TY  - JOUR
PY  - 2016//
TI  - Adaptation of traumatic brain injury guidelines in Iran
JO  - Trauma monthly
A1  - Abdollah Zadegan, Shayan
A1  - Ghodsi, Seyed Mohammad
A1  - Arabkheradmand, Jalil
A1  - Amirjamshidi, Abbas
A1  - Sheikhrezaei, Abdolreza
A1  - Khadivi, Masoud
A1  - Faghih Jouibari, Morteza
A1  - Tabatabaeifar, Seyed Mahmood
A1  - Sharifi, Guive
A1  - Abbaszadeh Ahranjani, Jalal
A1  - Motlagh Pirooz, Farhad
A1  - Tavakoli, Seyed Fakhredin
A1  - Mohit, Parviz
A1  - Alimohammadi, Yadollah
A1  - Rahimi-Movaghar, Vafa
SP  - e28012
EP  - e28012
VL  - 21
IS  - 2
N2  - CONTEXT: The National institute for health and care excellence (NICE) and scottish intercollegiate guidelines network (SIGN) are two well-known sources of clinical guideline development. In the past years, they have developed clinical guidelines for the management of head injury. In this report, we will highlight our modifications to these guidelines according to the domestic situation in a developing country. EVIDENCE ACQUISITION: The guidelines were appraised using the appraisal of guidelines for research and evaluation (AGREE) instrument. All key recommendations were reviewed by 14 prominent Iranian neurosurgeons; levels of evidence were evaluated and items with limited evidence were determined. Available evidence for selected items were reviewed and discussed. <br><br>RESULTS: The following items were the most challenging when accounting for the domestic situation in Iran: age as a risk factor for referral, computed tomography scan, the impact of medical comorbidities, pregnancy, consultation, referral to a neurosurgical unit, and teleconsulting and observation before discharge. <br><br>CONCLUSIONS: The evidence in the discussed topics was limited and controversial. This report is important because it exposes the current knowledge gap in head trauma studies in Iran.<p />  <p>Language: en</p>
LA  - en
SN  - 2251-7464
UR  - http://dx.doi.org/10.5812/traumamon.28012
ID  - ref1
ER  -