• Daniel Agustin Godoy, Andres M Rubiano, Sergio Aguilera, Manuel Jibaja, Walter Videtta, Maximiliano Rovegno, Jorge Paranhos, Eduardo Paranhos, de AmorimRobson Luis OliveiraRLOFederal University of Amazonas, Getulio Vargas University Hospital, Manaus , Amazonas , Brazil., Ruy Castro Monteiro da Silva Filho, Wellingson Paiva, Jorge Flecha, Rodrigo Moreira Faleiro, David Almanza, Eliana Rodriguez, Jorge Carrizosa, HawrylukGregory W JGWJCleveland Clinic Akron General Hospital, Neurological Institute, Akron , Ohio , USA., Alejandro A Rabinstein, and Latin America Brain Injury Consortium Consensus.
• Neurointensive Care Unit, Sanatorio Pasteur, Catamarca , Argentina.
• Neurosurgery. 2024 Sep 1; 95 (3): e57e70e57-e70.

AbstractModerate traumatic brain injury (TBI) is a diagnosis that describes diverse patients with heterogeneity of primary injuries. Defined by a Glasgow Coma Scale between 9 and 12, this category includes patients who may neurologically worsen and require increasing intensive care resources and/or emergency neurosurgery. Despite the unique characteristics of these patients, there have not been specific guidelines published before this effort to support decision-making in these patients. A Delphi consensus group from the Latin American Brain Injury Consortium was established to generate recommendations related to the definition and categorization of moderate TBI. Before an in-person meeting, a systematic review of the literature was performed identifying evidence relevant to planned topics. Blinded voting assessed support for each recommendation. A priori the threshold for consensus was set at 80% agreement. Nine PICOT questions were generated by the panel, including definition, categorization, grouping, and diagnosis of moderate TBI. Here, we report the results of our work including relevant consensus statements and discussion for each question. Moderate TBI is an entity for which there is little published evidence available supporting definition, diagnosis, and management. Recommendations based on experts' opinion were informed by available evidence and aim to refine the definition and categorization of moderate TBI. Further studies evaluating the impact of these recommendations will be required.Copyright © Congress of Neurological Surgeons 2024. All rights reserved.

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