomy feeding and the second one could achieve full oral feeding (liquid and mixed solid food). Clinical assessments concluded that they fulfilled the criteria for a diagnosis of UWS/VS. Results from neuroimaging and neurophysiology were typical for the first patient with regard to the diagnosis of UWS/VS but atypical for the second patient.
\n\nConclusion
\n\nOral feeding that implies a full and complex oral phase could probably be considered as a sign of consciousness. However, we actually do not know which components are necessary to consider the swallowing conscious as compared to reflex. We also discussed the importance of swallowing assessment and management in all patients with altered state of consciousness.
", "funding": [ { "award": { "acronym": "LUMINOUS", "id": "00k4n6c32::686764", "identifiers": [ { "identifier": "https://cordis.europa.eu/projects/686764", "scheme": "url" } ], "number": "686764", "program": "H2020", "title": { "en": "Studying, Measuring and Altering Consciousness through information theory in the electrical brain" } }, "funder": { "id": "00k4n6c32", "name": "European Commission" } } ], "publication_date": "2018-02-20", "publisher": "Zenodo", "resource_type": { "id": "publication-article", "title": { "de": "Zeitschriftenartikel", "en": "Journal article" } }, "rights": [ { "description": { "en": "The Creative Commons Attribution license allows re-distribution and re-use of a licensed work on the condition that the creator is appropriately credited." }, "icon": "cc-by-icon", "id": "cc-by-4.0", "props": { "scheme": "spdx", "url": "https://creativecommons.org/licenses/by/4.0/legalcode" }, "title": { "en": "Creative Commons Attribution 4.0 International" } } ], "subjects": [ { "subject": "Swallowing Dysphagia Oral-feeding Consciousness Unresponsive wakefulness syndrome" } ], "title": "Is oral feeding compatible with an unresponsive wakefulness syndrome?" }, "parent": { "access": { "owned_by": { "user": 42763 } }, "communities": {}, "id": "1198205", "pids": {} }, "pids": { "doi": { "identifier": "10.1007/s00415-018-8794-y", "provider": "external" }, "oai": { "identifier": "oai:zenodo.org:1198206", "provider": "oai" } }, "revision_id": 5, "stats": { "all_versions": { "data_volume": 744156160.0, "downloads": 704, "unique_downloads": 658, "unique_views": 82, "views": 86 }, "this_version": { "data_volume": 743099120.0, "downloads": 703, "unique_downloads": 657, "unique_views": 82, "views": 86 } }, "status": "published", "updated": "2020-01-20T17:44:41.967671+00:00", "versions": { "index": 1, "is_latest": true } }