Literature DB >> 31153150

Clinical trials for pediatric traumatic brain injury: definition of insanity?

Brian Appavu1,2, Stephen T Foldes1, P David Adelson1,2.   

Abstract

Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in children both in the United States and throughout the world. Despite valiant efforts and multiple clinical trials completed over the last few decades, there are no high-level recommendations for pediatric TBI available in current guidelines. In this review, the authors explore key findings from the major pediatric clinical trials in children with TBI that have shaped present-day recommendations and the insights gained from them. The authors also offer a perspective on potential efforts to improve the efficacy of future clinical trials in children following TBI.

Entities:  

Keywords:  ABP = arterial blood pressure; CPP = cerebral perfusion pressure; DC = decompressive craniectomy; GCS = Glasgow Coma Scale; GOS = Glasgow Outcome Scale; GOSE = Glasgow Outcome Scale–Extended; GOSE-Peds = GOSE-Pediatric; ICH = intracranial hypertension; ICP = intracranial pressure; MMM = multimodality monitoring; PRx = pressure-reactivity index; PbtO2 = partial pressure of brain oxygenation; RCT = randomized clinical trial; TBI = traumatic brain injury; autoregulation; clinical trials; multimodality monitoring; trauma; traumatic brain injury

Mesh:

Year:  2019        PMID: 31153150     DOI: 10.3171/2019.2.PEDS18384

Source DB:  PubMed          Journal:  J Neurosurg Pediatr        ISSN: 1933-0707            Impact factor:   2.375


  5 in total

Review 1.  Monitoring and Measurement of Intracranial Pressure in Pediatric Head Trauma.

Authors:  Sarah Hornshøj Pedersen; Alexander Lilja-Cyron; Ramona Astrand; Marianne Juhler
Journal:  Front Neurol       Date:  2020-01-14       Impact factor: 4.003

Review 2.  Neuroinflammation and Precision Medicine in Pediatric Neurocritical Care: Multi-Modal Monitoring of Immunometabolic Dysfunction.

Authors:  Kristine E Woodward; Pauline de Jesus; Michael J Esser
Journal:  Int J Mol Sci       Date:  2020-12-01       Impact factor: 5.923

Review 3.  Neuro-Inflammation in Pediatric Traumatic Brain Injury-from Mechanisms to Inflammatory Networks.

Authors:  Erik Fraunberger; Michael J Esser
Journal:  Brain Sci       Date:  2019-11-09

4.  Implementation of Multimodality Neurologic Monitoring Reporting in Pediatric Traumatic Brain Injury Management.

Authors:  Brian Appavu; Brian T Burrows; Todd Nickoles; Varina Boerwinkle; Anthony Willyerd; Vishal Gunnala; Tara Mangum; Iris Marku; P D Adelson
Journal:  Neurocrit Care       Date:  2021-03-31       Impact factor: 3.532

5.  Carbon Dioxide Reactivity of Brain Tissue Oxygenation after Pediatric Traumatic Brain Injury.

Authors:  Damla Hanalioglu; Ann Oh; M'Hamed Temkit; P David Adelson; Brian Appavu
Journal:  Children (Basel)       Date:  2022-03-14
  5 in total

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