National Guidelines for Cognitive Assessment and Rehabilitation of Iranian Traumatic Brain Injury Patients.

Autor: Ghawami H; Neuropsychology Division, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Jazayeri SB; Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Department of Neurotrauma, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Sabeti Nowsud A; Neuropsychology Division, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Sharif-Alhoseini M; Department of Neurotrauma, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Shirvani A; National Agency for Strategic Research in Medical Education (NASR), Tehran, Iran., Kheyri M; Clinical Guideline Development and Standardization Group, Office of Health Technology Assessment, Standardization and Tariffs, Deputy for Curative Affairs, Iranian Ministry of Health and Medical Education (MOHME), Tehran, Iran., Abdollah Zadegan S; Department of Neurotrauma, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Noorian N; Department of Psychology, Shahid Rajaee University (SRTTU), Tehran, Iran., Mohammadian F; Department of Neurology, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran., Karimi Yarandi K; Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran., Azad A; Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Rezaeitalab F; Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Barekatain M; Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran., Bakhtiyari J; Department of Speech Therapy, Neuromuscular Rehabilitation Research Center, School of Rehabilitation Sciences, Semnan University Medical Sciences, Semnan, Iran., Moradi A; Department of Clinical Psychology, Kharazmi University, Tehran, Iran.; Department of Cognitive Psychology, Institute for Cognitive Sciences Studies, Tehran, Iran., Khatoonabadi AR; Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran., Haghgoo HA; Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Gheini MR; Department of Neurology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran., Khadivi M; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran., Faghih Jouibari M; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran., Khayat Kashani HR; Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Mirzaasgari Z; Neurology Department, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran., Meshkini A; Road Traffic Injury Research Center, Department of Neurosurgery, Tabriz University of Medical Sciences, Tabriz, Iran., Haghshenas H; Department of Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran., Samini F; Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Mohit P; Department of Neurosurgery, Mazandaran University of Medical Science, Sari, Iran., Akbarfahimi M; Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran., Alimohammadi Y; Neurosurgery Unit, Bahman Hospital, Tehran, Iran., Payandemehr P; Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran., Abbaszadeh Ahranjani J; Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran., Arabkheradmand J; Ahya Neuroscience Research Center, Tehran, Iran., Vahabi Z; Memory and Behavioral Neurology Division, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran., Arbabi M; Department of Psychiatry, Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran., Kermanpour H; Emergency Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran., Ghandehari K; Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Bakhshani NM; Department of Psychology, Zahedan University of Medical Sciences, Zahedan, Iran., Motlagh Pirooz F; Department of Neurosurgery, Islamic Azad University, Medical Branch, Mashhad, Iran., Ghaedi G; Department of Psychiatry, Neurophysiology Research Center, Shahed University, Tehran, Iran., Dolatshahi B; Department of Psychology, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Tavakoli SF; Department of Neurosurgery, Islamic Azad University, Medical Branch, Mashhad, Iran.; Farabi Hospital, Social Security Organization, Mashhad, Iran., Vosough I; Research and Education Department, Razavi Hospital, Mashhad, Iran., Amirjamshidi A; Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran., Hatami J; Department of Psychology, University of Tehran, Tehran, Iran., Rahimi-Movaghar V; Department of Neurotrauma, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Research Centre for Neural Repair, University of Tehran, Tehran, Iran.
Jazyk: angličtina
Zdroj: Archives of Iranian medicine [Arch Iran Med] 2020 Dec 01; Vol. 23 (12), pp. 813-820. Date of Electronic Publication: 2020 Dec 01.
DOI: 10.34172/aim.2020.108
Abstrakt: Background: Individuals with moderate to severe traumatic brain injury (TBI) often have prolonged cognitive impairments, resulting in long-term problems with their real-life activities. Given the urgent need for evidence-based recommendations for neuropsychological management of Iranian TBI patients, the current work aimed to adapt eligible international guidelines for cognitive assessment and rehabilitation of the TBI patients in Iran.
Methods: The project was led by an executive committee, under the supervision of the Iranian Ministry of Health and Medical Education (MOHME). Following a systematic literature search and selection process, four guidelines were included for adaptation. Clinical recommendations of the source guidelines were tabulated as possible clinical scenarios for 90 PICO clinical questions covering all relevant phases of care. After summing up the scenarios, our initial list of recommendations was drafted according to the Iranian patients' conditions. The final decision-making, with the contribution of a national interdisciplinary panel of 37 experts from across the country, was conducted in two rounds using online and offline survey forms (Round 1), and face-to-face and telephone meetings (Round 2).
Results: A total of 63 recommendations in six sections were included in the final list of recommendations, among which 24 were considered as key recommendations. In addition, some of the recommendations were identified as fundamental, meaning that proper implementation of the other recommendations is largely dependent on their implementation.
Conclusion: Iranian health policy makers and rehabilitation program managers are recommended to address some fundamental issues to provide the necessary infrastructure to set up an efficient cognitive rehabilitation service system.
(© 2020 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.)
Databáze: MEDLINE
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