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. 2019 Mar 18;7(3):47. doi: 10.3390/medsci7030047

Table 1.

Recommendations for clinical practice (using the GRADE system) for different neurorehabilitation approaches in TBI. TBI—traumatic brain injury; GRADE—Grading of Recommendations Assessment, Development, and Evaluation.

Quality of Evidence Rehabilitation Patient Category Outcome Potential of Cost Savings Recommendation (GRADE System)
High Intensive Severe TBI Earlier gain in independence
Reduced length of stay (LOS) in hospital
+ Strongly recommended
Moderate/high Specialist Very severe/severe TBI Improved independence
Reduced ongoing care
++ Recommended
Specialist vocational programmes Moderate/severe TBI Gain in productivity ++ Strongly recommended
Moderate Early Severe TBI Earlier gain in independence
Reduced LOS in hospital
+ Recommended
Community based Moderate/severe TBI Improved productivity ++ Recommended
Low/moderate Behavioural management programmes TBI with severe behavioural problems Improved social behaviour
reduced ongoing care support
+ Recommended
Late and ongoing rehabilitation Moderate/severe TBI with enduring disability Maintenance of independence/productivity +/− Conditionally recommended