National Guidelines for Cognitive Assessment and Rehabilitation of Iranian Traumatic Brain Injury Patients

Heshmatollah Ghawami; Seyed Behnam Jazayeri; Azad Sabeti Nowsud; Mahdi Sharif-Alhoseini; Armin Shirvani; Maryam Kheyri; Shayan Abdollah Zadegan; Nahid Noorian; Fatemeh Mohammadian; Kourosh Karimi Yarandi; Akram Azad; Fariborz Rezaeitalab; Majid Barekatain; Jalal Bakhtiyari; Alireza Moradi; Ahmad Reza Khatoonabadi; Hojjat Allah Haghgoo; Mohammad Reza Gheini; Masoud Khadivi; Morteza Faghih Jouibari; Hamid Reza Khayat Kashani; Zahra Mirzaasgari; Ali Meshkini; Hassan Haghshenas; Fariborz Samini; Parviz Mohit; Malahat Akbarfahimi; Yadollah Alimohammadi; Pooya Payandemehr; Jalal Abbaszadeh Ahranjani; Jalil Arabkheradmand; Zahra Vahabi; Mohammad Arbabi; Hossein Kermanpour; Kavian Ghandehari; Nour-Mohammad Bakhshani; Farhad Motlagh Pirooz; Gholamhossein Ghaedi; Behrooz Dolatshahi; Seyed Fakhredin Tavakoli; Iraj Vosough; Abbas Amirjamshidi; Javad Hatami; Vafa Rahimi-Movaghar

doi:10.34172/aim.2020.108

Arch Iran Med. 2020;23(12): 813-820.
doi: 10.34172/aim.2020.108

Scopus ID: 85097777554

Abstract View: 3829

PDF Download: 1658

Original Article

National Guidelines for Cognitive Assessment and Rehabilitation of Iranian Traumatic Brain Injury Patients

Heshmatollah Ghawami ¹ , Seyed Behnam Jazayeri ^2,3, Azad Sabeti Nowsud ¹, Mahdi Sharif-Alhoseini ³, Armin Shirvani ⁴, Maryam Kheyri ⁵, Shayan Abdollah Zadegan ³, Nahid Noorian ⁶, Fatemeh Mohammadian ⁷, Kourosh Karimi Yarandi ⁸, Akram Azad ⁹, Fariborz Rezaeitalab ¹⁰, Majid Barekatain ¹¹, Jalal Bakhtiyari ¹², Alireza Moradi ^13,14, Ahmad Reza Khatoonabadi ¹⁵, Hojjat Allah Haghgoo ¹⁶, Mohammad Reza Gheini ¹⁷, Masoud Khadivi ¹⁸, Morteza Faghih Jouibari ¹⁸, Hamid Reza Khayat Kashani ¹⁹, Zahra Mirzaasgari ²⁰, Ali Meshkini ²¹, Hassan Haghshenas ²², Fariborz Samini ²³, Parviz Mohit ²⁴, Malahat Akbarfahimi ⁹, Yadollah Alimohammadi ²⁵, Pooya Payandemehr ²⁶, Jalal Abbaszadeh Ahranjani ²⁷, Jalil Arabkheradmand ²⁸, Zahra Vahabi ²⁹, Mohammad Arbabi ³⁰, Hossein Kermanpour ³¹, Kavian Ghandehari ¹⁰, Nour-Mohammad Bakhshani ³², Farhad Motlagh Pirooz ³³, Gholamhossein Ghaedi ³⁴, Behrooz Dolatshahi ³⁵, Seyed Fakhredin Tavakoli ^33,36, Iraj Vosough ³⁷, Abbas Amirjamshidi ⁸, Javad Hatami ³⁸^*, Vafa Rahimi-Movaghar ^3,18,39^*

¹ Neuropsychology Division, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
² Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
³ Department of Neurotrauma, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
⁴ National Agency for Strategic Research in Medical Education (NASR), Tehran, Iran
⁵ Clinical Guideline Development and Standardization Group, Office of Health Technology Assessment, Standardization and Tariffs, Deputy for Curative Affairs, Iranian Ministry of Health and Medical Education (MOHME), Tehran, Iran
⁶ Department of Psychology, Shahid Rajaee University (SRTTU), Tehran, Iran
⁷ Department of Neurology, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
⁸ Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
⁹ Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
¹⁰ Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
¹¹ Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
¹² Department of Speech Therapy, Neuromuscular Rehabilitation Research Center, School of Rehabilitation Sciences, Semnan University Medical Sciences, Semnan, Iran
¹³ Department of Clinical Psychology, Kharazmi University, Tehran, Iran
¹⁴ Department of Cognitive Psychology, Institute for Cognitive Sciences Studies, Tehran, Iran
¹⁵ Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
¹⁶ Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
¹⁷ Department of Neurology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
¹⁸ Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
¹⁹ Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
²⁰ Neurology Department, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran
²¹ Road Traffic Injury Research Center, Department of Neurosurgery, Tabriz University of Medical Sciences, Tabriz, Iran
²² Department of Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran
²³ Department of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
²⁴ Department of Neurosurgery, Mazandaran University of Medical Science, Sari, Iran
²⁵ Neurosurgery Unit, Bahman Hospital, Tehran, Iran
²⁶ Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
²⁷ Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran
²⁸ Ahya Neuroscience Research Center, Tehran, Iran
²⁹ Memory and Behavioral Neurology Division, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
³⁰ Department of Psychiatry, Psychosomatic Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
³¹ Emergency Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
³² Department of Psychology, Zahedan University of Medical Sciences, Zahedan, Iran
³³ Department of Neurosurgery, Islamic Azad University, Medical Branch, Mashhad, Iran
³⁴ Department of Psychiatry, Neurophysiology Research Center, Shahed University, Tehran, Iran
³⁵ Department of Psychology, School of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
³⁶ Farabi Hospital, Social Security Organization, Mashhad, Iran
³⁷ Research and Education Department, Razavi Hospital, Mashhad, Iran
³⁸ Department of Psychology, University of Tehran, Tehran, Iran
³⁹ Research Centre for Neural Repair, University of Tehran, Tehran, Iran

*Corresponding Authors: *Corresponding Authors: Vafa Rahimi-Movaghar, MD; Sina Trauma and Surgery Research Center, Sina General Hospital, Tehran University of Medical Sciences, Hassan Abad Sq., Imam Khomeini St., Tehran, 11365/3876, Iran. Tel: +98-21-66757010; Email: v_rahimi@sina.tums.ac.ir; Javad Hatami, PhD; Department of Psychology, University of Tehran, Tehran, Iran. Tel: +98-21-61117480; Email: , Email: hatamijm@ut.ac.ir; *Corresponding Authors: Vafa Rahimi-Movaghar, MD; Sina Trauma and Surgery Research Center, Sina General Hospital, Tehran University of Medical Sciences, Hassan Abad Sq., Imam Khomeini St., Tehran, 11365/3876, Iran. Tel: +98-21-66757010; Email: ; Javad Hatami, PhD; Department of Psychology, University of Tehran, Tehran, Iran. Tel: +98-21-61117480; Email: hatamijm@ut.ac.ir, Email: v_rahimi@sina.tums.ac.ir

Abstract

Background: Individuals with moderate to severe traumatic brain injury (TBI) often have prolonged cognitive impairments, resulting in long-term problems with their real-life activities. Given the urgent need for evidence-based recommendations for neuropsychological management of Iranian TBI patients, the current work aimed to adapt eligible international guidelines for cognitive assessment and rehabilitation of the TBI patients in Iran.

Methods: The project was led by an executive committee, under the supervision of the Iranian Ministry of Health and Medical Education (MOHME). Following a systematic literature search and selection process, four guidelines were included for adaptation. Clinical recommendations of the source guidelines were tabulated as possible clinical scenarios for 90 PICO clinical questions covering all relevant phases of care. After summing up the scenarios, our initial list of recommendations was drafted according to the Iranian patients’ conditions. The final decision-making, with the contribution of a national interdisciplinary panel of 37 experts from across the country, was conducted in two rounds using online and offline survey forms (Round 1), and face-to-face and telephone meetings (Round 2).

Results: A total of 63 recommendations in six sections were included in the final list of recommendations, among which 24 were considered as key recommendations. In addition, some of the recommendations were identified as fundamental, meaning that proper implementation of the other recommendations is largely dependent on their implementation.

Conclusion: Iranian health policy makers and rehabilitation program managers are recommended to address some fundamental issues to provide the necessary infrastructure to set up an efficient cognitive rehabilitation service system.

Keywords: Cognitive rehabilitation, Guideline, Neuropsychology, Practice guideline, Traumatic brain injury

Cite this article as: Ghawami H, Jazayeri SB, Sabeti Nowsud A, Sharif-Alhoseini M, Shirvani A, Kheyri M, et al. National guidelines for cognitive assessment and rehabilitation of Iranian traumatic brain injury patients. Arch Iran Med. 2020;23(12):813–820. doi: 10.34172/aim.2020.108.