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首页> 外文期刊>Brain injury: BI >Cognitive and adaptive functioning after severe TBI in school-aged children
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Cognitive and adaptive functioning after severe TBI in school-aged children

机译：学龄儿童严重TBI后的认知与自适应功能

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摘要

Objective: Persistent cognitive and behavioural deficits have been documented in children suffering severe TBI. The aim of the present study was to examine the cognitive and adaptive profile of children of school age with severe TBI. Methods: This study selected 118 patients and divided them into three groups according to the severity of their clinical-functional picture. All the patients received a functional assessment using the Wee-FIM. Subjects with reduced responsiveness were evaluated by LOCFAS. Last, the cognitive profile children with a better recovery were described with WISC-III and Leiter-R and their adaptive behaviour with VABS. Results: Group 1 (n=77) showed a borderline cognitive level with a disharmonious profile between VIQ and PIQ, significant deficits in the Processing Speed and Perceptual Organization Indices, lastly specific adaptive behavioural deficits. Length of coma correlated with their cognitive and adaptive profile. Group 2 (n=14) included subjects with severe language and/or motor disabilities presenting with a partial cognitive functioning level moderately impaired. Group 3 (n=27) included patients with reduced responsiveness (LOCFAS≤3). Conclusions: In the first 12 months following severe TBI, 22.9% children stayed in minimal responsiveness, 11.9% showed debilitating language and motor deficits and 65.2% showed a more favourable cognitive recovery and could be assessed by WISC-III.
机译：目的：患有严重TBI的儿童记录了持久认知和行为赤字。本研究的目的是研究严重TBI的学龄儿童的认知和适应性剖面。方法：本研究选择了118名患者，并根据临床功能图片的严重程度将它们分成三组。所有患者使用WEE-FIM接受了功能评估。通过洛克法斯评估响应性降低的受试者。最后，用WISC-III和Leiter-R描述了具有更好恢复的认知配置文件及其与VAbs的自适应行为。结果：第1组（n = 77）显示了viq和piq之间的边界认知水平，在加工速度和感知组织指数之间具有较大的赤字，非常具体的自适应行为赤字。昏迷的长度与他们的认知和自适应配置文件相关联。第2组（N = 14）包括具有严重语言和/或机动残疾的受试者，呈现适度损害的部分认知功能水平。第3组（N = 27）包括响应性降低（LOCFAS≤3）的患者。结论：在严重TBI后的前12个月内，22.9％的儿童保持最小响应性，11.9％表现出措辞的语言和电机缺陷，65.2％表现出更有利的认知恢复，并可通过WISC-III进行评估。

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  • 来源
    《Brain injury: BI》 |2013年第8期|共10页
  • 作者

    ReclaM.; BardoniA.; GalbiatiS.; PastoreV.; DominiciC.; TavanoA.; LocatelliF.; StrazzerS.;

  • 作者单位

    IRCCS E. Medea La Nostra Famiglia Via don Luigi Monza 20 23842 Bosisio Parini (LC) Italy;

    IRCCS E. Medea La Nostra Famiglia Via don Luigi Monza 20 23842 Bosisio Parini (LC) Italy;

    IRCCS E. Medea La Nostra Famiglia Via don Luigi Monza 20 23842 Bosisio Parini (LC) Italy;

    IRCCS E. Medea La Nostra Famiglia Via don Luigi Monza 20 23842 Bosisio Parini (LC) Italy;

    IRCCS E. Medea La Nostra Famiglia Via don Luigi Monza 20 23842 Bosisio Parini (LC) Italy;

    IRCCS E. Medea La Nostra Famiglia Via don Luigi Monza 20 23842 Bosisio Parini (LC) Italy;

    IRCCS E. Medea La Nostra Famiglia Via don Luigi Monza 20 23842 Bosisio Parini (LC) Italy;

    IRCCS E. Medea La Nostra Famiglia Via don Luigi Monza 20 23842 Bosisio Parini (LC) Italy;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 头部及神经外科学;
  • 关键词

    Children; Cognitive functioning; Traumatic brain injury;

    机译：儿童;认知功能;创伤性脑损伤;

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