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01-07-2021 | Central Nervous System Trauma | Original Article

Role of LCF scale as an outcome prognostic index in patients with traumatic brain injury

Authors: Elena Rossato, Elisabetta Verzini, Michele Scandola, Federico Ferrari, Silvia Bonadiman

Published in: Neurological Sciences | Issue 7/2021

Abstract

The disabling effects of traumatic brain injuries (TBI) present a significant healthcare concern to developed countries. In order to achieve a reliable prognosis, validated assessment scales are used to monitor the cognitive outcome, like the Level of Cognitive Functioning Scale, or the overall functional outcome, namely the Functional Independence Measure and Glasgow Outcome Scale. The aim of our study was to evaluate the role of Level of Cognitive Functioning Scale (LCF) as an outcome prognostic index in patients with TBI.

Materials and methods

Fifty-four patients with TBI with a mean age of 44.9 years (SD 20.915) were enrolled in this retrospective study. Patients were evaluated at admission and at discharge using the Glasgow Outcome Scale, Functional Independence Measure, and Level of Cognitive Functioning Scale. The Glasgow Outcome Scale was also implemented at 6 months after discharge (OUTCOME.GOS), whereas the LCF was used twice a week throughout hospitalization. For our purpose, we named LCF at admission LCFa, whereas permanence in the same LCF value (number of days), LCFaL.

Results

Δ.GOS, Δ.FIM (Δ = difference between value at discharge and at admission), and OUTCOME.GOS were significantly affected by age, length of stay, LCFa, and LCFaL.

Conclusion

The LCF can give a valuable indication to the prognosis of patients with TBI besides monitoring changes in cognitive function. This allows for individual rehabilitation plan, and long-term management strategies could be developed more quickly upon patient’s discharge. Consequently, valuable healthcare and social care resources could be assigned correctly.

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Title: Role of LCF scale as an outcome prognostic index in patients with traumatic brain injury
Authors: Elena Rossato
Elisabetta Verzini
Michele Scandola
Federico Ferrari
Silvia Bonadiman
Publication date: 01-07-2021
Publisher: Springer International Publishing
Keyword: Central Nervous System Trauma
Published in: Neurological Sciences / Issue 7/2021
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-020-04852-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Role of LCF scale as an outcome prognostic index in patients with traumatic brain injury

Abstract

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Materials and methods

Results

Conclusion

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