Kelly Sarmiento1, Dana Waltzman1, Angela Lumba-Brown2, Keith O Yeates3, Margot Putukian4, Stanley Herring5. 1. Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. 2. Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California. 3. Department of Psychology, University of Calgary, Calgary, Alberta, Canada. 4. Department of Athletic Medicine, University Health Services, Princeton University, Princeton, New Jersey; and. 5. Departments of Rehabilitation Medicine, Orthopaedics and Sports Medicine, and Neurological Surgery, University of Washington School of Medicine, Seattle, Washington.
Abstract
OBJECTIVES: The Centers for Disease Control and Prevention (CDC) published an evidence-based guideline on the diagnosis and management of pediatric mild traumatic brain injury (mTBI) in 2018. This commentary provides key practice takeaways for sports medicine providers outlined in the Guideline recommendations. DATA SOURCES: The CDC Pediatric mTBI Guideline was developed through a rigorous scientific process using a modified Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology. A systematic review of the scientific literature published over a 25-year period for all causes of pediatric mTBI formed the basis of the Guideline. MAIN RESULTS: The key practice takeaways for sports medicine providers focus on preseason evaluations, neuroimaging, symptom-based assessment, managing recovery, monitoring for persistent symptoms, and return to activity, including sport and school. CONCLUSIONS: Sports medicine providers play an integral part in the implementation of evidence-based practices that promote appropriate diagnosis and management of mTBI in children. This commentary highlights key practice takeaways that sports medicine providers can implement.
OBJECTIVES: The Centers for Disease Control and Prevention (CDC) published an evidence-based guideline on the diagnosis and management of pediatric mild traumatic brain injury (mTBI) in 2018. This commentary provides key practice takeaways for sports medicine providers outlined in the Guideline recommendations. DATA SOURCES: The CDC Pediatric mTBI Guideline was developed through a rigorous scientific process using a modified Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology. A systematic review of the scientific literature published over a 25-year period for all causes of pediatric mTBI formed the basis of the Guideline. MAIN RESULTS: The key practice takeaways for sports medicine providers focus on preseason evaluations, neuroimaging, symptom-based assessment, managing recovery, monitoring for persistent symptoms, and return to activity, including sport and school. CONCLUSIONS: Sports medicine providers play an integral part in the implementation of evidence-based practices that promote appropriate diagnosis and management of mTBI in children. This commentary highlights key practice takeaways that sports medicine providers can implement.
Authors: Paul McCrory; Willem Meeuwisse; Jiří Dvořák; Mark Aubry; Julian Bailes; Steven Broglio; Robert C Cantu; David Cassidy; Ruben J Echemendia; Rudy J Castellani; Gavin A Davis; Richard Ellenbogen; Carolyn Emery; Lars Engebretsen; Nina Feddermann-Demont; Christopher C Giza; Kevin M Guskiewicz; Stanley Herring; Grant L Iverson; Karen M Johnston; James Kissick; Jeffrey Kutcher; John J Leddy; David Maddocks; Michael Makdissi; Geoff T Manley; Michael McCrea; William P Meehan; Shinji Nagahiro; Jon Patricios; Margot Putukian; Kathryn J Schneider; Allen Sills; Charles H Tator; Michael Turner; Pieter E Vos Journal: Br J Sports Med Date: 2017-04-26 Impact factor: 13.800
Authors: Ruben J Echemendia; Jared M Bruce; Christopher M Bailey; James Forrest Sanders; Peter Arnett; Gray Vargas Journal: Clin Neuropsychol Date: 2012-09-25 Impact factor: 3.535
Authors: J Ponsford; C Willmott; A Rothwell; P Cameron; G Ayton; R Nelms; C Curran; K T Ng Journal: J Head Trauma Rehabil Date: 1999-08 Impact factor: 2.710
Authors: Victor G Coronado; Tadesse Haileyesus; Tabitha A Cheng; Jeneita M Bell; Juliet Haarbauer-Krupa; Michael R Lionbarger; Javier Flores-Herrera; Lisa C McGuire; Julie Gilchrist Journal: J Head Trauma Rehabil Date: 2015 May-Jun Impact factor: 2.710
Authors: Mark R Zonfrillo; Dennis R Durbin; Thomas D Koepsell; Jin Wang; Nancy R Temkin; Andrea M Dorsch; Monica S Vavilala; Kenneth M Jaffe; Frederick P Rivara Journal: J Neurotrauma Date: 2014-01-09 Impact factor: 5.269
Authors: Teresa L Massagli; Jesse R Fann; Bart E Burington; Kenneth M Jaffe; Wayne J Katon; Robert S Thompson Journal: Arch Phys Med Rehabil Date: 2004-09 Impact factor: 3.966
Authors: Jeffrey E Max; David Pardo; Gerri Hanten; Russell J Schachar; Ann E Saunders; Linda Ewing-Cobbs; Sandra B Chapman; Maureen Dennis; Elisabeth A Wilde; Erin D Bigler; Wesley K Thompson; Tony T Yang; Harvey S Levin Journal: J Neuropsychiatry Clin Neurosci Date: 2013 Impact factor: 2.198