Inpatient management of complicated mTBI with the BIG assessment tool: Review and summary of the evidence.
Introduction: The management of mild traumatic brain injury has evolved through the years with an emphasis on the safe discharge of patients given current resources. In this article, we discuss key studies published in the past 12 years that have influenced the direction of complicated mild traumati...
| Publicado en: | Trauma Vol. 25; no. 2; pp. 93 - 99 |
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| Autores principales: | , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Apr2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163913252&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163913252 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14604086 8NN jtl: Trauma issn: 14604086 maglogo: Y pubinfo: dt: Apr2023 vid: 25 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 163913252 161244298 163913252 163913252 10.1177/14604086221148560 163913252 ppf: 93 ppct: 6 formats: tig: atl: Inpatient management of complicated mTBI with the BIG assessment tool: Review and summary of the evidence. aug: au: Barber, Kimberly R Wasfie, Tarik affil: Research Department, 3577Ascension Genesys, Grand Blanc, MI, USA sug: subj: Algorithms Utilization Brain Injuries Therapy Hospitalization Brain Injuries Prognosis Inpatients Decision Support Techniques Risk Assessment ab: Introduction: The management of mild traumatic brain injury has evolved through the years with an emphasis on the safe discharge of patients given current resources. In this article, we discuss key studies published in the past 12 years that have influenced the direction of complicated mild traumatic brain injury (cmTBI) management. We summarize the evidence on the utilization of the Brain Injury Guideline (BIG) algorithm. Methods: An independent literature search was conducted on the BIG, updated versions of BIG, and the prognostic studies of adult mild traumatic brain injury admissions cited by the BIG articles. Evidence resources included the search engines of PubMed, Medline, Ovid, Cochrane Library, and Google Scholar bibliographic databases of items published between 1 January 2010 and 30 December 2021. The evidence focused on BIG and its modified versions, as a potential risk assessment tool for discharging mTBI patients early. Results: Studies supporting the BIG algorithm prior to 2019 presented evidence with serious limitations to their findings. These limitations threaten their veracity and fail to support the efficacy or validation of the BIG algorithm's utilization for mTBI patient management. Conclusion: The lack of rigor in the BIG algorithm studies suggest the research is currently insufficient to support early discharge and research needs to continue on modified versions of the tool before its widespread use. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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