TY - JOUR PY - 2020// TI - National guidelines for cognitive assessment and rehabilitation of Iranian traumatic brain injury patients JO - Archives of Iranian medicine A1 - Ghawami, Heshmatollah A1 - Jazayeri, Seyed Behnam A1 - Sabeti Nowsud, Azad A1 - Sharif-Alhoseini, Mahdi A1 - Shirvani, Armin A1 - Kheyri, Maryam A1 - Abdollah Zadegan, Shayan A1 - Noorian, Nahid A1 - Mohammadian, Fatemeh A1 - Karimi Yarandi, Kourosh A1 - Azad, Akram A1 - Rezaeitalab, Fariborz A1 - Barekatain, Majid A1 - Bakhtiyari, Jalal A1 - Moradi, Alireza A1 - Khatoonabadi, Ahmad Reza A1 - Haghgoo, Hojjat Allah A1 - Gheini, Mohammad Reza A1 - Khadivi, Masoud A1 - Faghih Jouibari, Morteza A1 - Khayat Kashani, Hamid Reza A1 - Mirzaasgari, Zahra A1 - Meshkini, Ali A1 - Haghshenas, Hassan A1 - Samini, Fariborz A1 - Mohit, Parviz A1 - Akbarfahimi, Malahat A1 - Alimohammadi, Yadollah A1 - Payandemehr, Pooya A1 - Abbaszadeh Ahranjani, Jalal A1 - Arabkheradmand, Jalil A1 - Vahabi, Zahra A1 - Arbabi, Mohammad A1 - Kermanpour, Hossein A1 - Ghandehari, Kavian A1 - Bakhshani, Nour-Mohammad A1 - Motlagh Pirooz, Farhad A1 - Ghaedi, Gholamhossein A1 - Dolatshahi, Behrooz A1 - Tavakoli, Seyed Fakhredin A1 - Vosough, Iraj A1 - Amirjamshidi, Abbas A1 - Hatami, Javad A1 - Rahimi-Movaghar, Vafa SP - 813 EP - 820 VL - 23 IS - 12 N2 - BACKGROUND: Individuals with moderate to severe traumatic brain injury (TBI) often have prolonged cognitive impairments, resulting in long-term problems with their real-life activities. Given the urgent need for evidence-based recommendations for neuropsychological management of Iranian TBI patients, the current work aimed to adapt eligible international guidelines for cognitive assessment and rehabilitation of the TBI patients in Iran.

METHODS: The project was led by an executive committee, under the supervision of the Iranian Ministry of Health and Medical Education (MOHME). Following a systematic literature search and selection process, four guidelines were included for adaptation. Clinical recommendations of the source guidelines were tabulated as possible clinical scenarios for 90 PICO clinical questions covering all relevant phases of care. After summing up the scenarios, our initial list of recommendations was drafted according to the Iranian patients' conditions. The final decision-making, with the contribution of a national interdisciplinary panel of 37 experts from across the country, was conducted in two rounds using online and offline survey forms (Round 1), and face-to-face and telephone meetings (Round 2).

RESULTS: A total of 63 recommendations in six sections were included in the final list of recommendations, among which 24 were considered as key recommendations. In addition, some of the recommendations were identified as fundamental, meaning that proper implementation of the other recommendations is largely dependent on their implementation.

CONCLUSION: Iranian health policy makers and rehabilitation program managers are recommended to address some fundamental issues to provide the necessary infrastructure to set up an efficient cognitive rehabilitation service system.

Language: en

LA - en SN - 1029-2977 UR - http://dx.doi.org/10.34172/aim.2020.108 ID - ref1 ER -