Interventions provided in the acute phase for mild traumatic brain injury: a systematic review
Open accessAbstract
BACKGROUND: Most patients who sustain mild traumatic brain injury (mTBI) have persistent symptoms at 1 week and 1 month after injury. This systematic review investigated the effectiveness of interventions initiated in acute settings for patients who experience mTBI. METHODS: We performed a systematic review of all randomized clinical trials evaluating any intervention initiated in an acute setting for patients experiencing acute mTBI. All possible outcomes were included. The primary sources of identification were MEDLINE, Embase, PsycINFO, CINAHL, and the Cochrane Central register of Controlled Trials, from 1980 to August 2012. Hand searching of proceedings from five meetings related to mTBI was also performed. Study selection was conducted by two co-authors, and data abstraction was completed by a research assistant specialized in conducting systematic reviews. Study quality was evaluated using Cochrane's Risk of Bias assessment tool. RESULTS: From a potential 15,156 studies, 1,268 abstracts were evaluated and 120 articles were read completely. Of these, 15 studies fulfilled the inclusion/exclusion criteria. One study evaluated a pharmacological intervention, two evaluated activity restriction, one evaluated head computed tomography scan versus admission, four evaluated information interventions, and seven evaluated different follow-up interventions. Use of different outcome measures limited the possibilities for analysis. However, a meta-analysis of three studies evaluating various follow-up strategies versus routine follow-up or no follow-up failed to show any effect on three outcomes at 6 to 12 months post-trauma. In addition, a meta-analysis of two studies found no effect of an information intervention on headache at 3 months post-injury. CONCLUSIONS: There is a paucity of well-designed clinical studies for patients who sustain mTBI. The large variability in outcomes measured in studies limits comparison between them.
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There are currently no treatments considered effective for acute or ongoing symptoms of mTBI.
“There are currently no treatments that are considered effective for acute (Gravel et al., 2013) or ongoing symptoms of mTBI (Prince & Bruhns, 2017).”
From Investigation of neurobiological responses to theta burst stimulation during recovery from mild traumatic brain injury (mTBI) (2023) · cites this paper as Gravel et al., 2013
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- Authors
- Gravel, J., D’Angelo, A., Carrière, B., Crevier, L., Beauchamp, M. H., Chauny, J.-M., Wassef, M., & Chaillet, N.
- Affiliations
- Centre Hospitalier Universitaire Sainte-Justine (CA)
- CHU Sainte-Justine Research Center (CA)
- Hôpital du Sacré-Cœur de Montréal (CA)
- Corresponding author
- Gravel, Jocelyn
- Venue
- Systematic Reviews
- Published
- 2013-08-07
- Volume
- 2
- Issue
- 1
- Pages
- 63-63
- ISSN
- 2046-4053 (ISSN-L)
- PMC
- PMC3750385
- OpenAlex
- W2169796016
- Cited by
- 53
- References
- 70
- Citations by year
- 2024: 3 · 2023: 5 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 9 · 2018: 5 · 2017: 6 · 2016: 6 · 2015: 5 · 2014: 5 · 2012: 1
- FWCI
- 0.63
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Systematic Reviews (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Society for Academic Emergency Medicine
- Canadian Association of Emergency Physicians
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Keywords
- mild traumatic brain injury, follow-up intervention, information interventions, activity limitation, pharmacological interventions, computed tomography, headache, treatment effectiveness
- MeSH terms
- Brain Injuries, Hospitalization, Humans, Outcome Assessment, Health Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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