TY - JOUR ID - 100004 TI - Adaptation of Traumatic Brain Injury Guidelines in Iran JO - Trauma Monthly JA - TM LA - en SN - 2251-7464 AU - Abdollah Zadegan, Shayan AU - Ghodsi, Seyed Mohammad AU - Arabkheradmand, Jalil AU - Amirjamshidi, Abbas AU - Sheikhrezaei, Abdolreza AU - Khadivi, Masoud AU - Faghih Jouibari, Morteza AU - Tabatabaeifar, Seyed Mahmood AU - Sharifi, Guive AU - Abbaszadeh Ahranjani, Jalal AU - Motlagh Pirooz, Farhad AU - Tavakoli, Seyed Fakhredin AU - Mohit, Parviz AU - Alimohammadi, Yadollah AU - Rahimi-Movaghar, Vafa AD - Y1 - 2016 PY - 2016 VL - 21 IS - 2 SP - EP - KW - Brain Injuries KW - Trauma KW - Practice Guideline KW - Referral and Consultation KW - comorbidity KW - Age Factors DO - 10.5812/traumamon.28012 N2 - Context: 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. Evidence Acquisition: 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. Results: 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. Conclusions: 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. UR - https://www.traumamon.com/article_100004.html L1 - https://www.traumamon.com/article_100004_6469ea84af7d651fe8cd1354ba7a67de.pdf ER -