Guidelines for Neurosurgical Trauma in Brazil

Andrade, Almir Ferreira de; Marino, Raul; Ciquini, Orildo; Figueiredo, Eberval Gadelha; Machado, André G.

doi:10.1007/s00268-001-0081-9

Cited by 25 publications

(16 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A reference and citation analysis was performed on the remaining 175 articles yielding an additional 98 abstracts. Full text analysis was then performed on a total of 273 articles of which only 24 [ 23 – 46 ] met inclusion criteria ( Fig 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Overall, there were 24 guidelines that were included in this analysis ( Table 1 ) representing 19 different organizations and spanning several countries on four continents. Of these 24 CPG's, 23 [ 23 – 45 ] were developed in high-income countries and only one [ 46 ] from a upper middle-income country (Brazil). The CPGs evaluated covered the full scope of adult and pediatric populations with four covering pediatric patients [ 23 , 24 , 27 , 29 ], eight for adults patients [ 25 , 28 , 33 , 38 , 40 , 41 , 43 , 44 ], and seven covering both populations [ 26 , 30 , 34 , 36 , 37 , 39 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…The CPGs evaluated covered the full scope of adult and pediatric populations with four covering pediatric patients [ 23 , 24 , 27 , 29 ], eight for adults patients [ 25 , 28 , 33 , 38 , 40 , 41 , 43 , 44 ], and seven covering both populations [ 26 , 30 , 34 , 36 , 37 , 39 , 42 ]. Five did not specify their population group [ 31 , 32 , 35 , 45 , 46 ]. Regarding the severity of TBI, one third of the CPGs were developed for minor or mild TBI [ 23 , 24 , 25 , 29 , 31 , 32 , 34 , 33 ], another third covered severe TBI [ 26 , 27 , 28 , 33 , 35 , 36 , 37 , 44 , 45 ] and the rest were developed for all levels of TBI severity [ 30 , 37 , 38 , 39 , 40 , 41 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review

et al. 2016

View full text Add to dashboard Cite

Traumatic brain injury (TBI) is a leading cause of death worldwide and is increasing exponentially particularly in low and middle income countries (LMIC). To inform the development of a standard Clinical Practice Guideline (CPG) for the acute management of TBI that can be implemented specifically for limited resource settings, we conducted a systematic review to identify and assess the quality of all currently available CPGs on acute TBI using the AGREE II instrument. In accordance with PRISMA guidelines, from April 2013 to December 2015 we searched MEDLINE, EMBASE, Google Scholar and the Duke University Medical Center Library Guidelines for peer-reviewed published Clinical Practice Guidelines on the acute management of TBI (less than 24 hours), for any level of traumatic brain injury in both high and low income settings. A comprehensive reference and citation analysis was performed. CPGs found were assessed using the AGREE II instrument by five independent reviewers and scores were aggregated and reported in percentage of total possible score. An initial 2742 articles were evaluated with an additional 98 articles from the citation and reference analysis, yielding 273 full texts examined. A total of 24 final CPGs were included, of which 23 were from high income countries (HIC) and 1 from LMIC. Based on the AGREE II instrument, the best score on overall assessment was 100.0 for the CPG from the National Institute for Health and Clinical Excellence (NIHCE, 2007), followed by the New Zealand Guidelines Group (NZ, 2006) and the National Clinical Guideline (SIGN, 2009) both with a score of 96.7. The CPG from a LMIC had lower scores than CPGs from higher income settings. Our study identified and evaluated 24 CPGs with the highest scores in clarity and presentation, scope and purpose, and rigor of development. Most of these CPGs were developed in HICs, with limited applicability or utility for resource limited settings. Stakeholder involvement, Applicability, and Editorial independence remain weak and insufficiently described specifically with piloting, addressing potential costs and implementation barriers, and auditing for quality improvement.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review

et al. 2016

View full text Add to dashboard Cite

show abstract

“…When dealing with patients suffering from mild head trauma, an ideal classification scale should establish which patients, even when neurological examinations are normal, may have an increased risk of intracranial hematomas or a negative progression such as “talk and deteriorate” or “talk and die” 4,12–16…”

Section: Trauma Classification and Managementmentioning

confidence: 99%

“…Patients are admitted to the emergency room with a GCS score of 13–15, usually without focal neurological lesions 1,2,4–6…”

Section: Introductionmentioning

confidence: 99%

Classification and management of mild head trauma

Andrade

Paiva²,

Soares³

et al. 2011

IJGM

View full text Add to dashboard Cite

Mild head trauma had been defined in patients with direct impact or deceleration effect admitted with a Glasgow Coma Scale score of 13–15. It is one of the most frequent causes of morbidity in emergency medicine. Although common, several controversies persist about its clinical management. In this paper, we describe the Brazilian guidelines for mild head trauma, based on a critical review of the relevant literature.

show abstract

Functional Outcome After Intracranial Pressure Monitoring

2018

View full text Add to dashboard Cite

edly agree with their concerns, which is precisely why we designed the Adolescent Trials Network for HIV/AIDS Intervention 113 study to allow youths to self-consent. Our fear was that if we required parental consent, we might inadvertently disclose either the sexual activity or sexual orientation of the adolescent, which could result in social harm and ultimately limit the enrollment of those vulnerable youths who could potentially benefit the most from a highly efficacious prevention product. In fact, a posttrial mixed-methods study that included 113 participants from the Adolescent Trials Network for HIV/AIDS Intervention revealed that some minor youths would not have chosen to participate if parental consent had been required. 2 Now that our study is completed and we hopefully move forward with an indication for preexposure prophylaxis (PrEP) use in adolescents, we must all turn toward the continued challenges of PrEP implementation for youths. To be clear, when supportive parents/guardians are available, they should be included in these conversations with their adolescent children. However, there also need to be mechanisms available that allow youths access to life-saving prevention strategies safely and without fear of rejection from family. Historically, select US state governments have made allowances for youths to access services, such as HIV and sexually transmitted infection testing and treatment as well as family planning, without parental consent or notification. For PrEP, we believe only the state of New York has explicitly stated that antiretroviral access, for both treatment and prevention, should be made available to adolescents without parental consent. 3 Such PrEP-specific language would be beneficial in all jurisdictions. Additionally, procedural changes within insurance companies to allow for blinding explanation of benefit forms would help decrease unwanted disclosure to parents of sexual and reproductive health services. These types of policy changes will require advocacy from community members, politicians, researchers, and clinicians to ensure that adolescents who are vulnerable to HIV infection have as equal access to prevention methods as their adult counterparts.

show abstract

Guidelines for Neurosurgical Trauma in Brazil

Cited by 25 publications

References 17 publications

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review

Classification and management of mild head trauma

Functional Outcome After Intracranial Pressure Monitoring

Contact Info

Product

Resources

About