Essential Medical Information for Stroke Patients Undergoing Interhospital Transfer: A Delphi Study
| Autor: | Min Cheol Chang, Jeoung Kun Kim, Yong Sauk Hau, Soyoung Kwak |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Patient Transfer 030506 rehabilitation medicine.medical_specialty Delphi Technique medicine.medical_treatment Delphi method Physical Therapy Sports Therapy and Rehabilitation Medical Records 03 medical and health sciences 0302 clinical medicine Medicine Purdue Pegboard Test Humans Medical history Rehabilitation business.industry Medical record Glasgow Coma Scale Discrimination testing Test (assessment) Stroke Physical therapy Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | American journal of physical medicinerehabilitation. 100(4) |
| ISSN: | 1537-7385 |
| Popis: | OBJECTIVE For improving the efficiency of transferring medical records for stroke patients undergoing interhospital transfer, we evaluated what is the essential medical information for physicians using the Delphi method. DESIGN We set up an expert panel of 31 physiatrists, who participated in this study. The 32 preliminary items of the transferred medical information were listed by a physiatrist for the first round of the Delphi method, and degree of necessity for these 32 items was evaluated using a 3-point scale ("very necessary," "necessary," and "not necessary"). We considered "very necessary" and "necessary" as "agreed to its necessity." According to the Delphi method, a satisfactory level of consensus can be achieved with the agreement of significant majority (≥80%) in the expert panel. RESULTS Based on the experts' feedback, some items were added as the preliminary items. After the second round of the Delphi method, the items confirmed to be necessary information during interhospital transfer were motor and sensory evoked potentials, Barthel Index, Mini-Mental State Examination/Global Deterioration Scale, Motor-Free Visual Perception Test, Manual Function Test, Purdue Pegboard Test, hand grip power, monofilament, 2-point discrimination test, Manual Muscle Test, Nottingham Scale, modified Brunnstrom Classification, functional ambulation category, Glasgow Coma Scale, language function test, imaging study, videofluoroscopic swallowing study, rehabilitation goal, previous medical history, comorbidity, and medication information. CONCLUSIONS If the previously mentioned necessary items are presented together at once during interhospital transfer, physicians who receive new stroke patients can evaluate patients' medical information more easily and completely. |
| Databáze: | OpenAIRE |
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