Background and Need for Change

  • Traumatic brain injury (TBI) has traditionally been classified as mild, moderate, or severe using the Glasgow Coma Scale (GCS) alone.
  • This unimodal approach is limited: it overlooks the complexity and continuum of TBI, ignores other diagnostic data, and can lead to stigma, misclassification, and suboptimal care.
  • Patients and clinicians have expressed concerns that the current system fails to capture the true impact and diversity of TBI presentations.
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