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Review Article
Online Published: 02 Apr 2018
 


Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze.


Abstract
Background
Traumatic brain injury is a prominent and leading cause of premature mortality and disability. Corticosteroids were widely used in the clinical management of traumatic brain injury but their benefit has been challenged in so many studies and their efficacy but their use in TBI still remains unclear. The aim of this review is to evaluate the effectiveness and efficacy of corticosteroids in reducing mortality or morbidity in people with acute traumatic brain injury.
Methods
A systematic literature searches as enabled a thorough and robust process of rigorous critical appraisal in order to make an informed, balanced and evidenced based judgement on the use of corticosteroids in the management of acute traumatic brain injury to quantify effectiveness of corticosteroids in reducing mortality and morbidity in reducing traumatic brain injury.
Results
Systematic literature search relevant to corticosteroid use in acute traumatic brain injury. The search strategy involving data base including Embase, MEDLINE, Cochrane Database of Systematic Review Seven studies have been critically appraised to determine the effectiveness and efficacy of corticosteroid use in acute traumatic brain injury.
Conclusion
It can be safely concluded that there is no significant benefit or efficacy of the use of corticosteroid in the management of acute traumatic brain injury. There is no reduction in mortality with the use of corticosteroid however progesterone use caused no discernible harm and showed possible sign of benefit but in a very small and single institution study. Overall the efficacy of amino-steroids in patients with moderate and severe head injury could not be demonstrated.

Key words: Traumatic brain injury; head injury; corticosteroid, critical appraisal


 
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How to Cite this Article
Pubmed Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence. Int J Med Rev Case Rep. 2018; 2(2): 22-28. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids

Web Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence. https://www.mdpub.net/?mno=290281 [Access: October 13, 2024]. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids

AMA (American Medical Association) Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence. Int J Med Rev Case Rep. 2018; 2(2): 22-28. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids


Vancouver/ICMJE Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence. Int J Med Rev Case Rep. (2018), [cited October 13, 2024]; 2(2): 22-28. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids


Harvard Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze (2018) Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence. Int J Med Rev Case Rep, 2 (2), 22-28. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids


Turabian Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. 2018. Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence. International Journal of Medical Reviews and Case Reports, 2 (2), 22-28. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids


Chicago Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. "Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence." International Journal of Medical Reviews and Case Reports 2 (2018), 22-28. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids


MLA (The Modern Language Association) Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. "Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence." International Journal of Medical Reviews and Case Reports 2.2 (2018), 22-28. Print. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids


APA (American Psychological Association) Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze (2018) Role of Corticosteroids in the Management of Acute Traumatic Brain Injury: Literature Review and Critical Appraisal of Evidence. International Journal of Medical Reviews and Case Reports, 2 (2), 22-28. doi:10.5455/IJMRCR.acute-traumatic-brain-injury-corticosteroids


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