[Federal Register Volume 82, Number 188 (Friday, September 29, 2017)]
[Notices]
[Pages 45588-45589]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-20903]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2017-0089]


Proposed Centers for Disease Control and Prevention Guideline on 
the Diagnosis and Management of Pediatric Mild Traumatic Brain Injury

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice of Availability; request for comment.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), located 
within the Department of Health and Human Services (HHS) announces the 
opening of a docket to obtain public comment on two documents; a 
Systematic Review of the evidence on the diagnosis, prognosis, and 
management of pediatric mild traumatic brain injury (TBI), and an 
evidence-based Guideline that offers clinical recommendations for 
healthcare providers. Public comments will be considered and will 
inform revisions to the systematic review and guideline.

DATES: Written comments must be received on or before November 28, 
2017.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2017-
0089, by any of the following methods:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: National Center for Injury Prevention and Control, 
Centers for Disease Control and Prevention, Attn: Docket No. CDC-2017-
0089, 4770 Buford Highway NE., Mailstop F-63, Atlanta, Georgia 30341.
    Instructions: All submissions received must include the agency name 
and docket number or RIN. All relevant public comments received will be 
posted without change to http://

[[Page 45589]]

www.regulations.gov, including any personal or proprietary information 
provided. To download an electronic version of the Guideline and 
appendices, go to http://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Arlene Greenspan, National Center for 
Injury Prevention and Control, Centers for Disease Control and 
Prevention, 4770 Buford Highway NE., Mailstop F-63, Atlanta, Georgia 
30341; Telephone: (770) 488-4696.

SUPPLEMENTARY INFORMATION: The Pediatric Mild Traumatic Brain Injury 
Workgroup, a workgroup of the National Center for Injury Prevention and 
Control (NCIPC) Board of Scientific Counselors (BSC), conducted a 
systematic review of the evidence and drafted the clinical 
recommendations. The NCIPC/BSC is a federal advisory committee 
comprised of leading experts in the field of injury and violence 
prevention that makes recommendations to the HHS Secretary, the CDC 
Director, and the NCIPC Director. The workgroup consists of subject 
matter experts in neurosurgery, pediatrics, emergency medicine, 
nursing, neurology, rehabilitation, neuroimaging, internal and family 
medicine, sports medicine, and school health. The systematic review and 
clinical recommendations drafted by the Pediatric Mild Traumatic Brain 
Injury Workgroup served as the primary foundation for the CDC 
Systematic Review and CDC Guideline.

Supporting and Related Material in the Docket

    The docket contains the following supporting and related materials 
to help inform public comment: the Systematic Review including data 
tables, and the Guideline including the key recommendations. The 
document, Diagnosis and Management of Mild Traumatic Brain Injury Among 
Children: A Systematic Review, summarizes findings from 25 years of 
research on the diagnosis, prognosis, and management of pediatric mild 
TBI. In this review, evidence is summarized for six clinical questions 
using a rigorous evidence rating methodology. The draft CDC Guideline 
on the Diagnosis and Management of Mild Traumatic Brain Injury Among 
Children focuses on diagnosis and management of acute mild traumatic 
brain injury (TBI) among children and adolescents (age 18 and under). 
The Guideline is designed for use by acute care and primary care 
providers who diagnose and manage patients with mild TBI resulting from 
both unintentional and intentional injuries. The recommendations 
contained in the Guideline were developed based on findings from the 
Systematic Review. This Guideline is not a federal rule or regulation; 
adherence to the Guideline will be voluntary.

    Dated: September 26, 2017.
Sandra Cashman,
Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2017-20903 Filed 9-28-17; 8:45 am]
BILLING CODE 4163-18-P