We read with interest the disorders of consciousness guideline1but found issues with the recommendations. Some of the recommendations are classified as level A (recommendations 3, 9, and 11). For example, “When prognosis is poor, long-term care must be discussed (level A)….”1 The references cited did not come from a randomized control trial.
Reader response: Practice guideline update recommendations summary: Disorders of consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research
