Objective: To determine the methodological quality and assess the evidence from systematic and
comprehensive reviews on traumatic brain injury, as well as determine evidence gaps
in review topics. Data Source: PubMed, CINAHL, MEDLINE, Health Source, PsycINFO, and PsycARTICLES databases were
electronically searched to identify published systematic reviews regarding traumatic
brain injury. From this search 131 reviews were identified. Study Selection: PubMed, CINAHL, MEDLINE, Health Source, PsycINFO, and PsycARTICLES databases were
electronically searched to identify published systematic reviews regarding traumatic
brain injury. From this search 131 reviews were identified. Data Extraction: 2 independent reviewers extracted data from each of the selected studies. The methodological
quality of the systematic review, research designs of the included articles, system
used for grading evidence, and the main topic of the review were collected in the
data extraction process. Data Synthesis: All articles were reviewed and rated for quality using AMSTAR (A MeaSurement Tool
to Assess Reviews), a reliable and valid tool for this purpose. This tool was applied
to each review independently by 2 researchers, and differences were agreed on by consensus.
The final analysis was descriptive. Conclusions: Systematic reviews in traumatic brain injury cover a wide range of topics, but mostly
focus on executive function, community reintegration, mental health, and pharmacological
interventions. Regardless of methodological quality, research design limitations in
the field of Rehabilitation Medicine limit the utility of findings for evidence based
practice.
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Footnotes
Disclosure: None declared.
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Copyright
© 2010 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.