CDC Guideline on Mild Traumatic Brain Injury in Children: Important Practice Takeaways for Sports Medicine Providers

被引:8
|
作者
Sarmiento, Kelly [1 ]
Waltzman, Dana [1 ]
Lumba-Brown, Angela [2 ]
Yeates, Keith O. [3 ]
Putukian, Margot [4 ]
Herring, Stanley [5 ,6 ,7 ,8 ]
机构
[1] Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, Div Unintent Injury Prevent, 4770 Buford Hwy NE,Mail Stop F62, Atlanta, GA 30341 USA
[2] Stanford Univ, Sch Med, Dept Emergency Med, Stanford, CA 94305 USA
[3] Univ Calgary, Dept Psychol, Calgary, AB, Canada
[4] Princeton Univ, Dept Athlet Med, Univ Hlth Serv, Princeton, NJ 08544 USA
[5] Univ Washington, Sch Med, Dept Rehabil Med, Seattle, WA 98195 USA
[6] Univ Washington, Sch Med, Dept Orthopaed, Seattle, WA USA
[7] Univ Washington, Sch Med, Dept Sports Med, Seattle, WA USA
[8] Univ Washington, Sch Med, Dept Neurol Surg, Seattle, WA 98195 USA
来源
CLINICAL JOURNAL OF SPORT MEDICINE | 2020年 / 30卷 / 06期
基金
美国国家卫生研究院; 加拿大健康研究院;
关键词
concussion; brain; injury; guideline; athlete; POSTCONCUSSIVE SYMPTOMS; SOCIAL SUPPORT; RISK-FACTORS; CONCUSSION; EPIDEMIOLOGY; DEPRESSION; RECOVERY;
D O I
10.1097/JSM.0000000000000704
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objectives: The Centers for Disease Control and Prevention (CDC) published an evidence-based guideline on the diagnosis and management of pediatric mild traumatic brain injury (mTBI) in 2018. This commentary provides key practice takeaways for sports medicine providers outlined in the Guideline recommendations. Data Sources: The CDC Pediatric mTBI Guideline was developed through a rigorous scientific process using a modified Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology. A systematic review of the scientific literature published over a 25-year period for all causes of pediatric mTBI formed the basis of the Guideline. Main Results: The key practice takeaways for sports medicine providers focus on preseason evaluations, neuroimaging, symptom-based assessment, managing recovery, monitoring for persistent symptoms, and return to activity, including sport and school. Conclusions: Sports medicine providers play an integral part in the implementation of evidence-based practices that promote appropriate diagnosis and management of mTBI in children. This commentary highlights key practice takeaways that sports medicine providers can implement.
引用
收藏
页码:612 / 615
页数:4
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