The use of a modified Delphi procedure for the determination of 26 prognostic factors in the sub-acute stage of stroke

Title

The use of a modified Delphi procedure for the determination of 26 prognostic factors in the sub-acute stage of stroke

Creator

Meijer R; Ihnenfeldt D; Vermeulen M; De Haan R; Van Limbeek J

Publisher

International Journal Of Rehabilitation Research

Date

2003

Subject

Hospitalization; Humans; Patient Discharge; Prognosis; Research Design; Activities of Daily Living; Residence Characteristics; Delphi Technique; Disability Evaluation; Non-U.S. Gov't; Research Support; social support; Recovery of Function; Cerebrovascular Accident/rehabilitation; Subacute Care/organization & administration

Description

The aim of this study was to reach consensus about the prognostic factors when deciding the discharge destination from a hospital stroke unit, and to construct a prognostic conceptual framework. To realise an optimal integration of knowledge from research findings and from clinical experience by expert opinions we used a 'modified Delphi Technique', which is the most commonly used method for the production of clinical guidelines. The process yielded 26 prognostic factors, which were arranged in clinical and social sub-domains. The sub-domains and the factors within each sub-domain were prioritised according to their assumed predictive value for the decision process. The order of importance of the prognostic factors in the clinical domain was: (1) disabilities, (2) pre-morbid disabilities, (3) impairments and (4) disease/biology; and the order of importance of the factors in the social domain was: (1) home front, (2) social situation and (3) residence. The Delphi procedure is an excellent instrument to determine and prioritise prognostic factors. With this procedure research-based and consensus-based knowledge can be combined. For a valid procedure it is mandatory to state explicitly in advance how the scores will be judged, and to explain the scientific level of the evidence during the whole procedure.
2003

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

265-270

Issue

4

Volume

26

Citation

Meijer R; Ihnenfeldt D; Vermeulen M; De Haan R; Van Limbeek J, “The use of a modified Delphi procedure for the determination of 26 prognostic factors in the sub-acute stage of stroke,” Pediatric Palliative Care Library, accessed July 31, 2021, https://pedpalascnetlibrary.omeka.net/items/show/12804.

Social Bookmarking