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Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury
Published on: August 16, 2019
Treatment options for severe traumatic brain injuries in children: current therapies, challenges, and future
Lisa A DelSignore1, Robert C Tasker2,3
1a Department of Pediatrics, Division of Critical Care Medicine , Tufts Floating Hospital for Children, Tufts Medical School , Boston , MA , USA.
Insights
Emerging therapies for severe traumatic brain injury (TBI) aim to treat secondary injuries in the acute phase. However, clinical trial challenges limit conclusive findings on reducing TBI morbidity and mortality.
Area of Science:
- Neuroscience
- Trauma Care
- Clinical Trials
Background:
- Severe traumatic brain injury (TBI) is a global health issue with high morbidity and mortality rates.
- Current surgical and medical treatments for TBI have not demonstrated significant reductions in overall patient mortality.
- The acute injury phase post-TBI is critical, extending up to four weeks, and is a focus for new therapeutic strategies.
Purpose of the Study:
- To review emerging therapies for severe traumatic brain injury (TBI).
- To focus on treatments addressing secondary injuries and clinical sequelae during the acute phase (up to four weeks post-injury).
- To synthesize current literature and expert commentary on the efficacy of these emerging TBI therapies.
Main Methods:
- Literature search using PubMed.
- Inclusion of data from reputable websites like the Centers for Disease Control and ClinicalTrials.gov.
- Review of peer-reviewed original articles, review articles, and clinical guidelines.
Main Results:
- Several emerging therapies targeting secondary injuries in TBI are discussed.
- The review highlights the complexity of treating TBI during the acute phase.
- Data synthesis from various sources provides an overview of current research directions.
Conclusions:
- Conducting rigorous clinical trials in TBI presents ongoing challenges.
- Inconclusive findings characterize much of the research on emerging beneficial TBI therapies.
- Further research and improved trial methodologies are needed to establish effective TBI treatments.
Introduction:
Severe traumatic brain injury (TBI) afflicts many children and adults worldwide, resulting in high rates of morbidity and mortality. Recent therapeutic advances have focused on both surgical and medical treatment options, but none have been proven to reduce overall morbidity and mortality in this population. Areas covered: Several emerging therapies are addressed that focus on treating related secondary injuries and other clinical sequelae post-TBI during the acute injury phase (defined by authors as up to four weeks post-injury). Information and data were obtained from a PubMed search of recent literature and through reputable websites (e.g. Centers for Disease Control, ClinicalTrials.gov). Peer-reviewed original articles, review articles, and clinical guidelines were included. Expert commentary: The ongoing challenges related to conducting rigorous clinical trials in TBI have led to largely inconclusive findings regarding emerging beneficial therapies.
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