Clinical trials for pediatric traumatic brain injury: Definition of insanity?

 

Brian Appavu, Stephen Foldes, P. David Adelson

Journal of Neurosurgery: Pediatrics, Volume 23, Issue 6 Pages 661-669

June 1, 2019

 

Abstract

Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in children both in the United States and throughout the world. Despite valiant efforts and multiple clinical trials completed over the last few decades, there are no high-level recommendations for pediatric TBI available in current guidelines. In this review, the authors explore key findings from the major pediatric clinical trials in children with TBI that have shaped present-day recommendations and the insights gained from them. The authors also offer a perspective on potential efforts to improve the efficacy of future clinical trials in children following TBI.