Cited by 263Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesLong-Term Effects of COVID-19

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Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms

Marshall, Shawn, Bayley, Mark, McCullagh, Scott, Velikonja, Diana, Berrigan, Lindsay, Ouchterlony, Donna, Weegar, Kelly·2015·Brain Injury

DOI 10.3109/02699052.2015.1004755

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Abstract

OBJECTIVE: To introduce a set of revised guidelines for the management of mild traumatic brain injury (mTBI) and persistent symptoms following concussive injuries. QUALITY OF EVIDENCE: The Guidelines for Mild Traumatic Brain Injury and Persistent Symptoms were made available in March 2011 based on literature and information up to 2008. A search for new clinical practice guidelines addressing mTBI and a systematic review of the literature evaluating treatment of persistent symptoms was conducted. Healthcare professionals representing a range of disciplines from Canada and abroad attended a consensus conference to revise the original guidelines in light of new evidence. MAIN MESSAGE: A modified Delphi process was used to create 96 recommendations addressing the diagnosis and management of mTBI and persistent symptoms, including post-traumatic headache, sleep disturbances, mental health disorders, cognitive difficulties, vestibular and vision dysfunction, fatigue and return to activity/work/school. Numerous resources, tools and treatment algorithms were also included to aid implementation of the recommendations. CONCLUSION: The revised clinical practice guideline reflects the most current evidence and is recommended for use by clinicians who provide care to people who experience PPCS following mTBI.

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Authors: Marshall, S., Bayley, M., McCullagh, S., Velikonja, D., Berrigan, L., Ouchterlony, D., & Weegar, K.
Affiliations: University of Ottawa (CA)
University Health Network (CA)
Hamilton Health Sciences (CA)
St. Francis Xavier University (CA)
St. Michael's Hospital (CA)
Ottawa Hospital Research Institute (CA)
Corresponding author: Marshall, Shawn
ORCID: Marshall, Shawn
Bayley, Mark
McCullagh, Scott
Velikonja, Diana
Berrigan, Lindsay
Weegar, Kelly
Venue: Brain Injury
Publisher: Informa UK Limited
Published: 2015-04-14
Volume: 29
Issue: 6
Pages: 688-700
ISSN: 0269-9052 (ISSN-L)
1362-301X
DOI: 10.3109/02699052.2015.1004755
OpenAlex: W2070453156
Cited by: 263
References: 51
Citations by year: 2026: 13 · 2025: 19 · 2024: 19 · 2023: 29 · 2022: 33 · 2021: 38 · 2020: 18 · 2019: 34 · 2018: 21 · 2017: 21 · 2016: 15 · 2015: 2
FWCI: 15.42
Type: journal article
Language: en
Open access: closed
Locations: Brain Injury (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
Keywords: mild traumatic brain injury, concussion, persistent post-concussion symptoms, post-traumatic headache, sleep disorders, mental illness, cognitive difficulties, vestibular dysfunction, fatigue, return to work, return to school, return to sport, diagnosis and management
MeSH terms: Brain Concussion, Brain Injuries, Humans

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Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms

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