Abstract：
Rehabilitation service providers must take into account prognostic factors when making clinical decisions, which includes using these factors as prioritization criteria. The goal of this study was to establish consensus on patient prioritization criteria based on prognostic factors related to persistent symptoms for patients with mild traumatic brain injury (mTBI) waiting for outpatient specialized rehabilitation services.
We conducted a Delphi survey involving clinicians, researchers, decision makers, and patients. Before the survey, we presented the results of an overview of systematic reviews summarizing the evidence on prognostic factors related to post-concussion symptoms.
After two rounds, the 17 experts reached consensus on the inclusion of 12 prioritization criteria: acute stress disorder, anxiety and depression, baseline mental and physical health, functional impacts and difficulties in performing daily habits after the trauma, motivation to receive services, multiple concussions, prior neurological problems, PTSD, quality of sleep, return to work failures, somatic complaints, suicidal ideation.
Healthcare stakeholders must consider a wide range of factors to guide clinical decision-making, including about access to care and patient prioritization. This study shows that the Delphi technique can be used to reach consensus on such decisions regarding patients with mTBI who are waiting for outpatient specialized rehabilitation services.
We conducted a Delphi survey involving clinicians, researchers, decision makers, and patients. Before the survey, we presented the results of an overview of systematic reviews summarizing the evidence on prognostic factors related to post-concussion symptoms.
After two rounds, the 17 experts reached consensus on the inclusion of 12 prioritization criteria: acute stress disorder, anxiety and depression, baseline mental and physical health, functional impacts and difficulties in performing daily habits after the trauma, motivation to receive services, multiple concussions, prior neurological problems, PTSD, quality of sleep, return to work failures, somatic complaints, suicidal ideation.
Healthcare stakeholders must consider a wide range of factors to guide clinical decision-making, including about access to care and patient prioritization. This study shows that the Delphi technique can be used to reach consensus on such decisions regarding patients with mTBI who are waiting for outpatient specialized rehabilitation services.
摘要：
■康复服务提供者在做出临床决定时必须考虑预后因素，其中包括使用这些因素作为优先级标准。这项研究的目的是根据与等待门诊专业康复服务的轻度创伤性脑损伤（mTBI）患者的持续症状相关的预后因素，就患者优先排序标准达成共识。
■我们进行了一项涉及临床医生的德尔菲调查，研究人员,决策者,和病人。在调查之前,我们介绍了系统综述的结果,总结了与脑震荡后症状相关的预后因素的证据.
■两轮后，17名专家就纳入12项优先排序标准达成共识：急性应激障碍，焦虑和抑郁,基线精神和身体健康，创伤后的功能影响和日常习惯的困难，接受服务的动机，多发性脑震荡,以前的神经问题，创伤后应激障碍,睡眠质量,返回工作失败，躯体投诉，自杀意念.
■医疗保健利益相关者必须考虑广泛的因素来指导临床决策，包括获得护理和患者优先次序。这项研究表明，Delphi技术可用于就等待门诊专业康复服务的mTBI患者的此类决定达成共识。
■我们进行了一项涉及临床医生的德尔菲调查，研究人员,决策者,和病人。在调查之前,我们介绍了系统综述的结果,总结了与脑震荡后症状相关的预后因素的证据.
■两轮后，17名专家就纳入12项优先排序标准达成共识：急性应激障碍，焦虑和抑郁,基线精神和身体健康，创伤后的功能影响和日常习惯的困难，接受服务的动机，多发性脑震荡,以前的神经问题，创伤后应激障碍,睡眠质量,返回工作失败，躯体投诉，自杀意念.
■医疗保健利益相关者必须考虑广泛的因素来指导临床决策，包括获得护理和患者优先次序。这项研究表明，Delphi技术可用于就等待门诊专业康复服务的mTBI患者的此类决定达成共识。
