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The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury.
Silverberg, Noah D; Iverson, Grant L; Cogan, Alison; Dams-O-Connor, Kristen; Delmonico, Richard; Graf, Min Jeong P; Iaccarino, Mary Alexis; Kajankova, Maria; Kamins, Joshua; McCulloch, Karen L; McKinney, Gary; Nagele, Drew; Panenka, William J; Rabinowitz, Amanda R; Reed, Nick; Wethe, Jennifer V; Whitehair, Victoria; Anderson, Vicki; Arciniegas, David B; Bayley, Mark T; Bazarian, Jeffery J; Bell, Kathleen R; Broglio, Steven P; Cifu, David; Davis, Gavin A; Dvorak, Jiri; Echemendia, Ruben J; Gioia, Gerard A; Giza, Christopher C; Hinds, Sidney R; Katz, Douglas I; Kurowski, Brad G; Leddy, John J; Sage, Natalie Le; Lumba-Brown, Angela; Maas, Andrew Ir; Manley, Geoffrey T; McCrea, Michael; Menon, David K; Ponsford, Jennie; Putukian, Margot; Suskauer, Stacy J; van der Naalt, Joukje; Walker, William C; Yeates, Keith Owen; Zafonte, Ross; Zasler, Nathan D; Zemek, Roger.
Afiliação
  • Silverberg ND; Department of Psychology, University of British Columbia, Vancouver, Canada; Vancouver Coastal Health Research Institute, Vancouver, Canada; Djavad Mowafaghian Centre for Brain Health, Vancouver, Canada. Electronic address: noah.silverberg@ubc.ca.
  • Iverson GL; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Sports Concussion Program, MassGeneral Hospital for Children, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA; Department of Physical Medicine an
  • Cogan A; Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, CA.
  • Dams-O-Connor K; Department of Rehabilitation and Human Performance, Brain Injury Research Center of Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY.
  • Delmonico R; Kaiser Foundation Rehabilitation Center, The Permanente Medical Group, Vallejo, CA.
  • Graf MJP; Department of Physical Medicine and Rehabilitation, Hennepin Healthcare, Minneapolis, MN; Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN.
  • Iaccarino MA; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, CA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown
  • Kajankova M; Department of Rehabilitation and Human Performance, Brain Injury Research Center of Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY.
  • Kamins J; UCLA Steve Tisch BrainSPORT Program, David Geffen School of Medicine at UCLA, Los Angeles, CA.
  • McCulloch KL; Division of Physical Therapy, Department of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
  • McKinney G; Traumatic Brain Injury Center of Excellence, Defense Health Agency, Silver Spring, MD.
  • Nagele D; School of Professional and Applied Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, PA.
  • Panenka WJ; Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
  • Rabinowitz AR; Moss Rehabilitation Research Institute, Elkins Park, PA.
  • Reed N; Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Canada.
  • Wethe JV; Mayo Clinic School of Medicine, Scottsdale, AZ.
  • Whitehair V; MetroHealth Rehabilitation Institute and Case Western Reserve University, Cleveland, OH.
  • Anderson V; Murdoch Children's Research Institute, The Royal Children's Hospital, Parkville, Australia.
  • Arciniegas DB; University of New Mexico School of Medicine, University of Colorado School of Medicine, Aurora, CO.
  • Bayley MT; Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, Canada.
  • Bazarian JJ; University of Rochester School of Medicine and Dentistry, Rochester, NY.
  • Bell KR; University of Texas Southwestern Medical Center, Dallas, TX.
  • Broglio SP; University of Michigan, Michigan Concussion Center, Ann Arbor, MI.
  • Cifu D; Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond, VA; U.S. Department of Veterans Affairs, Richmond, VA.
  • Davis GA; Cabrini Health, Cabrini Malvern, Melbourne, Australia.
  • Dvorak J; Schulthess Klinic, Zurich, Switzerland; Swiss Concussion Center, Zurich, Switzerland.
  • Echemendia RJ; University Orthopedics Center, Concussion Care Clinic, University of Missouri-Kansas City, Kansas City, MO.
  • Gioia GA; Division of Neuropsychology/SCORE Concussion Program, Children's National Hospital, George Washington University School of Medicine, Rockville, MD.
  • Giza CC; University of California at Los Angeles, Departments of Neurosurgery and Pediatrics, Steve Tisch BrainSPORT Program, Los Angeles, CA.
  • Hinds SR; Uniformed Services University, Department of Neurology and Radiology, Bethesda, MD.
  • Katz DI; Department of Neurology, Boston University Chobanian & Avedisian School of Medicine, MA.
  • Kurowski BG; Division of Pediatric Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Departments of Pediatrics, Neurology, and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, OH.
  • Leddy JJ; UBMD Department of Orthopaedics and Sports Medicine, SUNY Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY.
  • Sage NL; Population Health and Optimal Health Practices Axis, CHU de Québec-Université Laval Research Centre, VITAM-Centre de recherche en santé durable, Québec, Canada; Department of Family Medicine and Emergency Medicine, Université Laval, Québec, Canada.
  • Lumba-Brown A; Department of Emergency Medicine, Stanford University, Stanford, CA.
  • Maas AI; Antwerp University Hospital, Edegem, Belgium; University of Antwerp, Edegem, Belgium.
  • Manley GT; Department of Neurosurgery, University of California, San Francisco, CA.
  • McCrea M; Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI.
  • Menon DK; University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom.
  • Ponsford J; Monash University, Clayton, Australia.
  • Putukian M; Major League Soccer; Princeton, NJ.
  • Suskauer SJ; Kennedy Krieger Institute and Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD.
  • van der Naalt J; Department of Neurology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
  • Walker WC; Virginia Commonwealth University, Richmond, VA.
  • Yeates KO; Department of Psychology, Alberta Children's Hospital Research Institute, and Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.
  • Zafonte R; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA; Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Boston, MA; Department o
  • Zasler ND; Concussion Care Centre of Virginia, Henrico, VA.
  • Zemek R; Departments of Pediatrics and Emergency Medicine, University of Ottawa, Ottawa, Canada; Children's Hospital of Eastern Ontario, Ottawa, Canada.
Arch Phys Med Rehabil ; 104(8): 1343-1355, 2023 08.
Article em En | MEDLINE | ID: mdl-37211140
ABSTRACT

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 2 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Concussão Encefálica / Lesões Encefálicas / Militares Tipo de estudo: Diagnostic_studies / Guideline Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Arch Phys Med Rehabil Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Concussão Encefálica / Lesões Encefálicas / Militares Tipo de estudo: Diagnostic_studies / Guideline Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Arch Phys Med Rehabil Ano de publicação: 2023 Tipo de documento: Article