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Clinical utility of the LANSE-A in adolescents with traumatic brain injury
David A Kahn1, Shana J Asbell1, Jacobus Donders1
1Psychology Service, Mary Free Bed Rehabilitation Hospital.
Objective:
To investigate the clinical utility of a brief cognitive screening instrument, the Lebby-Asbell Neurocognitive Screening Examination for Adolescents (LANSE-A) in 12-17 year-old adolescents with traumatic brain injury in an inpatient rehabilitation setting.
Method:
Retrospective study of 56 referred patients, evaluated at a median of 32 days postinjury. Regression analysis was used to determine the contribution of the LANSE-A to prediction of discharge status, as assessed with the Functional Independence Measure for Children (WeeFIM).
Results:
After controlling for premorbid complicating factors, parental education, duration to follow commands, and WeeFIM Cognition score obtained upon admission, the LANSE-A Visual Memory and Verbal Association subtests accounted for a statistically significant amount of unique variance in the WeeFIM Cognition score obtained at discharge.
Conclusions/Implications:
The LANSE-A improves prediction of acute rehabilitation outcomes of adolescents with traumatic brain injury.
