Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition
Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition
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DOI：
10.1227/neu.0000000000001432
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发表时间：
2017-01-01
期刊：
影响因子：
4.8
通讯作者：
Ghajar, Jamshid
中科院分区：
文献类型：
--
作者：
Carney, Nancy;Totten, Annette M.;Ghajar, Jamshid
这项工作的范围和目的有两个方面：综合现有证据并将其转化为建议。本文件仅在有证据支持的情况下提供建议。因此，它们不构成临床使用的完整方案。我们的意图是，这些建议被其他人用来制定治疗方案，这必然需要在目前缺乏证据或证据不足的领域纳入共识和临床判断。我们认为，重要的是要有循证建议，以澄清哪些方面的做法，目前可以和不可以支持的证据，鼓励使用循证治疗存在，并鼓励创造性的治疗和研究领域的证据不存在。神经外科和神经重症监护社区一直是循证医学的早期先驱和支持者，并计划继续奋进。完整的指南文件总结和评估了每个主题的文献，补充附录（A-I）可在https://www.braintrauma.org/coma/guidelines在线获得。
The scope and purpose of this work is 2-fold: to synthesize the available evidence and to translate it into recommendations. This document provides recommendations only when there is evidence to support them. As such, they do not constitute a complete protocol for clinical use. Our intention is that these recommendations be used by others to develop treatment protocols, which necessarily need to incorporate consensus and clinical judgment in areas where current evidence is lacking or insufficient. We think it is important to have evidence-based recommendations to clarify what aspects of practice currently can and cannot be supported by evidence, to encourage use of evidence-based treatments that exist, and to encourage creativity in treatment and research in areas where evidence does not exist. The communities of neurosurgery and neuro-intensive care have been early pioneers and supporters of evidence-based medicine and plan to continue in this endeavor. The complete guideline document, which summarizes and evaluates the literature for each topic, and supplemental appendices (A-I) are available online at https://www.braintrauma.org/coma/guidelines.