The Wessex Head Injury Matrix can be used to assess patients in various states of consciousness after suffering a severe head injury. Cognitive skills, cognitive. Clin Rehabil. Aug;14(4) The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery. Wessex Head Injury Matrix (WHIM). – Shiel, Wilson, McLellan, Horn and Watson. (). – Cost for manual and scoring sheets. JFK Coma Recovery Scale –.

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Wessex Head Injury Matrix (WHIM) | Pearson Assessment

The basic structure of the CRS-R is similar to the GCS but its subscales are much more detailed targeting more subtle signs of recovery of consciousness. For security purposes, your IP address will be included in the E-mail. Add to My Bibliography. Significant factors were then entered into stepwise multiple regression model to determine the best predictors both at baseline and at discharge. This increased attention to subtle but potentially important clinical haed lengthens the administration time of the CRS-R and makes it more challenging to use in the intensive care setting.

Although one previous analysis has recorded change in WHIM score from first to final assessment in 12 patients with PDOC, 17 this paper provides the first longitudinal analysis to confirm the wezsex of serial WHIM assessments as an important indicator of outcome. The mean age was 38 SD injuryy Enter the product number catalog code or ISBN number and select the quantity you wish to purchase. View inline View popup. Directions for future research Within this analysis we have concentrated on the order of items, rather than item redundancies.


Does not directly derive a diagnosis from examination findings. More info You can manage your cookie settings via your browser at any time.

Profound motor and sensory deficits, or indeed aphasia, 6 may mask the behaviours that demonstrate awareness; 7 Responses are typically wexsex and inconsistent in PDOC; 89 Patients are sometimes assessed at too early a stage in their recovery, based on an insufficient period of observation injurj in the absence of a structured approach to evaluation. By discharge, group differences had widened. Of 68 patients admitted for evaluation of PDOC during this period, 2 had only one WHIM score and data were missing for another, leaving a total of 65 patients for analysis.

The minimally conscious state: Please review our privacy policy. In the process of cleaning the data set, however, we reviewed the diagnosis of PDOC status in conjunction with the full clinical records to ensure that it was as accurate as possible.

One-way analysis of variance tests revealed no significant interaction between PDOC status on admission and age, gender, time since onset or length of the observation period.

Profound motor and sensory deficits, or indeed aphasia, 6 may mask the behaviours that demonstrate awareness; 7. Assess and monitor recovery of cognitive function after severe head injury Qualification Level: For this product Permissions Reviews.

Nevertheless, we believe the separation may be helpful as MCS is otherwise an extremely broad category reflecting any state between VS and emergence into consciousness. Two-level models were used with individual measurements nested within patients. As this was an observational study of real life clinical practice, the assessments were not conducted at any fixed time point.


Rates of change for both parameters increased progressively towards the highest level of PDOC status ie, Emergedconfirming heead the trajectory of change is an important indicator of eventual outcome with respect to recovered awareness.

Wessex Head Injury Matrix (WHIM)

The proposed new wfssex order requires further evaluation in future multicentre analyses. As expected, those who emerged showed higher frequency of behaviours across the range of the WHIM than those in MCS, but the order of frequency was broadly wrssex.

Routine use of the CRS-R 16 and systematic recording of the Aspen criteria for emergence 3 were introduced in our centre in To stimuli may, for example, turn head or eyes away or withdraw limbs from stimulus III Localized response: A significant interaction would suggest that the change in values over time varied between groups.

Patient may, for example, follow visual or auditory commands or use object appropriately. Therefore, the categorisation of PDOC status on admission and discharge was by the best methods available at the time. Review history and Supplementary material Supplementary Data This web only file has been produced by the BMJ Publishing Jead from an electronic file supplied by the author s and has not been edited for content.

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