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国际脊髓损伤基础数据集对青少年的相关性:一项跨专业综述及建议

Relevance of the international spinal cord injury basic data sets to youth: an Inter-Professional review with recommendations.

作者信息

Carroll A, Vogel L C, Zebracki K, Noonan V K, Biering-Sørensen F, Mulcahey M J

机构信息

Department of Occupational Therapy, Jefferson College of Health Professions, Thomas Jefferson University, Philadelphia, PA, USA.

Rush Medical College, Chicago, IL USA.

出版信息

Spinal Cord. 2017 Sep;55(9):875-881. doi: 10.1038/sc.2017.14. Epub 2017 Feb 28.

Abstract

STUDY DESIGN

Mixed methods, using the Modified Delphi Technique and Expert Panel Review.

OBJECTIVE

To evaluate the utility and relevance of the International Spinal Cord Injury (SCI) Core and Basic Data Sets for children and youth with SCI.

SETTING

International.

METHODS

Via 20 electronic surveys, an interprofessional sample of healthcare professionals with pediatric SCI experience participated in an iterative critical review of the International SCI Data Sets, and submitted suggestions for modifications for use with four pediatric age groups. A panel of 5 experts scrutinized the utility of all data sets, correlated any modifications with the developing National Institute of Neurological Disorders and Stroke (NINDS) pediatric SCI Common Data Elements (CDE) and distributed final recommendations for modifications required to the adult data sets to the International SCI Data Set Committee and the associated Working Groups.

RESULTS

Two International SCI Data Sets were considered relevant and appropriate for use with children without any changes. Three were considered not appropriate or applicable for use with children, regardless of age. Recommendations were made for five data sets to enhance their relevance and applicability to children across the age groups, and recommendations for seven data sets were specific to infants and younger children.

CONCLUSIONS

The results of this critical review are significant in that substantive recommendations to align the International SCI Core and Basic Data Sets to pediatric practice were made.

SPONSORSHIP

This project was funded by the Rick Hansen Institute Grant# 2015-27.

摘要

研究设计

采用混合方法,运用改良德尔菲技术和专家小组评审。

目的

评估国际脊髓损伤(SCI)核心数据集和基础数据集对儿童及青少年脊髓损伤患者的实用性和相关性。

研究地点

国际范围。

方法

通过20次电子调查,选取有儿科脊髓损伤治疗经验的跨专业医疗保健专业人员样本,对国际脊髓损伤数据集进行迭代式严格评审,并针对四个儿科年龄组提交修改建议。由5名专家组成的小组审查所有数据集的实用性,将任何修改与正在制定的美国国立神经疾病和中风研究所(NINDS)儿科脊髓损伤通用数据元素(CDE)相关联,并将对成人数据集所需修改的最终建议分发给国际脊髓损伤数据集委员会及相关工作组。

结果

两个国际脊髓损伤数据集被认为与儿童相关且无需修改即可使用。三个数据集被认为无论儿童年龄大小均不适用于儿童。针对五个数据集提出了增强其对各年龄组儿童相关性和适用性的建议,针对七个数据集的建议则专门针对婴儿和年幼儿童。

结论

此次严格评审的结果意义重大,因为提出了使国际脊髓损伤核心数据集和基础数据集与儿科实践保持一致的实质性建议。

资助情况

本项目由里克·汉森研究所资助,资助编号2015 - 27。

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