Clinical trials for pediatric traumatic brain injury: definition of insanity?

被引:21
作者
Appavu, Brian [1 ,2 ]
Foldes, Stephen T. [1 ]
Adelson, P. David [1 ,2 ]
机构
[1] Barrow Neurol Inst, Phoenix Childrens Hosp, Phoenix, AZ 85013 USA
[2] Univ Arizona, Coll Med Phoenix, Dept Child Hlth, Phoenix, AZ USA
关键词
clinical trials; multimodality monitoring; autoregulation; traumatic brain injury; trauma; EARLY DECOMPRESSIVE CRANIECTOMY; PHASE-II; INTRACRANIAL HYPERTENSION; MODERATE HYPOTHERMIA; HYPERTONIC SALINE; CHILDREN; PRESSURE; SCALE; CARE; AUTOREGULATION;
D O I
10.3171/2019.2.PEDS18384
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in children both in the United States and throughout the world. Despite valiant efforts and multiple clinical trials completed over the last few decades, there are no high-level recommendations for pediatric TBI available in current guidelines. In this review, the authors explore key findings from the major pediatric clinical trials in children with TBI that have shaped present-day recommendations and the insights gained from them. The authors also offer a perspective on potential efforts to improve the efficacy of future clinical trials in children following TBI.
引用
收藏
页码:661 / 669
页数:9
相关论文
共 55 条
  • [11] Challenges and opportunities for pediatric severe TBI-review of the evidence and exploring a way forward
    Bell, Michael J.
    Adelson, P. David
    Wisniewski, Stephen R.
    [J]. CHILDS NERVOUS SYSTEM, 2017, 33 (10) : 1663 - 1667
  • [12] Differences in Medical Therapy Goals for Children With Severe Traumatic Brain Injury-An International Study
    Bell, Michael J.
    Adelson, P. David
    Hutchison, James S.
    Kochanek, Patrick M.
    Tasker, Robert C.
    Vavilala, Monica S.
    Beers, Sue R.
    Fabio, Anthony
    Kelsey, Sheryl F.
    Wisniewski, Stephen R.
    [J]. PEDIATRIC CRITICAL CARE MEDICINE, 2013, 14 (08) : 811 - 818
  • [13] Monitoring cerebral autoregulation after head injury. Which component of transcranial Doppler flow velocity is optimal?
    Budohoski, Karol P.
    Reinhard, Matthias
    Aries, Marcel J. H.
    Czosnyka, Zofia
    Smielewski, Peter
    Pickard, John D.
    Kirkpatrick, Peter J.
    Czosnyka, Marek
    [J]. NEUROCRITICAL CARE, 2012, 17 (02) : 211 - 218
  • [14] Decompressive craniotomy for acute shaken impact baby syndrome
    Cho, DY
    Wang, YC
    Chi, CS
    [J]. PEDIATRIC NEUROSURGERY, 1995, 23 (04) : 192 - 198
  • [15] Mild posttraumatic hypothermia reduces mortality after severe controlled cortical impact in rats
    Clark, RSB
    Kochanek, PM
    Marion, DW
    Schiding, JK
    White, M
    Palmer, AM
    DeKosky, ST
    [J]. JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1996, 16 (02) : 253 - 261
  • [16] Lack of effect of induction of hypothermia after acute brain injury.
    Clifton, GL
    Miller, ER
    Choi, SC
    Levin, HS
    McCauley, S
    Smith, KR
    Muizelaar, JP
    Wagner, FC
    Marion, DW
    Luerssen, TG
    Chesnut, RM
    Schwartz, M
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (08) : 556 - 563
  • [17] A PHASE-II STUDY OF MODERATE HYPOTHERMIA IN SEVERE BRAIN INJURY
    CLIFTON, GL
    ALLEN, S
    BARRODALE, P
    PLENGER, P
    BERRY, J
    KOCH, S
    FLETCHER, J
    HAYES, RL
    CHOI, SC
    [J]. JOURNAL OF NEUROTRAUMA, 1993, 10 (03) : 263 - 271
  • [18] Very early hypothermia induction in patients with severe brain injury (the National Acute Brain Injury Study: Hypothermia II): a randomised trial
    Clifton, Guy L.
    Valadka, Alex
    Zygun, David
    Coffey, Christopher S.
    Drever, Pamala
    Fourwinds, Sierra
    Janis, L. Scott
    Wilde, Elizabeth
    Taylor, Pauline
    Harshman, Kathy
    Conley, Adam
    Puccio, Ava
    Levin, Harvey S.
    McCauley, Stephen R.
    Bucholz, Richard D.
    Smith, Kenneth R.
    Schmidt, John H.
    Scott, James N.
    Yonas, Howard
    Okonkwo, David O.
    [J]. LANCET NEUROLOGY, 2011, 10 (02) : 131 - 139
  • [19] Incidence and lifetime costs of injuries in the United States
    Corso, P.
    Finkelstein, E.
    Miller, T.
    Fiebelkorn, I.
    Zaloshnja, E.
    [J]. INJURY PREVENTION, 2006, 12 (04) : 212 - 218
  • [20] Parallel recovery of consciousness and sleep in acute traumatic brain injury
    Duclos, Catherine
    Dumont, Marie
    Arbour, Caroline
    Paquet, Jean
    Blais, Helene
    Menon, David K.
    De Beaumont, Louis
    Bernard, Francis
    Gosselin, Nadia
    [J]. NEUROLOGY, 2017, 88 (03) : 268 - 275