Critical evaluation of the existing guidelines on mild traumatic brain injury.
2004 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, no 43 Suppl, 106-12 p.Article in journal (Refereed) Published
The purpose of guidelines is to reduce practice variability, but they need to be evidence-based. We examine current mild traumatic brain injury guidelines, critique their basis in evidence and examine their variability in recommendations. A systematic search of the literature found 38,806 abstracts, with 41 guidelines. There were 18 sports-related guidelines, 13 related to admission policies, 12 related to imaging and 5 related to neuropsychological assessment. Some guidelines addressed several areas. Only 5 guidelines reported a methodology for the assembly of evidence used to develop the guideline. After appraising the guidelines against a validated index, we found that 3 of the 41 guidelines could be categorized as evidence-based. Two of these focused on paediatric patients and 1 on adult patients. Limited methodological quality in the current guidelines results in conflicting recommendations amongst them.
Place, publisher, year, edition, pages
2004. no 43 Suppl, 106-12 p.
IdentifiersURN: urn:nbn:se:kth:diva-89822DOI: 10.1080/16501960410023868ISI: 000220043300011PubMedID: 15083874OAI: oai:DiVA.org:kth-89822DiVA: diva2:503676
QC 201203052012-02-162012-02-162012-03-05Bibliographically approved