Narrative review of clinical practice guidelines for treating people with moderate or severe traumatic brain injury

Model System:

Burn

Reference Type:

Journal article

Accession No.:

J87808

Journal:

Neurorehabilitation

Year, Volume, Issue, Page(s):

2021 , 48, 4, 451-467

Publication Website:

Abstract:

Study reviewed the quality of clinical practice guidelines (CPGs) that address rehabilitation for people with moderate/severe traumatic brain injury (TBI). CPGs are statements that provide recommendations which are informed by a systematic review of evidence about diagnosis or treatment and include an assessment of the benefits and harms of alternative care options that are intended to optimize patient care. Six data bases were accessed using key word search terms: “traumatic brain injury” and “clinical practice guidelines” and “rehabilitation”. Further inclusions included “adult” and “moderate or severe”. There were 767 articles retrieved using the search terms, 520 were eliminated because of content irrelevance; and 157 did not specify rehabilitation treatment or did not follow a vetting process for CPGs. A total of 17 CPGs that met all the inclusion criteria were evaluated using the Appraisal of Guidelines for Research and Evaluation (AGREE II); only 4 of these met all AGREE II criteria. The findings indicate that there are few CPGs addressing rehabilitation for people with moderate/severe TBI. More interventional trials are needed to determine treatment effectiveness. Timely and methodologically sound vetting of studies are needed to ensure CPG reliability and facilitate access to quality, effective treatment for people with moderate/severe TBI.

Author(s):