France establishes guidelines for treating neurobehavioral disorders following traumatic brain injury.

France establishes guidelines for treating neurobehavioral disorders following traumatic brain injury.
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法国制定了治疗创伤性脑损伤后神经行为障碍的指南。

DOI:
10.1016/j.rehab.2015.06.005
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发表时间:
2016
影响因子:
4.6
通讯作者:
Levin,Harvey
Levin,Harvey
中科院分区:
医学1区
文献类型:
--
作者:
Levin,Harvey

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This paper comments on the report by a committee of La Société Française de Médecine Physique et de Réadaptation (SOFMER) in response to the Haute Autorité de santé in France concerning the classification and clinical management of disorders of comportment following moderate to severe traumatic brain injury (TBI). In view of the large number of patients and families affected by these disorders, there is a strong rationale for these guidelines to ensure that clinical assessment and treatment is evidence-based. The report is viewed from the perspective of current research on disorders of comportment and in relation to recent reviews and meta-analyses on this topic. Comments on the classification draw on pathophysiology and brain imaging in addition to the clinical literature. The SOFMER report and recent projects in North America are compared for trends in the development of recommended assessment scales and standard, evidence-based treatment protocols for pharmacologic and non-pharmacologic interventions. Collaborative, multinational investigations of TBI are also noted, which are advancing progress toward guidelines for clinical management.
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