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National Guidelines for Cognitive Assessment and Rehabilitation of Iranian Traumatic Brain Injury Patients Publisher Pubmed



Ghawami H1 ; Jazayeri SB2, 3 ; Nowsud AS1 ; Sharifalhoseini M3 ; Shirvani A4 ; Kheyri M5 ; Zadegan SA3 ; Noorian N6 ; Mohammadian F7 ; Yarandi KK8 ; Azad A9 ; Rezaeitalab F10 ; Barekatain M11 ; Bakhtiyari J12 Show All Authors
Authors
  1. Ghawami H1
  2. Jazayeri SB2, 3
  3. Nowsud AS1
  4. Sharifalhoseini M3
  5. Shirvani A4
  6. Kheyri M5
  7. Zadegan SA3
  8. Noorian N6
  9. Mohammadian F7
  10. Yarandi KK8
  11. Azad A9
  12. Rezaeitalab F10
  13. Barekatain M11
  14. Bakhtiyari J12
  15. Moradi A13, 14
  16. Khatoonabadi AR15
  17. Haghgoo HA16
  18. Gheini MR17
  19. Khadivi M18
  20. Jouibari MF18
  21. Khayat Kashani HR19
  22. Mirzaasgari Z20
  23. Meshkini A21
  24. Haghshenas H22
  25. Samini F23
  26. Mohit P24
  27. Akbarfahimi M9
  28. Alimohammadi Y25
  29. Payandemehr P26
  30. Ahranjani JA27
  31. Arabkheradmand J28
  32. Vahabi Z29
  33. Arbabi M30
  34. Kermanpour H31
  35. Ghandehari K10
  36. Bakhshani NM32
  37. Pirooz FM33
  38. Ghaedi G34
  39. Dolatshahi B35
  40. Tavakoli SF33, 36
  41. Vosough I37
  42. Amirjamshidi A8
  43. Hatami J38
  44. Rahimimovaghar V3, 18, 39
Show Affiliations
Authors Affiliations
  1. 1. Neuropsychology Division, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Neurotrauma, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. National Agency for Strategic Research in Medical Education (NASR), Tehran, Iran
  5. 5. Clinical Guideline Development and Standardization Group, Office of Health Technology Assessment, Standardization and Tariffs, Deputy for Curative Affairs, Iranian Ministry of Health and Medical Education (MOHME), Tehran, Iran
  6. 6. Department of Psychology, Shahid Rajaee University (SRTTU), Tehran, Iran
  7. 7. Department of Neurology, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
  10. 10. Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  11. 11. Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  12. 12. Department of Speech Therapy, Neuromuscular Rehabilitation Research Center, School of Rehabilitation Sciences, Semnan University Medical Sciences, Semnan, Iran
  13. 13. Department of Clinical Psychology, Kharazmi University, Tehran, Iran
  14. 14. Department of Cognitive Psychology, Institute for Cognitive Sciences Studies, Tehran, Iran
  15. 15. Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  16. 16. Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  17. 17. Department of Neurology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  18. 18. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  19. 19. Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  20. 20. Neurology Department, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran
  21. 21. Road Traffic Injury Research Center, Department of Neurosurgery, Tabriz University of Medical Sciences, Tabriz, Iran
  22. 22. Department of Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran
  23. 23. Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  24. 24. Department of Neurosurgery, Mazandaran University of Medical Science, Sari, Iran
  25. 25. Neurosurgery Unit, Bahman Hospital, Tehran, Iran
  26. 26. Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  27. 27. Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran
  28. 28. Ahya Neuroscience Research Center, Tehran, Iran
  29. 29. Memory and Behavioral Neurology Division, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
  30. 30. Department of Psychiatry, Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
  31. 31. Emergency Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  32. 32. Department of Psychology, Zahedan University of Medical Sciences, Zahedan, Iran
  33. 33. Department of Neurosurgery, Islamic Azad University, Medical Branch, Mashhad, Iran
  34. 34. Department of Psychiatry, Neurophysiology Research Center, Shahed University, Tehran, Iran
  35. 35. Department of Psychology, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  36. 36. Farabi Hospital, Social Security Organization, Mashhad, Iran
  37. 37. Research and Education Department, Razavi Hospital, Mashhad, Iran
  38. 38. Department of Psychology, University of Tehran, Tehran, Iran
  39. 39. Research Centre for Neural Repair, University of Tehran, Tehran, Iran

Source: Archives of Iranian Medicine Published:2020


Abstract

Background: Individuals with moderate to severe traumatic brain injury (TBI) often have prolonged cognitive impairments, resulting in long-term problems with their real-life activities. Given the urgent need for evidence-based recommendations for neuropsychological management of Iranian TBI patients, the current work aimed to adapt eligible international guidelines for cognitive assessment and rehabilitation of the TBI patients in Iran. Methods: The project was led by an executive committee, under the supervision of the Iranian Ministry of Health and Medical Education (MOHME). Following a systematic literature search and selection process, four guidelines were included for adaptation. Clinical recommendations of the source guidelines were tabulated as possible clinical scenarios for 90 PICO clinical questions covering all relevant phases of care. After summing up the scenarios, our initial list of recommendations was drafted according to the Iranian patients’ conditions. The final decision-making, with the contribution of a national interdisciplinary panel of 37 experts from across the country, was conducted in two rounds using online and offline survey forms (Round 1), and face-to-face and telephone meetings (Round 2). Results: A total of 63 recommendations in six sections were included in the final list of recommendations, among which 24 were considered as key recommendations. In addition, some of the recommendations were identified as fundamental, meaning that proper implementation of the other recommendations is largely dependent on their implementation. Conclusion: Iranian health policy makers and rehabilitation program managers are recommended to address some fundamental issues to provide the necessary infrastructure to set up an efficient cognitive rehabilitation service system. © 2020 Academy of Medical Sciences of I.R. Iran. All rights reserved.