TY  - JOUR
PY  - 2024//
TI  - Moderate traumatic brain injury in adult population: the Latin American Brain Injury Consortium consensus for definition and categorization
JO  - Neurosurgery
A1  - Godoy, Daniel Agustín
A1  - Rubiano, Andrés M.
A1  - Aguilera, Sergio
A1  - Jibaja, Manuel
A1  - Videtta, Walter
A1  - Rovegno, Maximiliano
A1  - Paranhos, Jorge
A1  - Paranhos, Eduardo
A1  - de Amorim, Robson Luis Oliveira
A1  - Castro Monteiro da Silva Filho, Ruy
A1  - Paiva, Wellingson
A1  - Flecha, Jorge
A1  - Faleiro, Rodrigo Moreira
A1  - Almanza, David
A1  - Rodriguez, Eliana
A1  - Carrizosa, Jorge
A1  - Hawryluk, Gregory W. J.
A1  - Rabinstein, Alejandro A.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Moderate traumatic brain injury (TBI) is a diagnosis that describes diverse patients with heterogeneity of primary injuries. Defined by a Glasgow Coma Scale between 9 and 12, this category includes patients who may neurologically worsen and require increasing intensive care resources and/or emergency neurosurgery. Despite the unique characteristics of these patients, there have not been specific guidelines published before this effort to support decision-making in these patients. A Delphi consensus group from the Latin American Brain Injury Consortium was established to generate recommendations related to the definition and categorization of moderate TBI. Before an in-person meeting, a systematic review of the literature was performed identifying evidence relevant to planned topics. Blinded voting assessed support for each recommendation. A priori the threshold for consensus was set at 80% agreement. Nine PICOT questions were generated by the panel, including definition, categorization, grouping, and diagnosis of moderate TBI. Here, we report the results of our work including relevant consensus statements and discussion for each question. Moderate TBI is an entity for which there is little published evidence available supporting definition, diagnosis, and management. Recommendations based on experts' opinion were informed by available evidence and aim to refine the definition and categorization of moderate TBI. Further studies evaluating the impact of these recommendations will be required.<p />  <p>Language: en</p>
LA  - en
SN  - 0148-396X
UR  - http://dx.doi.org/10.1227/neu.0000000000002912
ID  - ref1
ER  -