TY  - JOUR
PY  - 2018//
TI  - Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children
JO  - JAMA pediatrics
A1  - Lumba-Brown, Angela
A1  - Yeates, Keith Owen
A1  - Sarmiento, Kelly
A1  - Breiding, Matthew J.
A1  - Haegerich, Tamara M.
A1  - Gioia, Gerard A.
A1  - Turner, Michael
A1  - Benzel, Edward C.
A1  - Suskauer, Stacy J.
A1  - Giza, Christopher C.
A1  - Joseph, Madeline
A1  - Broomand, Catherine
A1  - Weissman, Barbara
A1  - Gordon, Wayne
A1  - Wright, David W.
A1  - Moser, Rosemarie Scolaro
A1  - McAvoy, Karen
A1  - Ewing-Cobbs, Linda
A1  - Duhaime, Ann-Christine
A1  - Putukian, Margot
A1  - Holshouser, Barbara A.
A1  - Paulk, David
A1  - Wade, Shari L.
A1  - Herring, Stanley A.
A1  - Halstead, Mark
A1  - Keenan, Heather T.
A1  - Choe, Meeryo
A1  - Christian, Cindy W.
A1  - Guskiewicz, Kevin
A1  - Raksin, P. B.
A1  - Gregory, Andrew
A1  - Mucha, Anne
A1  - Taylor, H. Gerry
A1  - Callahan, James M.
A1  - DeWitt, John
A1  - Collins, Michael W.
A1  - Kirkwood, Michael W.
A1  - Ragheb, John
A1  - Ellenbogen, Richard G.
A1  - Spinks, Theodore J.
A1  - Ganiats, Theodore G.
A1  - Sabelhaus, Linda J.
A1  - Altenhofen, Katrina
A1  - Hoffman, Rosanne
A1  - Getchius, Thomas S. D.
A1  - Gronseth, Gary
A1  - Donnell, Zoe
A1  - O'connor, Robert E.
A1  - Timmons, Shelly D.
SP  - e182853
EP  - e182853
VL  - 172
IS  - 11
N2  - IMPORTANCE: Mild traumatic brain injury (mTBI), or concussion, in children is a rapidly growing public health concern because epidemiologic data indicate a marked increase in the number of emergency department visits for mTBI over the past decade. However, no evidence-based clinical guidelines have been developed to date for diagnosing and managing pediatric mTBI in the United States. <br><br>OBJECTIVE: To provide a guideline based on a previous systematic review of the literature to obtain and assess evidence toward developing clinical recommendations for health care professionals related to the diagnosis, prognosis, and management/treatment of pediatric mTBI. EVIDENCE REVIEW: The Centers for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control Board of Scientific Counselors, a federal advisory committee, established the Pediatric Mild Traumatic Brain Injury Guideline Workgroup. The workgroup drafted recommendations based on the evidence that was obtained and assessed within the systematic review, as well as related evidence, scientific principles, and expert inference. This information includes selected studies published since the evidence review was conducted that were deemed by the workgroup to be relevant to the recommendations. The dates of the initial literature search were January 1, 1990, to November 30, 2012, and the dates of the updated literature search were December 1, 2012, to July 31, 2015. <br><br>FINDINGS: The CDC guideline includes 19 sets of recommendations on the diagnosis, prognosis, and management/treatment of pediatric mTBI that were assigned a level of obligation (ie, must, should, or may) based on confidence in the evidence. Recommendations address imaging, symptom scales, cognitive testing, and standardized assessment for diagnosis; history and risk factor assessment, monitoring, and counseling for prognosis; and patient/family education, rest, support, return to school, and symptom management for treatment. <br><br>CONCLUSIONS AND RELEVANCE: This guideline identifies the best practices for mTBI based on the current evidence; updates should be made as the body of evidence grows. In addition to the development of the guideline, CDC has created user-friendly guideline implementation materials that are concise and actionable. Evaluation of the guideline and implementation materials is crucial in understanding the influence of the recommendations.<p />  <p>Language: en</p>
LA  - en
SN  - 2168-6211
UR  - http://dx.doi.org/10.1001/jamapediatrics.2018.2853
ID  - ref1
ER  -