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Evidence · Review article

Association Between Adherence to Guidelines and Patient Outcomes in Severe Pediatric Traumatic Brain Injury: A Scoping Review.

Review articleJournal of Neurotrauma2025
  • Major trauma
  • Medical
  • Neurology
  • Nursing
  • Raised intracranial pressure
  • Trauma and burns
  • Traumatic brain injury

Summary

A scoping review of studies published 2000-2024 examining whether adherence to guidelines or protocolised management for severe paediatric traumatic brain injury is associated with patient outcomes. Eight studies were included; protocol implementation and guideline adherence were consistently associated with lower mortality and better functional outcomes. The authors note the evidence is limited by observational and pre-post study designs. Relevant to PICU teams managing severe paediatric TBI and to those developing local protocols.

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Guidelines are shown for education. Follow your unit's own guidance and senior advice.

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