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Journal article
Guidelines for the Management of Severe Traumatic Brain Injury: 2020 Update of the Decompressive Craniectomy Recommendations
Neurosurgery, v 87(3), pp 427-434
01 Sep 2020
PMID: 32761068
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
When the fourth edition of the Brain Trauma Foundation's Guidelines for the Management of Severe Traumatic Brain Injury were finalized in late 2016, it was known that the results of the RESCUEicp (Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension) randomized controlled trial of decompressive craniectomy would be public after the guidelines were released. The guideline authors decided to proceed with publication but to update the decompressive craniectomy recommendations later in the spirit of "living guidelines," whereby topics are updated more frequently, and between new editions, when important new evidence is published. The update to the decompressive craniectomy chapter presented here integrates the findings of the RESCUEicp study as well as the recently published 12-mo outcome data from the DECRA (Decompressive Craniectomy in Patients With Severe Traumatic Brain Injury) trial. Incorporation of these publications into the body of evidence led to the generation of 3 new level-IIA recommendations; a fourth previously presented level-IIA recommendation remains valid and has been restated. To increase the utility of the recommendations, we added a new section entitled Incorporating the Evidence into Practice. This summary of expert opinion provides important context and addresses key issues for practitioners, which are intended to help the clinician utilize the available evidence and these recommendations. The full guideline can be found at: https://braintrauma.org/guidelines/guidelines-for-the-management-of-severe-tbi-4th-ed#/.
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Details
- Title
- Guidelines for the Management of Severe Traumatic Brain Injury: 2020 Update of the Decompressive Craniectomy Recommendations
- Creators
- Gregory W J Hawryluk - University of ManitobaAndres M Rubiano - Universidad El BosqueAnnette M Totten - Oregon Health & Science UniversityCindy O'Reilly - University of PortlandJamie S Ullman - Hofstra UniversitySusan L Bratton - University of UtahRandall Chesnut - University of WashingtonOdette A Harris - Stanford UniversityNiranjan Kissoon - University of British ColumbiaLori Shutter - University of PittsburghRobert C Tasker - Harvard Medical School & Boston Children's Hospital, Boston, MassachusettsMonica S Vavilala - University of WashingtonJack Wilberger - Drexel University, Pittsburgh, PennsylvaniaDavid W Wright - Emory UniversityAngela Lumba-Brown - Stanford UniversityJamshid Ghajar - Stanford University
- Publication Details
- Neurosurgery, v 87(3), pp 427-434
- Publisher
- Oxford University Press
- Number of pages
- 8
- Grant note
- W911 QY-14-C-0086 / US Army Contracting Command
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000593120600044
- Scopus ID
- 2-s2.0-85089610381
- Other Identifier
- 991021860675404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Clinical Neurology
- Surgery