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Müller Fiedler A, Almeida T, Vasconcellos FDN, Morell A, de Monaco BA, Anghinah R, Cordeiro JG. Fitness-to-drive after adult civilian traumatic brain injury: protocol for a systematic review and meta-analysis. Neurosurg Rev 2023; 46:324. [PMID: 38048009 DOI: 10.1007/s10143-023-02228-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 11/06/2023] [Accepted: 11/24/2023] [Indexed: 12/05/2023]
Abstract
Traumatic brain injury (TBI) poses significant challenges for assessing fitness-to-drive (FTD) and determining the appropriate timing for return-to-driving (RTD) in civilian adults. This systematic review and meta-analysis protocol is designed to offer a comprehensive assessment of RTD timelines post-TBI, examining the effects of injury severity as well as demographic and clinical factors that influence driving capabilities. In response to gaps identified in previous literature-namely, the absence of recent systematic search strategies and thorough quality assessments-this study employs rigorous methodologies for literature search, data extraction, and evaluation of study quality. Our approach aims to provide reliable estimates and detailed analyses of subgroups within the TBI population. The findings aim to support clinical decision-making, inform RTD readiness, and potentially impact policy and driving assessment protocols. Ultimately, this review seeks to contribute to public safety measures, reduce traffic-related harm, and improve life outcomes for individuals recovering from TBI, thereby filling a vital research niche in neurotrauma rehabilitation.
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Affiliation(s)
| | - Timoteo Almeida
- Department of Neurological Surgery, University of Miami Hospital, Miami, FL, USA
- Department of Radiation Oncology, Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Fernando De Nigris Vasconcellos
- Department of Neurological Surgery, University of Miami Hospital, Miami, FL, USA
- Department of Neurological Surgery, University of Texas Health Science, McGovern Medical School, Houston, TX, USA
| | - Alexis Morell
- Department of Neurological Surgery, University of Miami Hospital, Miami, FL, USA
| | - Bernardo Assumpção de Monaco
- Department of Neurological Surgery, University of Miami Hospital, Miami, FL, USA
- Department of Neurology, Neurosurgery Division, Clinics Hospital, University of São Paulo Medical School, São Paulo, Brazil
| | - Renato Anghinah
- Department of Neurological Surgery, University of Miami Hospital, Miami, FL, USA
- Department of Neurology, Clinics Hospital, University of São Paulo Medical School, São Paulo, Brazil
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