TY  - JOUR
PY  - 2018//
TI  - Adherence to Brain Trauma Foundation guidelines for management of traumatic brain injury patients and its effect on outcomes: systematic review
JO  - Journal of neurotrauma
A1  - Khormi, Yahya
A1  - Gosadi, Ibrahim
A1  - Campbell, Sandy
A1  - Senthilselvan, Ambikaipakan
A1  - O'kelly, Cian
A1  - Zygun, David
SP  - 1407
EP  - 1418
VL  - 35
IS  - 13
N2  - Traumatic brain injury (TBI) management based on Brain Trauma Foundation (BTF) guidelines is widely accepted and thought to improve outcome. The objectives of this study are to provide an overview of adherence to BTF guidelines and to explore which factors influence adherence. We conducted a search of relevant electronic bibliographic databases. Twenty articles met inclusion/exclusion criteria out of 666 papers screened. All were cohort studies. Wide variation in adherence to BTF guidelines was observed with a median of 66.2% (range 0-100%). The lowest median adherence was observed with surgical management (14%), while the highest was observed with oxygenation (100%), steroid (97.8%) and blood pressure recommendation (92.3%). Variability was primarily explained by the variation in strength of evidence of each recommendation. Treating patients with higher severity of injury and treatment in a level 1 trauma center positively influenced adherence. Overall, adherence to BTF guidelines varies. Further research is required to strengthen the current evidence and to identify factors related to adherence with guidelines from a professional prospective.<p />  <p>Language: en</p>
LA  - en
SN  - 0897-7151
UR  - http://dx.doi.org/10.1089/neu.2017.5345
ID  - ref1
ER  -