Clinical practice guideline recommendations to improve the mental health of adult trauma patients: protocol for a systematic review.

Journal: BMJ open

Volume: 14

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Population Health and Optimal Practices Research Unit Research Unit (Trauma-Emergency-Critical Care Medicine), CHU de Québec-Université Laval Research Centre, Québec, Quebec, Canada melanie.berube@fsi.ulaval.ca. University of Alberta Hospital, Edmonton, Alberta, Canada. Department of Psychiatry, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia. Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada. Vancouver General Hospital, Vancouver, British Columbia, Canada. University of Sherbrooke, Longueil, Quebec, Canada. Department of Social and Preventive Medicine, Université Laval, Québec City, Quebec, Canada. Institut universitaire en santé mentale Douglas, Montréal, Quebec, Canada. Department of Family Medicine and Emergency Medicine, Université Laval, Québec City, Quebec, Canada. Faculty of Public Health, Erasmus MC, Rotterdam, The Netherlands. Faculty of Nursing, Université Laval, Québec City, Quebec, Canada. Faculté des sciences infirmières, Université de Montréal, Montréal, Quebec, Canada. Population Health and Optimal Practices Research Unit Research Unit (Trauma-Emergency-Critical Care Medicine), CHU de Québec-Université Laval Research Centre, Québec, Quebec, Canada. Department of Psychiatry, The University of British Columbia, Vancouver, British Columbia, Canada.

Abstract summary 

Mental disorders are common in adult patients with traumatic injuries. To limit the burden of poor psychological well-being in this population, recognised authorities have issued recommendations through clinical practice guidelines (CPGs). However, the uptake of evidence-based recommendations to improve the mental health of trauma patients has been low until recently. This may be explained by the complexity of optimising mental health practices and interpretating CGPs scope and quality. Our aim is to systematically review CPG mental health recommendations in the context of trauma care and appraise their quality.We will identify CPG through a search strategy applied to Medline, Embase, CINAHL, PsycINFO and Web of Science databases, as well as guidelines repositories and websites of trauma associations. We will target CPGs on adult and acute trauma populations including at least one recommendation on any prevention, screening, assessment, intervention, patient and family engagement, referral or follow-up procedure related to mental health endorsed by recognised organisations in high-income countries. No language limitations will be applied, and we will limit the search to the last 15 years. Pairs of reviewers will independently screen titles, abstracts, full texts, and carry out data extraction and quality assessment of CPGs using the Appraisal of Guidelines Research and Evaluation (AGREE) II. We will synthesise the evidence on recommendations for CPGs rated as moderate or high quality using a matrix based on the Grading of Recommendations Assessment, Development and Evaluation quality of evidence, strength of recommendation, health and social determinants and whether recommendations were made using a population-based approach.Ethics approval is not required, as we will conduct secondary analysis of published data. The results will be disseminated in a peer-reviewed journal, at international and national scientific meetings. Accessible summary will be distributed to interested parties through professional, healthcare quality and persons with lived experience associations. PROSPERO REGISTRATION NUMBER: (ID454728).

Authors & Co-authors:  Bérubé Bradley O'Donnell Stelfox Garraway Vasiliadis Turcotte Perreault Menear Archambault Haagsma Provencher Genest Gagnon Bourque Lapierre Khalfi Panenka

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Moore L, Evans D, Hameed SM, et al. . Mortality in Canadian trauma systems: a multicenter cohort study. Ann Surg 2017;265:212–7. 10.1097/SLA.0000000000001614
Authors :  18
Identifiers
Doi : e079205
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
MENTAL HEALTH;Protocols & guidelines;Systematic Review;TRAUMA MANAGEMENT
Study Design
Study Approach
Country of Study
Publication Country
England