• Heshmatollah Ghawami, Seyed Behnam Jazayeri, Azad Sabeti Nowsud, Mahdi Sharif-Alhoseini, Armin Shirvani, Maryam Kheyri, Abdollah ZadeganShayanSDepartment of Neurotrauma, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran., Nahid Noorian, Fatemeh Mohammadian, Karimi YarandiKouroshKDepartment of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran., Akram Azad, Fariborz Rezaeitalab, Majid Barekatain, Jalal Bakhtiyari, Alireza Moradi, Ahmad Reza Khatoonabadi, Hojjat Allah Haghgoo, Mohammad Reza Gheini, Masoud Khadivi, Faghih JouibariMortezaMDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran., 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, and Vafa Rahimi-Movaghar.
• Neuropsychology Division, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
• Arch Iran Med. 2020 Dec 1; 23 (12): 813-820.

BackgroundIndividuals 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.MethodsThe 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).ResultsA 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.ConclusionIranian 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.© 2020 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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