Clinical practice guidelines in severe traumatic brain injury in Taiwan

Kuo Hsing Liao, Cheng Kuei Chang, Hong Chang Chang, Kun Chuan Chang, Chieh Feng Chen, Tzu Yung Chen, Chi Wen Chou, Wen Yu Chung, Yung Hsiao Chiang, Kuo Sheng Hong, Sheng Huang Hsiao, Yu Hone Hsu, Hsu Lin Huang, Sheng Chien Huang, Ching Chang Hung, Sui Sum Kung, Ken Nan Kuo, Kun Hsing Li, Jia Wei Lin, Tzu Gan Lin & 8 others Chien Min Lin, Chuan Fa Su, Ming Ta Tsai, Shin Han Tsai, Yu Chih Wang, Ta Yu Yang, Kuo Fan Yu, Wen Ta Chiu

研究成果: 雜誌貢獻文章

10 引文 (Scopus)

摘要

Background: Severe TBIs are major causes of disability and death in accidents. The Brain Trauma Foundation supported the first edition of the Guidelines for the Management of Severe Traumatic Brain Injury in 1995 and revised it in 2000. The recommendations in these guidelines are well accepted in the world. There are still some different views on trauma mechanisms, pathogenesis, and managements in different areas. Individualized guidelines for different countries would be necessary, and Taiwan is no exception. Methods: In November 2005, we organized the severe TBI guidelines committee and selected 9 topics, including ER treatment, ICP monitoring, CPP, fluid therapy, use of sedatives, nutrition, intracranial hypertension, seizure prophylaxis, and second-tier therapy. We have since searched key questions in these topics on Medline. References are classified into 8 levels of evidence: 1++, 1+, 1-, 2++, 2+, 2-, 3, and 4 based on the criteria of the SIGN. Results: Recommendations are formed and graded as A, B, C, and D. Grade A means that at least one piece of evidence is rated as 1++, whereas grade B means inclusion of studies rated as 2++. Grade C means inclusion of references rated as 2+, and grade D means levels of evidence rated as 3 or 4. Overall, 42 recommendations are formed. Three of these are rated as grade A, 13 as grade B, 21 as grade C, and 5 as grade D. Conclusions: We have completed the first evidence-based, clinical practice guidelines for severe TBIs. It is hoped that the guidelines will provide concepts and recommendations to promote the quality of care for severe TBIs in Taiwan.
原文英語
期刊Surgical Neurology
72
發行號SUPPL. 2
DOIs
出版狀態已發佈 - 十二月 2009

指紋

Taiwan
Practice Guidelines
Guidelines
Intracranial Hypertension
Quality of Health Care
Fluid Therapy
Evidence-Based Practice
Hypnotics and Sedatives
Accidents
Cause of Death
Seizures
Traumatic Brain Injury
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

引用此文

Clinical practice guidelines in severe traumatic brain injury in Taiwan. / Liao, Kuo Hsing; Chang, Cheng Kuei; Chang, Hong Chang; Chang, Kun Chuan; Chen, Chieh Feng; Chen, Tzu Yung; Chou, Chi Wen; Chung, Wen Yu; Chiang, Yung Hsiao; Hong, Kuo Sheng; Hsiao, Sheng Huang; Hsu, Yu Hone; Huang, Hsu Lin; Huang, Sheng Chien; Hung, Ching Chang; Kung, Sui Sum; Kuo, Ken Nan; Li, Kun Hsing; Lin, Jia Wei; Lin, Tzu Gan; Lin, Chien Min; Su, Chuan Fa; Tsai, Ming Ta; Tsai, Shin Han; Wang, Yu Chih; Yang, Ta Yu; Yu, Kuo Fan; Chiu, Wen Ta.

於: Surgical Neurology, 卷 72, 編號 SUPPL. 2, 12.2009.

研究成果: 雜誌貢獻文章

Liao, KH, Chang, CK, Chang, HC, Chang, KC, Chen, CF, Chen, TY, Chou, CW, Chung, WY, Chiang, YH, Hong, KS, Hsiao, SH, Hsu, YH, Huang, HL, Huang, SC, Hung, CC, Kung, SS, Kuo, KN, Li, KH, Lin, JW, Lin, TG, Lin, CM, Su, CF, Tsai, MT, Tsai, SH, Wang, YC, Yang, TY, Yu, KF & Chiu, WT 2009, 'Clinical practice guidelines in severe traumatic brain injury in Taiwan', Surgical Neurology, 卷 72, 編號 SUPPL. 2. https://doi.org/10.1016/j.surneu.2009.07.004
Liao, Kuo Hsing ; Chang, Cheng Kuei ; Chang, Hong Chang ; Chang, Kun Chuan ; Chen, Chieh Feng ; Chen, Tzu Yung ; Chou, Chi Wen ; Chung, Wen Yu ; Chiang, Yung Hsiao ; Hong, Kuo Sheng ; Hsiao, Sheng Huang ; Hsu, Yu Hone ; Huang, Hsu Lin ; Huang, Sheng Chien ; Hung, Ching Chang ; Kung, Sui Sum ; Kuo, Ken Nan ; Li, Kun Hsing ; Lin, Jia Wei ; Lin, Tzu Gan ; Lin, Chien Min ; Su, Chuan Fa ; Tsai, Ming Ta ; Tsai, Shin Han ; Wang, Yu Chih ; Yang, Ta Yu ; Yu, Kuo Fan ; Chiu, Wen Ta. / Clinical practice guidelines in severe traumatic brain injury in Taiwan. 於: Surgical Neurology. 2009 ; 卷 72, 編號 SUPPL. 2.
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title = "Clinical practice guidelines in severe traumatic brain injury in Taiwan",
abstract = "Background: Severe TBIs are major causes of disability and death in accidents. The Brain Trauma Foundation supported the first edition of the Guidelines for the Management of Severe Traumatic Brain Injury in 1995 and revised it in 2000. The recommendations in these guidelines are well accepted in the world. There are still some different views on trauma mechanisms, pathogenesis, and managements in different areas. Individualized guidelines for different countries would be necessary, and Taiwan is no exception. Methods: In November 2005, we organized the severe TBI guidelines committee and selected 9 topics, including ER treatment, ICP monitoring, CPP, fluid therapy, use of sedatives, nutrition, intracranial hypertension, seizure prophylaxis, and second-tier therapy. We have since searched key questions in these topics on Medline. References are classified into 8 levels of evidence: 1++, 1+, 1-, 2++, 2+, 2-, 3, and 4 based on the criteria of the SIGN. Results: Recommendations are formed and graded as A, B, C, and D. Grade A means that at least one piece of evidence is rated as 1++, whereas grade B means inclusion of studies rated as 2++. Grade C means inclusion of references rated as 2+, and grade D means levels of evidence rated as 3 or 4. Overall, 42 recommendations are formed. Three of these are rated as grade A, 13 as grade B, 21 as grade C, and 5 as grade D. Conclusions: We have completed the first evidence-based, clinical practice guidelines for severe TBIs. It is hoped that the guidelines will provide concepts and recommendations to promote the quality of care for severe TBIs in Taiwan.",
keywords = "Clinical practice guidelines, Evidence-based, Guidelines, Management, Severe, Taiwan, Traumatic brain injury",
author = "Liao, {Kuo Hsing} and Chang, {Cheng Kuei} and Chang, {Hong Chang} and Chang, {Kun Chuan} and Chen, {Chieh Feng} and Chen, {Tzu Yung} and Chou, {Chi Wen} and Chung, {Wen Yu} and Chiang, {Yung Hsiao} and Hong, {Kuo Sheng} and Hsiao, {Sheng Huang} and Hsu, {Yu Hone} and Huang, {Hsu Lin} and Huang, {Sheng Chien} and Hung, {Ching Chang} and Kung, {Sui Sum} and Kuo, {Ken Nan} and Li, {Kun Hsing} and Lin, {Jia Wei} and Lin, {Tzu Gan} and Lin, {Chien Min} and Su, {Chuan Fa} and Tsai, {Ming Ta} and Tsai, {Shin Han} and Wang, {Yu Chih} and Yang, {Ta Yu} and Yu, {Kuo Fan} and Chiu, {Wen Ta}",
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T1 - Clinical practice guidelines in severe traumatic brain injury in Taiwan

AU - Liao, Kuo Hsing

AU - Chang, Cheng Kuei

AU - Chang, Hong Chang

AU - Chang, Kun Chuan

AU - Chen, Chieh Feng

AU - Chen, Tzu Yung

AU - Chou, Chi Wen

AU - Chung, Wen Yu

AU - Chiang, Yung Hsiao

AU - Hong, Kuo Sheng

AU - Hsiao, Sheng Huang

AU - Hsu, Yu Hone

AU - Huang, Hsu Lin

AU - Huang, Sheng Chien

AU - Hung, Ching Chang

AU - Kung, Sui Sum

AU - Kuo, Ken Nan

AU - Li, Kun Hsing

AU - Lin, Jia Wei

AU - Lin, Tzu Gan

AU - Lin, Chien Min

AU - Su, Chuan Fa

AU - Tsai, Ming Ta

AU - Tsai, Shin Han

AU - Wang, Yu Chih

AU - Yang, Ta Yu

AU - Yu, Kuo Fan

AU - Chiu, Wen Ta

PY - 2009/12

Y1 - 2009/12

N2 - Background: Severe TBIs are major causes of disability and death in accidents. The Brain Trauma Foundation supported the first edition of the Guidelines for the Management of Severe Traumatic Brain Injury in 1995 and revised it in 2000. The recommendations in these guidelines are well accepted in the world. There are still some different views on trauma mechanisms, pathogenesis, and managements in different areas. Individualized guidelines for different countries would be necessary, and Taiwan is no exception. Methods: In November 2005, we organized the severe TBI guidelines committee and selected 9 topics, including ER treatment, ICP monitoring, CPP, fluid therapy, use of sedatives, nutrition, intracranial hypertension, seizure prophylaxis, and second-tier therapy. We have since searched key questions in these topics on Medline. References are classified into 8 levels of evidence: 1++, 1+, 1-, 2++, 2+, 2-, 3, and 4 based on the criteria of the SIGN. Results: Recommendations are formed and graded as A, B, C, and D. Grade A means that at least one piece of evidence is rated as 1++, whereas grade B means inclusion of studies rated as 2++. Grade C means inclusion of references rated as 2+, and grade D means levels of evidence rated as 3 or 4. Overall, 42 recommendations are formed. Three of these are rated as grade A, 13 as grade B, 21 as grade C, and 5 as grade D. Conclusions: We have completed the first evidence-based, clinical practice guidelines for severe TBIs. It is hoped that the guidelines will provide concepts and recommendations to promote the quality of care for severe TBIs in Taiwan.

AB - Background: Severe TBIs are major causes of disability and death in accidents. The Brain Trauma Foundation supported the first edition of the Guidelines for the Management of Severe Traumatic Brain Injury in 1995 and revised it in 2000. The recommendations in these guidelines are well accepted in the world. There are still some different views on trauma mechanisms, pathogenesis, and managements in different areas. Individualized guidelines for different countries would be necessary, and Taiwan is no exception. Methods: In November 2005, we organized the severe TBI guidelines committee and selected 9 topics, including ER treatment, ICP monitoring, CPP, fluid therapy, use of sedatives, nutrition, intracranial hypertension, seizure prophylaxis, and second-tier therapy. We have since searched key questions in these topics on Medline. References are classified into 8 levels of evidence: 1++, 1+, 1-, 2++, 2+, 2-, 3, and 4 based on the criteria of the SIGN. Results: Recommendations are formed and graded as A, B, C, and D. Grade A means that at least one piece of evidence is rated as 1++, whereas grade B means inclusion of studies rated as 2++. Grade C means inclusion of references rated as 2+, and grade D means levels of evidence rated as 3 or 4. Overall, 42 recommendations are formed. Three of these are rated as grade A, 13 as grade B, 21 as grade C, and 5 as grade D. Conclusions: We have completed the first evidence-based, clinical practice guidelines for severe TBIs. It is hoped that the guidelines will provide concepts and recommendations to promote the quality of care for severe TBIs in Taiwan.

KW - Clinical practice guidelines

KW - Evidence-based

KW - Guidelines

KW - Management

KW - Severe

KW - Taiwan

KW - Traumatic brain injury

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