Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Neurology
Published in: BMC Neurology 1/2017

Open Access 01-12-2017 | Technical advance

Process for developing rehabilitation practice recommendations for individuals with traumatic brain injury

Authors: Librada Callender, Rachel Brown, Simon Driver, Marie Dahdah, Ashley Collinsworth, Shahid Shafi

Published in: BMC Neurology | Issue 1/2017

Login to get access

Abstract

Background

Attempts at measuring quality of rehabilitation care are hampered by a gap in knowledge translation of evidence-based approaches and lack of consensus on best practices. However, adoption of evidence-based best practices is needed to minimize variations and improve quality of care. Therefore, the objective of this project was to describe a process for assessing the quality of evidence of clinical practices in traumatic brain injury (TBI) rehabilitative care.

Methods

A multidisciplinary team of clinicians developed discipline-specific clinical questions using the Population, Intervention, Control, Outcome process. A systematic review of the literature was conducted for each question using Pubmed, CINAHL, PsychInfo, and Allied Health Evidence databases. Team members assessed the quality, level, and applicability of evidence utilizing a modified Oxford scale, the Agency for Healthcare Research and Quality Methods Guide, and a modified version of the Grading of Recommendations, Assessment, Development, and Evaluation scale.

Results

Draft recommendations for best-practice were formulated and shared with a Delphi panel of clinical representatives and stakeholders to obtain consensus.

Conclusion

Evidence-based practice guidelines are essential to improve the quality of TBI rehabilitation care. By using a modified quality of evidence assessment tool, we established a process to gain consensus on practice recommendations for individuals with TBI undergoing rehabilitation.
Literature
1.
Hall KM, Cope DN. The benefit of rehabilitation in traumatic brain injury: A literature review. J Head Trauma Rehabil. 1995;10(1):1–13.CrossRef
2.
Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1966;166–206.
3.
4.
5.
Dahdah MN, Barisa MT, Schmidt K, et al. Comparative effectiveness of traumatic brain injury rehabilitation: differential outcomes across TBI model systems centers. J Head Trauma Rehabil. 2014;29(5):451–9.CrossRefPubMed
6.
Seel RT, Barrett RS, Beaulieu CL, et al. Institutional variation in traumatic brain injury acute rehabilitation practice. Arch Phys Med Rehabil. 2015;96(8):S197–208.CrossRefPubMed
7.
Corrigan JD, Horn SD, Barrett RS, et al. Effects of patient preinjury and injury characteristics on acute rehabilitation outcomes for traumatic brain injury. Arch Phys Med Rehabil. 2015;96(8):S209–21. e206.CrossRefPubMedPubMedCentral
8.
Horn SD, Corrigan JD, Bogner J, et al. Traumatic Brain Injury–Practice Based Evidence study: design and patients, centers, treatments, and outcomes. Arch Phys Med Rehabil. 2015;96(8):S178–96. e115.CrossRefPubMedPubMedCentral
9.
Beaulieu CL, Dijkers MP, Barrett RS, et al. Occupational, physical, and speech therapy treatment activities during inpatient rehabilitation for traumatic brain injury. Archives of Physical Medicine and Rehabilitation. 2015;96(8):S222–34. e217.CrossRefPubMedPubMedCentral
10.
McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–45.CrossRefPubMed
11.
Shafi S, Rayan N, Barnes S, Fleming N, Gentilello LM, Ballard D. Moving from “optimal resources” to “optimal care” at trauma centers. J Trauma Acute Care Surg. 2012;72(4):870–7.CrossRefPubMed
12.
Shafi S, Barnes SA, Millar D, et al. Suboptimal compliance with evidence-based guidelines in patients with traumatic brain injuries: Clinical article. J Neurosurg. 2014;120(3):773–7.CrossRefPubMed
13.
14.
Guyatt GH, Oxman AD, Kunz R, Vist GE, Falck-Ytter Y, Schünemann HJ. What is “quality of evidence” and why is it important to clinicians? BMJ. 2008;336(7651):995–8.CrossRefPubMedPubMedCentral
15.
Group GW. Grading quality of evidence and strength of recommendations. BMJ. 2004;328(7454):1490.CrossRef
16.
Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction—GRADE evidence profiles and summary of findings tables. J Clin Epidemiol. 2011;64(4):383–94.CrossRefPubMed
17.
Group OLoEW. The Oxford 2011 levels of evidence. UK: Oxford Centre for Evidence-Based Medicine Oxford; 2011.
18.
Atkins D, Chang SM, Gartlehner G, et al. Assessing applicability when comparing medical interventions: AHRQ and the Effective Health Care Program. J Clin Epidemiol. 2011;64(11):1198–207.CrossRefPubMed
19.
Barbui C, Dua T, van Ommeren M, et al. Challenges in developing evidence-based recommendations using the GRADE approach: the case of mental, neurological, and substance use disorders. PLoS Med. 2010;7(8):980.CrossRef
20.
Eckardt K-U, Kasiske BL. Kidney disease: improving global outcomes. Nat Rev Nephrol. 2009;5(11):650–7.CrossRefPubMed
Metadata
Title
Process for developing rehabilitation practice recommendations for individuals with traumatic brain injury
Authors
Librada Callender
Rachel Brown
Simon Driver
Marie Dahdah
Ashley Collinsworth
Shahid Shafi
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2017
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-017-0828-z

Other articles of this Issue 1/2017

BMC Neurology 1/2017 Go to the issue

Database

Validation of an International Classification of Disease, Ninth Revision coding algorithm to identify decompressive craniectomy for stroke

Research article

Cigarette smoking is an independent risk factor for post-stroke delirium

Research article

Isolated transient vertigo: posterior circulation ischemia or benign origin?

Research article

Measurement properties of painDETECT: Rasch analysis of responses from community-dwelling adults with neuropathic pain

Research article

Stroke unit care in germany: the german stroke registers study group (ADSR)

Research article

Post-operative re-bleeding in patients with hypertensive ICH is closely associated with the CT blend sign