Bayley Mark Theodore, Teasell Robert William, Wolfe Dalton Louis, Gruen Russell Lindsay, Eng Janice Jennifer, Ghajar Jamshid, Tavender Emma, Kua Ailene, Bragge Peter
Brain and Spinal Cord Rehabilitation Program (Dr Bayley), Toronto Rehabilitation Institute/University Health Network, Toronto, Ontario, Canada (Ms Kua); Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada (Dr Bayley); Department of Physical Medicine & Rehabilitation, Schulich School of Medicine and Dentistry, University of Western Ontario and Lawson Health Research Institute, London, Ontario, Canada (Dr Teasell); Aging, Rehabilitation and Geriatric Care, Lawson Health Research Institute, London, Ontario, Canada (Dr Wolfe); Surgery and Public Health, Monash University, Melbourne, Victoria, Australia (Dr Gruen); Alfred Health (Dr Gruen); Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada (Dr Eng); Brain Trauma Foundation, New York (Dr Ghajar); Neurological Surgery, Weill Cornell Medical College, New York (Dr Ghajar); National Trauma Research Institute & Monash University, Melbourne, Victoria, Australia (Drs Tavender and Bragge); and Australian Satellite, Cochrane Effective Practice and Organization of Care, Ottawa, Ontario, Canada (Dr Tavender).
J Head Trauma Rehabil. 2014 Jul-Aug;29(4):268-76. doi: 10.1097/HTR.0000000000000053.
Treatment of patients with traumatic brain injury (TBI) should be based upon the strongest evidence to achieve optimal patient outcomes. Given the challenges, efforts involved, and delays in uptake of evidence into practice, priorities for knowledge translation (KT) should be chosen carefully. An international workshop was convened to identify KT priorities for acute and rehabilitation care of TBI and develop KT projects addressing these priorities.
An expert panel of 25 neurotrauma clinicians, researchers, and KT scientists representing 4 countries examined 66 neurotrauma research topics synthesized from 2 neurotrauma evidence resources: Evidence Based Review of Acquired Brain Injury and Global Evidence Mapping projects. The 2-day workshop combined KT theory presentations with small group activities to prioritize topics using a modified Delphi method.
Four acute care topics and 3 topics in the field of rehabilitation were identified. These were focused into 3 KT project proposals: optimization of intracranial pressure and nutrition in the first week following TBI; cognitive rehabilitation following TBI; and vocational rehabilitation following TBI.
Three high-priority KT projects were developed: the first combined 2 important topics in acute TBI management of intracranial pressure management and nutrition, and the other projects focused on cognitive rehabilitation and vocational rehabilitation.
创伤性脑损伤（TBI）患者的治疗应基于最有力的证据，以实现最佳的患者治疗效果。鉴于所面临的挑战、所涉及的工作以及将证据应用于实践的延迟，知识转化（KT）的优先事项应谨慎选择。召开了一次国际研讨会，以确定TBI急性和康复护理的KT优先事项，并开展针对这些优先事项的KT项目。
一个由来自4个国家的25名神经创伤临床医生、研究人员和KT科学家组成的专家小组，审查了从2个神经创伤证据资源中综合得出的66个神经创伤研究主题：《获得性脑损伤循证综述》和《全球证据图谱》项目。为期两天的研讨会将KT理论介绍与小组活动相结合，使用改良的德尔菲法对主题进行优先级排序。
确定了4个急性护理主题和3个康复领域的主题。这些主题被整合为3个KT项目提案：TBI后第一周颅内压和营养的优化；TBI后的认知康复；以及TBI后的职业康复。
制定了3个高优先级的KT项目：第一个项目结合了急性TBI管理中颅内压管理和营养这2个重要主题，其他项目则侧重于认知康复和职业康复。
