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

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.

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