The American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury

被引：140

作者：

Silverberg, Noah D. ^{[1
,2
,3
,67
]}

Iverson, Grant L. ^{[4
,5
,6
,7
,8
,9
]}

Cogan, Alison ^{[10
]}

Dams-O-Connor, Kristen ^{[11
]}

Delmonico, Richard ^{[12
]}

Graf, Min Jeong P. ^{[13
,14
]}

Iaccarino, Mary Alexis ^{[4
,5
,6
,8
,9
,15
]}

Kajankova, Maria ^{[11
]}

Kamins, Joshua ^{[16
]}

McCulloch, Karen L. ^{[17
]}

McKinney, Gary ^{[18
]}

Nagele, Drew ^{[19
]}

Panenka, William J. ^{[20
]}

Rabinowitz, Amanda R. ^{[21
]}

Reed, Nick ^{[22
]}

Wethe, Jennifer, V ^{[23
]}

Whitehair, Victoria ^{[24
]}

Anderson, Vicki ^{[25
]}

Arciniegas, David B. ^{[26
]}

Bayley, Mark T. ^{[27
]}

Bazarian, Jeffery J. ^{[28
]}

Bell, Kathleen R. ^{[29
]}

Broglio, Steven P. ^{[30
]}

Cifu, David ^{[31
,32
]}

Davis, Gavin A. ^{[33
]}

Dvorak, Jiri ^{[34
,35
]}

Echemendia, Ruben J. ^{[36
]}

Gioia, Gerard A. ^{[37
]}

Giza, Christopher C. ^{[38
]}

Hinds II, Sidney R. ^{[39
]}

Katz, Douglas I. ^{[40
]}

Kurowski, Brad G. ^{[41
,42
,43
,44
]}

Leddy, John J. ^{[45
]}

Le Sage, Natalie ^{[46
,47
]}

Lumba-Brown, Angela ^{[48
]}

Maas, Andrew I. R. ^{[49
,50
]}

Manley, Geoffrey T. ^{[51
]}

McCrea, Michael ^{[52
]}

Menon, David K. ^{[53
]}

Ponsford, Jennie ^{[54
]}

Putukian, Margot ^{[55
]}

Suskauer, Stacy J. ^{[56
,57
]}

van der Naalt, Joukje ^{[58
]}

Walker, William C. ^{[59
]}

Yeates, Keith Owen ^{[60
,61
]}

Zafonte, Ross ^{[62
]}

Zasler, Nathan D. ^{[63
]}

Zemek, Roger ^{[64
,65
,66
]}

机构：

[1] Univ British Columbia, Dept Psychol, Vancouver, BC, Canada

[2] Vancouver Coastal Hlth Res Inst, Vancouver, BC, Canada

[3] Djavad Mowafaghian Ctr Brain Hlth, Vancouver, BC, Canada

[4] Harvard Med Sch, Dept Phys Med & Rehabil, Boston, MA USA

[5] MassGen Hosp Children, Sports Concuss Program, Boston, MA USA

[6] Spaulding Rehabil Hosp, Dept Phys Med & Rehabil, Charlestown, MA USA

[7] Schoen Adams Res Inst Spaulding Rehabil, Dept Phys Med & Rehabil, Charlestown, MA USA

[8] Red Sox Fdn, Home Base, Charlestown, MA USA

[9] Massachusetts Gen Hosp Program, Charlestown, MA USA

[10] Univ Southern Calif, Mrs TH Chan Div Occupat Sci & Occupat Therapy, Los Angeles, CA USA

[11] Icahn Sch Med Mt Sinai, Brain Injury Res Ctr Mt Sinai, Dept Rehabil & Human Performance, New York, NY USA

[12] Permanente Med Grp Inc, Kaiser Fdn Rehabil Ctr, Vallejo, CA USA

[13] Hennepin Healthcare, Dept Phys Med & Rehabil, Minneapolis, MN USA

[14] Univ Minnesota, Dept Rehabil Med, Minneapolis, MN USA

[15] Massachusetts Gen Hosp, Dept Phys Med & Rehabil, Boston, MA USA

[16] UCLA, UCLA Steve BrainSPORT Program T, David Geffen Sch Med, Los Angeles, CA USA

[17] Univ North Carolina Chapel Hill, Sch Med, Dept Hlth Sci, Div Phys Therapy, Chapel Hill, NC USA

[18] Def Hlth Agcy, Traumat Brain Injury Ctr Excellence, Silver Spring, MD USA

[19] Philadelphia Coll Osteopath Med, Sch Profess & Appl Psychol, Philadelphia, PA USA

[20] Univ British Columbia, Dept Psychiat, Vancouver, BC, Canada

[21] Moss Rehabil Res Inst, Elkins Pk, PA USA

[22] Univ Toronto, Dept Occupat Sci & Occupat Therapy, Toronto, ON, Canada

[23] Mayo Clin, Sch Med, Scottsdale, AZ USA

[24] Case Western Reserve Univ, Metrohlth Rehabil Inst, Cleveland, OH USA

[25] Royal Childrens Hosp, Murdoch Childrens Res Inst, Parkville, Australia

[26] Univ New Mexico, Univ Colorado, Sch Med, Sch Med, Aurora, CO USA

[27] Univ Toronto, Univ Hlth Network, Toronto Rehabil Inst, Toronto, ON, Canada

[28] Univ Rochester, Sch Med & Dent, Rochester, NY USA

[29] Univ Texas Southwestern Med Ctr, Dallas, TX USA

[30] Univ Michigan, Michigan Concuss Ctr, Ann Arbor, MI USA

[31] Virginia Commonwealth Univ, Dept Phys Med & Rehabil, Sch Med, Richmond, VA USA

[32] US Dept Vet Affairs, Richmond, VA USA

[33] Cabrini Hlth, Cabrini Malvern, Melbourne, Vic, Australia

[34] Schulthess Klin, Zurich, Switzerland

[35] Swiss Concuss Ctr, Zurich, Switzerland

[36] Univ Missouri Kansas City, Univ Orthoped Ctr, Concuss Care Clin, Kansas City, MO USA

[37] George Washington Univ, Childrens Natl Hosp, SCORE Concuss Program, Div Neuropsychol,Sch Med, Rockville, MD USA

[38] Univ Calif Los Angeles, Dept Neurosurg & Pediat, Steve Tisch BrainSPORT Program, Los Angeles, CA USA

[39] Uniformed Serv Univ Hlth Sci, Dept Neurol & Radiol, Bethesda, MD USA

[40] Boston Univ, Dept Neurol, Chobanian & Avedisian Sch Med, Boston, MA USA

[41] Cincinnati Childrens Hosp Med Ctr, Div Pediat Rehabil Med, Cincinnati, OH USA

[42] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH USA

[43] Univ Cincinnati, Coll Med, Dept Neurol, Cincinnati, OH USA

[44] Univ Cincinnati, Coll Med, Dept Rehabil Med, Cincinnati, OH USA

[45] SUNY Buffalo, UBMD Dept Orthopaed & Sports Med, Jacobs Sch Med & Biomed Sci, Buffalo, NY USA

[46] Univ Laval, Res Ctr, VITAM Ctr Rech Sante Durable, CHU Quebec,Populat Hlth & Optimal Hlth Pract Axis, Quebec City, PQ, Canada

[47] Univ Laval, Dept Family Med & Emergency Med, Quebec City, PQ, Canada

[48] Stanford Univ, Dept Emergency Med, Stanford, CA USA

[49] Antwerp Univ Hosp, Edegem, Belgium

[50] Univ Antwerp, Edegem, Belgium

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2023年 / 104卷 / 08期

关键词：

Brain injury; Concussion; Consensus; Craniocerebral trauma; Diagnostic; Rehabilitation; Occupational therapy; CONCUSSION; DEFINITION; TBI; RECOMMENDATIONS; CLASSIFICATION; IDENTIFICATION; STATEMENT; SYMPTOMS; GUIDANCE; HISTORY;

D O I：

10.1016/j.apmr.2023.03.036

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To develop new diagnostic criteria for mild traumatic brain injury (TBI) that are appropriate for use across the lifespan and in sports, civilian trauma, and military settings. Design: Rapid evidence reviews on 12 clinical questions and Delphi method for expert consensus. Participants: The Mild Traumatic Brain Injury Task Force of the American Congress of Rehabilitation Medicine Brain Injury Special Interest Group convened a Working Group of 17 members and an external interdisciplinary expert panel of 32 clinician-scientists. Public stakeholder feedback was ana-lyzed from 68 individuals and 23 organizations. Results: The first 2 Delphi votes asked the expert panel to rate their agreement with both the diagnostic criteria for mild TBI and the sup-porting evidence statements. In the first round, 10 of 12 evidence statements reached consensus agreement. Revised evidence statements underwent a second round of expert panel voting, where consensus was achieved for all. For the diagnostic criteria, the final agreement rate, after the third vote, was 90.7%. Public stakeholder feedback was incorporated into the diagnostic criteria revision prior to the third expert panel vote. A terminology question was added to the third round of Delphi voting, where 30 of 32 (93.8%) expert panel members agreed that 'the diagnostic label 'concussion' may be used interchangeably with 'mild TBI' when neuroimaging is normal or not clinically indicated.' Conclusions: New diagnostic criteria for mild TBI were developed through an evidence review and expert consensus process. Having unified diagnostic criteria for mild TBI can improve the quality and consistency of mild TBI research and clinical care. Archives of Physical Medicine and Rehabilitation 2023;104:1343-55 & COPY; 2023 by the American Congress of Rehabilitation Medicine.

引用

页码：1343 / 1355

页数：13

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