Letter: Development of a Randomized Trial Comparing ICP-Monitor-Based Management of Severe Pediatric Traumatic Brain Injury to Management Based on Imaging and Clinical Examination Without ICP Monitoring-Study Protocol

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dc.contributor.authorNielsen, Katie
dc.contributor.authorCaporal, Paula
dc.contributor.authorDíaz, Franco
dc.contributor.authorGonzález-Dambrauskas, Sebastián
dc.contributor.authorVásquez-Hoyos, Pablo
dc.contributor.authorDomínguez-Rojas, Jesús
dc.date.accessioned2024-07-30T13:53:04Z
dc.date.available2024-07-30T13:53:04Z
dc.date.issued2024
dc.description.abstractPediatric traumatic brain injury is a major public health concern, particularly in resource-limited settings where this entity has higher incidence and mortality than developed nations. Despite the disproportionate burden of pediatric traumatic brain injury in low- and middle-income countries (LMICs), the current Brain Trauma Foundation guidelines are largely based on low-quality evidence generated in high-income countries (HICs).1 Adherence to guidelines is challenging in LMICs because of economic constraints, equipment availability, and human resources,2 which may explain disparities in outcomes. We applaud Chesnut et al3 for publishing a randomized controlled trial (RCT) protocol to test the hypothesis of whether intracranial pressure (ICP) monitoring improves outcomes in pediatric severe TBI (psTBI). The RCT will compare outcomes for children receiving ICP-based vs clinical examination and imaging-based management. Their main objective is to generate class I evidence regarding the impact of ICP-driven management in psTBI on long-term outcomes.
dc.identifier.citationNeurosurgery, Vol. 94, N°5, (2024) p. 79-80.
dc.identifier.doihttps://doi.org/10.1227/neu.0000000000002915
dc.identifier.issn0148-396X
dc.identifier.issne1524-4040
dc.identifier.orcidhttp://orcid.org/0000-0003-4763-074X
dc.identifier.urihttp://hdl.handle.net/20.500.12254/3789
dc.language.isoen
dc.publisherWolters Kluwer Health, Inc.
dc.rightsAtribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/3.0/cl/
dc.subjectCorresponding article
dc.subjectSevere pediatric traumatic
dc.subjectClinical examination without ICP
dc.titleLetter: Development of a Randomized Trial Comparing ICP-Monitor-Based Management of Severe Pediatric Traumatic Brain Injury to Management Based on Imaging and Clinical Examination Without ICP Monitoring-Study Protocol
dc.typeArticle
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