Author/Authors :
Abdollah Zadegan، Shayan نويسنده Research Center for Neural Repair (RCNR), Animal
Laboratory Department, University of Tehran, Tehran, IR
Iran , , Ghodsi، Seyed Mohammad نويسنده Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran Ghodsi, Seyed Mohammad , Arabkheradmand، Jalil نويسنده Ahya Neuroscience Research Center, Tehran, IR Iran , , Amirjamshidi، Abbas نويسنده Sina Hospital, Tehran, IR Iran , , Sheikhrezaei، Abdolreza نويسنده Department of Neurosurgery, Imam Hospital, Tehran University of Medical Sciences, Tehran, IR Iran , , Khadivi، Masoud نويسنده Department of Neurosurgery, School of Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Khadivi, Masoud , Faghih-Jouibari، Morteza نويسنده Department of Neurosurgery, School of Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Faghih-Jouibari, Morteza , Tabatabaeifar، Seyed Mahmood نويسنده Functional Neurosurgery Research Center, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran , , Sharifi، Guive نويسنده , , Abbaszadeh Ahranjani، Jalal نويسنده Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, IR Iran , , Motlagh Pirooz، Farhad نويسنده Department of Neurosurgery, Islamic Azad University, Medical Branch, Mashhad, IR Iran , , Tavakoli، Seyed Fakhredin نويسنده Department of Neurosurgery, Islamic Azad University, Medical Branch, Mashhad, IR Iran , , Mohit، Parviz نويسنده Tehran University of Medical Sciences, Tehran, IR Iran , , Alimohammadi، Yadollah نويسنده Tehran University of Medical Sciences, Tehran, IR Iran , , Rahimimovaghar، Vafa نويسنده Sina Trauma and Surgery Research Center (STSRC), Department of Neurosurgery, Tehran University of Medical Sciences, Tehran, IR Iran ,
Abstract :
The National institute for health and care excellence (NICE) and scottish intercollegiate guidelines network (SIGN) are two well-known sources of clinical guideline development. In the past years, they have developed clinical guidelines for the management of head injury. In this report, we will highlight our modifications to these guidelines according to the domestic situation in a developing country. The guidelines were appraised using the appraisal of guidelines for research and evaluation (AGREE) instrument. All key recommendations were reviewed by 14 prominent Iranian neurosurgeons; levels of evidence were evaluated and items with limited evidence were determined. Available evidence for selected items were reviewed and discussed. The following items were the most challenging when accounting for the domestic situation in Iran: age as a risk factor for referral, computed tomography scan, the impact of medical comorbidities, pregnancy, consultation, referral to a neurosurgical unit, and teleconsulting and observation before discharge. The evidence in the discussed topics was limited and controversial. This report is important because it exposes the current knowledge gap in head trauma studies in Iran.
