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 -