Action Collaborative on Traumatic Brain Injury Care: Adapted Clinical Practice Guideline

Outpatient follow-up care for traumatic brain injury (TBI) is inconsistent. The Action Collaborative on TBI Care, convened under the auspices of the National Academies of Sciences, Engineering, and Medicine, aimed to standardize management with a clinical practice guideline. The guideline is intended for community-dwelling adults with TBI who are able to care for themselves at hospital discharge or who did not require acute hospital care. Guideline topics were selected and prioritized with input from individuals with lived experience and clinicians. Existing evidence-based clinical practice guidelines (<i>k</i> = 18) were identified from systematic literature reviews. Recommendations for each priority topic were extracted from existing guidelines and synthesized using the ADAPTE process. Strength of evidence ratings were assigned based on the American Academy of Family Physician's adaptation of GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) through consensus voting. A draft guideline underwent external review by 20 health professional and brain injury organizations. The Action Collaborative on TBI Care guideline provides recommendations for 11 priority topics: (1) confirm the diagnosis; (2) determine whether emergency department evaluation is required; (3) request neuroimaging and neuropsychological assessment when indicated; (4) screen for social determinants of health; (5) provide guidance on return to usual activities; (6) educate the patient and family; (7) assess for risk of persistent symptoms; (8) prioritize which symptoms to target first; (9) initiate treatment for posttraumatic headache; (10) screen and initiate treatment for mental health disorders; and (11) decide if and when to refer to specialty care.

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Publication Details

Journal
Journal of Neurotrauma
Published
2025-09-18
DOI
https://doi.org/10.1177/08977151251378894
Citations
1
Primary Topic
Clinical practice guidelines implementation
Type
article
Field-Weighted Citation Impact
1.88
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article

Action Collaborative on Traumatic Brain Injury Care: Adapted Clinical Practice Guideline

Caterina Mosti, Monique R. Pappadis, Monica Verduzco‐Gutierrez, Joukje van der Naalt et al.
1 citations
Journal of Neurotrauma
Clinical practice guidelines implementation
1.88
article

Action Collaborative on Traumatic Brain Injury Care: Adapted Clinical Practice Guideline

Caterina Mosti, Monique R. Pappadis, Monica Verduzco‐Gutierrez, Joukje van der Naalt, Kathy Lee, Cathra Halabi, Joseph T. Giacino, Ana Mikolić, Flora M. Hammond, Vincent Y. Wang, Anita Ravi, David L. Brody, Olli S. Tenovuo, Mark Theodore Bayley, Daniel Andre Ignacio, Eugene Wesley Ely, Geoffrey A. Manley, Noah D. Silverberg
article en
1 citations

Abstract

Outpatient follow-up care for traumatic brain injury (TBI) is inconsistent. The Action Collaborative on TBI Care, convened under the auspices of the National Academies of Sciences, Engineering, and Medicine, aimed to standardize management with a clinical practice guideline. The guideline is intended for community-dwelling adults with TBI who are able to care for themselves at hospital discharge or who did not require acute hospital care. Guideline topics were selected and prioritized with input from individuals with lived experience and clinicians. Existing evidence-based clinical practice guidelines (<i>k</i> = 18) were identified from systematic literature reviews. Recommendations for each priority topic were extracted from existing guidelines and synthesized using the ADAPTE process. Strength of evidence ratings were assigned based on the American Academy of Family Physician's adaptation of GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) through consensus voting. A draft guideline underwent external review by 20 health professional and brain injury organizations. The Action Collaborative on TBI Care guideline provides recommendations for 11 priority topics: (1) confirm the diagnosis; (2) determine whether emergency department evaluation is required; (3) request neuroimaging and neuropsychological assessment when indicated; (4) screen for social determinants of health; (5) provide guidance on return to usual activities; (6) educate the patient and family; (7) assess for risk of persistent symptoms; (8) prioritize which symptoms to target first; (9) initiate treatment for posttraumatic headache; (10) screen and initiate treatment for mental health disorders; and (11) decide if and when to refer to specialty care.

Journal of NeurotraumaVol. 43(1-2)
Children's Health Fund (US), San Francisco General Hospital (US), University Health Network (CA), University Medical Center Groningen (NL), Harvard University (US), Vancouver Coastal Health (CA), University of British Columbia (CA), Uniformed Services University of the Health Sciences (US), University of Groningen (NL), University of California, San Francisco (US), University of Toronto (CA), Spaulding Rehabilitation Hospital (US), Toronto Rehabilitation Institute (CA), Defense Health Agency (US), St. Jude Medical Center (US), Erasmus MC (NL), Turku University Hospital (FI), Dell Children's Medical Center of Central Texas (US), Geriatric Research Education and Clinical Center (US), Vancouver Coastal Health Research Institute (CA), Indiana University School of Medicine, The University of Texas at San Antonio (US), The University of Texas Medical Branch at Galveston (US), Indiana University – Purdue University Indianapolis (US), The University of Texas at Austin (US), Vanderbilt University Medical Center (US), Erasmus University Rotterdam (NL)
Openalex Percentile: Top 12%
Clinical practice guidelines implementation
1.88
DOISourceOpenAlex
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