Traumatic brain injury in 2014. Progress, failures and new approaches for TBI research

David K Menon1, Andrew I R Maas2

  • 1Division of Anaesthesia, University of Cambridge, Box 93, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK.

Nature Reviews. Neurology
|January 14, 2015
PubMed

Insights

The Glasgow Coma Scale remains effective for monitoring traumatic brain injury patients. However, recent clinical trials failed to identify new beneficial interventions, prompting research into novel therapeutic targets and classifications.

Area of Science:

  • Neuroscience
  • Trauma Care
  • Clinical Trials

Background:

  • The Glasgow Coma Scale (GCS) is a crucial tool for assessing consciousness in patients with traumatic brain injury (TBI).
  • Despite its long-standing utility, the past year marked the 40th anniversary of the GCS, highlighting the need for advancements in TBI management.
  • Recent clinical trials have not yielded new effective interventions for TBI.

Purpose of the Study:

  • To review the current status of the Glasgow Coma Scale in TBI monitoring.
  • To analyze the outcomes of recent clinical trials for TBI interventions.
  • To identify emerging research directions in TBI treatment.

Main Methods:

  • Review of the effectiveness of the Glasgow Coma Scale in TBI monitoring.
  • Analysis of data from three recently completed clinical trials focused on TBI interventions.
  • Exploration of new therapeutic targets, disease classifications, and research collaborations.

Main Results:

  • The Glasgow Coma Scale continues to be an effective tool for monitoring patients with traumatic brain injury.
  • Three new clinical trials were completed, but none identified beneficial interventions for TBI.
  • The lack of successful interventions necessitates a shift in research focus.

Conclusions:

  • Current interventions for TBI lack efficacy, as evidenced by recent trial failures.
  • Future research in TBI should explore more subtle therapeutic targets.
  • Novel disease classifications and collaborative research paradigms are essential for advancing TBI treatment.