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

Document Type

Article

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.

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

Medical Subject Headings

Brain Injuries, Traumatic (complications, epidemiology, therapy); Clinical Trials as Topic (methods); Global Health (statistics & numerical data); Humans; Neurodevelopmental Disorders (epidemiology, etiology); United States (epidemiology)

Publication Date

6-1-2019

Publication Title

Journal of neurosurgery. Pediatrics

E-ISSN

1933-0715

Volume

23

Issue

6

First Page

661

Last Page

669

PubMed ID

31153150

Digital Object Identifier (DOI)

10.3171/2019.2.PEDS18384

Link to Full Text

Share

COinS