TY - JOUR PY - 2004// TI - Critical evaluation of the existing guidelines on mild traumatic brain injury JO - Journal of rehabilitation medicine A1 - Peloso, Paul M. A1 - Carroll, Linda J. A1 - Cassidy, J. David A1 - Borg, Jörgen A1 - von Holst, Hans A1 - Holm, Lena A1 - Yates, David SP - 106 EP - 112 VL - IS - 43 Suppl N2 - 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.

Language: en

LA - en SN - 1650-1977 UR - http://dx.doi.org/ ID - ref1 ER -