Susanne Muehlschlegel, Venkatakrishna Rajajee, Katja E Wartenberg, Sheila A Alexander, Katharina M Busl, Claire J Creutzfeldt, Gabriel V Fontaine, Sara E Hocker, David Y Hwang, Keri S Kim, Dominik Madzar, Dea Mahanes, Shraddha Mainali, Juergen Meixensberger, Oliver W Sakowitz, Panayiotis N Varelas, Christian Weimar, Thomas Westermaier
BACKGROUND: Moderate-severe traumatic brain injury (msTBI) carries high morbidity and mortality worldwide. Accurate neuroprognostication is essential in guiding clinical decisions, including patient triage and transition to comfort measures. Here we provide recommendations regarding the reliability of major clinical predictors and prediction models commonly used in msTBI neuroprognostication, guiding clinicians in counseling surrogate decision-makers. METHODS: Using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology, we conducted a systematic narrative review of the most clinically relevant predictors and prediction models cited in the literature...
February 17, 2024: Neurocritical Care