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

3 Citations (Scopus)

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

Fingerprint

Brain Injuries
Persistent Vegetative State
Pediatrics
Glasgow Coma Scale
Hospitalization
caN protocol
Traumatic Brain Injury
Neurological Rehabilitation

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

Cite this

@article{39b51f7dbe654bef9bb83c39fb9be4dd,
title = "LOCFAS-assessed evolution of cognitive and behavioral functioning in a sample of pediatric patients with severe acquired brain injury in the postacute phase",
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.",
keywords = "brain injuries, coma, pediatric, persistent vegetative state, rehabilitation",
author = "Federica Villa and Katia Colombo and Valentina Pastore and Federica Locatelli and Erika Molteni and Sara Galbiati and Susanna Galbiati and Sandra Strazzer",
year = "2015",
month = "8",
day = "21",
doi = "10.1177/0883073814553798",
language = "English",
volume = "30",
pages = "1125--1134",
journal = "Journal of Child Neurology",
issn = "0883-0738",
publisher = "SAGE Publications Inc.",
number = "9",

}

TY - JOUR

T1 - LOCFAS-assessed evolution of cognitive and behavioral functioning in a sample of pediatric patients with severe acquired brain injury in the postacute phase

AU - Villa, Federica

AU - Colombo, Katia

AU - Pastore, Valentina

AU - Locatelli, Federica

AU - Molteni, Erika

AU - Galbiati, Sara

AU - Galbiati, Susanna

AU - Strazzer, Sandra

PY - 2015/8/21

Y1 - 2015/8/21

N2 - 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.

AB - 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.

KW - brain injuries

KW - coma

KW - pediatric

KW - persistent vegetative state

KW - rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=84937548913&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937548913&partnerID=8YFLogxK

U2 - 10.1177/0883073814553798

DO - 10.1177/0883073814553798

M3 - Article

VL - 30

SP - 1125

EP - 1134

JO - Journal of Child Neurology

JF - Journal of Child Neurology

SN - 0883-0738

IS - 9

ER -