Department of Rehabilitation Medicine, Seoul National University College of Medicine, Republic of Korea.
Disabil Rehabil. 2012;34(16):1396-403. doi: 10.3109/09638288.2011.637605. Epub 2011 Dec 10.
In cases of complete spinal cord injury (SCI), which has a poor probability of recovery, the timely delivery of a prognosis may be crucial to help patients adapt to their situation. The study aimed to help for choose the appropriate time for delivering a prognosis to persons with SCI.
Three hundred and four members of the Korean SCI Association with complete SCI were surveyed regarding the time at which their prognosis was communicated and their views about the appropriate time for prognosis delivery. Demographic and injury characteristics were also collected. Respondents' experience and opinions on prognosis communication were analysed to assess potential associations with demographic and injury profiles.
Participants' opinions regarding the time of prognosis delivery varied. Many respondents (44.1%) reported that the appropriate time would be within 1 month postinjury, whereas the others felt it should occur either between 1 and 3 months (29.3%) or more than 3 months (10.2%). The comparison of time of prognosis communication with the opinions showed that most would have preferred an earlier delivery of prognosis than they had experienced.
Our findings provide insight to physicians on the appropriate time for delivering a prognosis to individuals with complete SCI.
在完全性脊髓损伤（SCI）的情况下，恢复的可能性很小，及时提供预后可能对帮助患者适应现状至关重要。本研究旨在帮助选择向 SCI 患者提供预后的适当时间。
对韩国 SCI 协会的 304 名完全性 SCI 患者进行了调查，了解他们的预后沟通时间以及他们对预后交付的适当时间的看法。还收集了人口统计学和损伤特征。分析了受访者对预后沟通的经验和意见，以评估与人口统计学和损伤特征的潜在关联。
参与者对预后交付时间的看法存在差异。许多受访者（44.1%）表示，适当的时间应该是在受伤后 1 个月内，而其他人则认为应该在 1 至 3 个月（29.3%）或 3 个月以上（10.2%）。预后沟通时间与意见的比较表明，大多数人希望比实际情况更早地获得预后。
我们的研究结果为医生提供了有关向完全性 SCI 患者提供预后的适当时间的见解。
