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Brain Inj. 2015;29(6):688-700. doi: 10.3109/02699052.2015.1004755. Epub 2015 Apr 14.

Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms.

Author information

1
Ottawa Hospital Research Institute , Ottawa, ON , Canada .

Abstract

OBJECTIVE:

To introduce a set of revised guidelines for the management of mild traumatic brain injury (mTBI) and persistent symptoms following concussive injuries.

QUALITY OF EVIDENCE:

The Guidelines for Mild Traumatic Brain Injury and Persistent Symptoms were made available in March 2011 based on literature and information up to 2008. A search for new clinical practice guidelines addressing mTBI and a systematic review of the literature evaluating treatment of persistent symptoms was conducted. Healthcare professionals representing a range of disciplines from Canada and abroad attended a consensus conference to revise the original guidelines in light of new evidence.

MAIN MESSAGE:

A modified Delphi process was used to create 96 recommendations addressing the diagnosis and management of mTBI and persistent symptoms, including post-traumatic headache, sleep disturbances, mental health disorders, cognitive difficulties, vestibular and vision dysfunction, fatigue and return to activity/work/school. Numerous resources, tools and treatment algorithms were also included to aid implementation of the recommendations.

CONCLUSION:

The revised clinical practice guideline reflects the most current evidence and is recommended for use by clinicians who provide care to people who experience PPCS following mTBI.

KEYWORDS:

Concussion; diagnosis; guideline recommendations; management; mild traumatic brain injury; persistent post-concussive symptoms

PMID:
25871303
DOI:
10.3109/02699052.2015.1004755
[Indexed for MEDLINE]

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