Protocol for a living systematic review for the management of concussion in adults. 2022

Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada allithopoulos@ohri.ca.

Concussion/mild traumatic brain injury (mTBI) often presents initially with disabling symptoms that resolve, but for an unfortunate minority some of these symptoms may become prolonged. Although research into diagnosis and interventions for concussion is increasing, study quality overall remains low. A living systematic review that is updated as evidence becomes available is the ideal research activity to inform a living guideline targeting clinicians and patients. The purpose of this paper is to present the protocol of an ongoing living systematic review for the management of adult concussion that will inform living guidelines building off the Guideline for Concussion/Mild Traumatic Brain Injury and Persistent Symptoms: third Edition. The Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol guidelines were followed in the reporting of this systematic review protocol. We are including English peer-reviewed observational studies, trials, qualitative studies, systematic reviews and clinical practice guidelines related to diagnosis/assessment or treatment of adult concussion. Future searches will be conducted at minimum every 6 months using the following databases: MEDLINE ALL, EMBASE, Cochrane, PsycInfo and CINAHL. The data are managed in the Covidence website. Screening, data extraction and risk-of-bias assessments are being done through multiple raters working independently. Multiple validated tools are being used to assess risk of bias, and the tool applied matches the document or study design (eg, Downs and Black Scale for healthcare interventions). Many concussion experts in various clinical disciplines from across North America have volunteered to examine the evidence in order to make recommendations for the living guidelines. No ethical approval is necessary because primary data are not collected. The results will be disseminated through peer-reviewed publications and on the living guidelines website once built. CRD42022301786.

UI MeSH Term Description Entries
D008403 Mass Screening Organized periodic procedures performed on large groups of people for the purpose of detecting disease. Screening,Mass Screenings,Screening, Mass,Screenings,Screenings, Mass
D009656 North America The northern continent of the Western Hemisphere, extending northward from the Colombia-Panama border and including CENTRAL AMERICA, MEXICO, Caribbean area, the UNITED STATES, CANADA and GREENLAND. The term often refers more narrowly to MEXICO, continental UNITED STATES, AND CANADA. Northern America
D012107 Research Design A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly. Experimental Design,Data Adjustment,Data Reporting,Design, Experimental,Designs, Experimental,Error Sources,Experimental Designs,Matched Groups,Methodology, Research,Problem Formulation,Research Methodology,Research Proposal,Research Strategy,Research Technics,Research Techniques,Scoring Methods,Adjustment, Data,Adjustments, Data,Data Adjustments,Design, Research,Designs, Research,Error Source,Formulation, Problem,Formulations, Problem,Group, Matched,Groups, Matched,Matched Group,Method, Scoring,Methods, Scoring,Problem Formulations,Proposal, Research,Proposals, Research,Reporting, Data,Research Designs,Research Proposals,Research Strategies,Research Technic,Research Technique,Scoring Method,Source, Error,Sources, Error,Strategies, Research,Strategy, Research,Technic, Research,Technics, Research,Technique, Research,Techniques, Research
D001924 Brain Concussion A nonspecific term used to describe transient alterations or loss of consciousness following closed head injuries. The duration of UNCONSCIOUSNESS generally lasts a few seconds, but may persist for several hours. Concussions may be classified as mild, intermediate, and severe. Prolonged periods of unconsciousness (often defined as greater than 6 hours in duration) may be referred to as post-traumatic coma (COMA, POST-HEAD INJURY). (From Rowland, Merritt's Textbook of Neurology, 9th ed, p418) Cerebral Concussion,Commotio Cerebri,Concussion, Intermediate,Concussion, Mild,Concussion, Severe,Mild Traumatic Brain Injury,Brain Concussions,Cerebral Concussions,Concussion, Brain,Concussion, Cerebral,Intermediate Concussion,Intermediate Concussions,Mild Concussion,Mild Concussions,Severe Concussion,Severe Concussions
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000078202 Systematic Reviews as Topic Works about a review of primary literature in health and health policy that attempt to identify, appraise, and synthesize all the empirical evidence that meets specified eligibility criteria to answer a given research question. It's conducted using explicit methods aimed at minimizing bias in order to produce more reliable findings regarding the effects of interventions for prevention, treatment, and rehabilitation that can be used to inform decision making. Systematic Review as Topic,Umbrella Reviews as Topic,Reviews Systematic as Topic
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D036301 Qualitative Research Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997) Research, Qualitative

Related Publications

Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
April 2020, Systematic reviews,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
August 2021, JBI evidence synthesis,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
January 2019, JMIR research protocols,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
January 2019, Journal of experimental neuroscience,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
February 2021, BMJ open,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
July 2018, JMIR research protocols,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
June 2017, British journal of sports medicine,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
June 2018, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
July 2018, Systematic reviews,
Alexander Lithopoulos, and Mark Bayley, and Dorothyann Curran, and Lisa Fischer, and Christopher Knee, and Julia Lauzon, and Margaret Nevison, and Diana Velikonja, and Shawn Marshall
July 2023, Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery,
Copied contents to your clipboard!