The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury.
Abstrak
OBJECTIVE To develop new diagnostic criteria for mild traumatic brain injury (TBI) that are appropriate for use across the lifespan and in sports, civilian trauma, and military settings. DESIGN Rapid evidence reviews on 12 clinical questions and Delphi method for expert consensus. PARTICIPANTS The Mild Traumatic Brain Injury Task Force of the American Congress of Rehabilitation Medicine Brain Injury Special Interest Group convened a Working Group of 17 members and an external interdisciplinary expert panel of 32 clinician-scientists. Public stakeholder feedback was analyzed from 68 individuals and 23 organizations. RESULTS The first two Delphi votes asked the expert panel to rate their agreement with both the diagnostic criteria for mild TBI and the supporting evidence statements. In the first round, 10 of 12 evidence statements reached consensus agreement. Revised evidence statements underwent a second round of expert panel voting, where consensus was achieved for all. For the diagnostic criteria, the final agreement rate, after the third vote, was 90.7%. Public stakeholder feedback was incorporated into the diagnostic criteria revision prior to the third expert panel vote. A terminology question was added to the third round of Delphi voting, where 30 of 32 (93.8%) expert panel members agreed that 'the diagnostic label 'concussion' may be used interchangeably with 'mild TBI' when neuroimaging is normal or not clinically indicated.' CONCLUSIONS New diagnostic criteria for mild TBI were developed through an evidence review and expert consensus process. Having unified diagnostic criteria for mild TBI can improve the quality and consistency of mild TBI research and clinical care.
Topik & Kata Kunci
Penulis (48)
N. Silverberg
G. Iverson
Alison M. Cogan
K. Dams-O’Connor
R. Delmonico
M. J. Graf
Mary A Iaccarino
Maria Kajankova
Joshua Kamins
K. McCulloch
Gary McKinney
Drew A. Nagele
W. Panenka
Amanda R. Rabinowitz
N. Reed
J. Wethe
Victoria C. Whitehair
V. Anderson
D. Arciniegas
M. Bayley
J. Bazarian
K. Bell
S. Broglio
D. Cifu
G. Davis
J. Dvořák
R. Echemendia
G. Gioia
C. Giza
Sidney R. Hinds
D. Katz
B. Kurowski
J. Leddy
N. L. Sage
Angela Lumba-Brown
A. Maas
G. Manley
M. McCrea
D. Menon
J. Ponsford
M. Putukian
S. Suskauer
J. van der Naalt
W. Walker
K. Yeates
R. Zafonte
N. Zasler
R. Zemek
Akses Cepat
- Tahun Terbit
- 2023
- Bahasa
- en
- Total Sitasi
- 299×
- Sumber Database
- Semantic Scholar
- DOI
- 10.1016/j.apmr.2023.03.036
- Akses
- Open Access ✓