The Development of Best Practice Penetrating TBI Guidelines for Military and Civilian Patients

Abstract

Algorithms for the management of blunt TBI have been published and widely utilized1, 2, 3,however, no such algorithms for the management of penetrating TBI have ever been published. Hence, this proposal for an international and multidisciplinary effort to generate new evidence and consensus-based clinical practice guidelines has been undertaken in conjunction with the Brain Trauma Foundation in Stanford University which has long been a global leader in clinical practice guideline generation2 and the Seattle International Brain Injury Consensus Conference(SIBICC) effort1, 4. We first convened a steering committee and delineated key topics related to penetrating TBI for evidence-based research on Oct, 2021 and established PICOT (mnemonic derived from clinical research question elements: Patient, Intervention, Comparison, Outcome and Time) lead questions from which to frame a literature search strategy enumerated in our Yr 1 Qtr 1 report. From the initial series of meetings of international multidisciplinary experts using the Delphi method of consensus, a publication titled Rationale and Methods for Updated Guidelines for the Management of Penetrating TBI (Hawryluk G et al, 2022)5 was produced as one of the first deliverables. The subaward agreement between co-investigators from Stanford Univ. and Oregon Health Sciences Univ. (OHSU) was finalized on June 15, 2022 which decided on a Statement A (public) distribution of the resulting recommendations in line with their institutions research efforts to perform the systematic literature review. The preliminary report of this Literature Review forms the body of this report. This evidence will then form the basis for the best practice guidelines to be eventually disseminated to civilian and military neurosurgical communities.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2022
Accession Number
AD1191340

Entities

People

  • Bradley Dengler
  • Randy Bell

Organizations

  • Henry M. Jackson Foundation for the Advancement of Military Medicine

Tags

Communities of Interest

  • Cyber
  • Space

DTIC Thesaurus Topics

  • Chemical Synthesis
  • Chemistry
  • Health Services
  • Medical Personnel

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Neurotrauma and Rehabilitation Medicine.
  • Organizational Process Management (OPM).