LOCFAS-assessed evolution of cognitive and behavioral functioning in a sample of pediatric patients with severe acquired brain injury in the postacute phase

Federica Villa, Katia Colombo, Valentina Pastore, Federica Locatelli, Erika Molteni, Sara Galbiati, Susanna Galbiati, Sandra Strazzer

Research output: Contribution to journalArticle

Abstract

We studied 86 patients with severe acquired brain injuries of different etiology, aged 0 to 18 years, in a condition of vegetative state or minimally conscious state. During neurorehabilitation, we administered the Level of Cognitive Functioning Assessment Scale every 2 weeks in order to describe and compare the progressive improvement in their cognitive-behavioral functioning and responsiveness in different etiologies. Patients with traumatic brain injury showed more favorable clinical outcomes. The higher the level of functioning at the first evaluation, the better the outcome, and the higher the Glasgow Coma Scale score, the higher the Level of Cognitive Functioning Assessment Scale level reached at the end of hospitalization. Patients with an apparently stable clinical picture, too, showed a change in their ability to interact with the environment. This study underlines the importance of an individualized and early cognitive-behavioral intervention protocol that can reveal minimal and fluctuating responses.

Original languageEnglish
Pages (from-to)1125-1134
Number of pages10
JournalJournal of Child Neurology
Volume30
Issue number9
DOIs
Publication statusPublished - Aug 21 2015

Keywords

  • brain injuries
  • coma
  • pediatric
  • persistent vegetative state
  • rehabilitation

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'LOCFAS-assessed evolution of cognitive and behavioral functioning in a sample of pediatric patients with severe acquired brain injury in the postacute phase'. Together they form a unique fingerprint.

  • Cite this