首页|Delphi study for developing a checklist of adverse events associated with acupotomy

Delphi study for developing a checklist of adverse events associated with acupotomy

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Background:Acupotomy,a more invasive procedure than acupuncture,involves the use of a thicker nee-dle with an integrated knife at the tip,necessitating safety research.We aimed to define relevant adverse events(AEs)and create a standardized form of the ACUPOtomy-related AEs CHECKlist(ACUPOCHECK).Methods:Before conducting the Delphi process,a systematic review and pilot prospective study were conducted to gather information on previously reported AEs.Using these data,pilot versions of the ACUPOCHECK and Delphi questionnaires were developed.The Delphi questionnaire involved selecting types of AE for inclusion,establishing separate criteria for acupotomy-related AEs,and achieving a con-sensus on AE assessment.Thirteen Korean doctors with experience in acupotomy or AE research were recruited to participate in each Delphi round.Consensus was considered to have been reached if the crit-ical value for the content validity ratio met or exceeded 0.538.Results:The final ACUPOCHECK was developed using four rounds of the Delphi method and one face-to-face consensus meeting.It included 12 local AEs(pain,hemorrhage,bruise,hematoma,edema,pruritus,rash,infection,nerve damage,dysesthesia,movement impairment,and pneumothorax)and 14 systemic AEs(disease aggravation,needle fatigue,sleepiness,procedural nausea,procedural vomiting,procedural headache,procedural dizziness,sweating,procedural shock,syncope,dyspnea,procedural pain,sleep dis-order,and postprocedural infection).Separate criteria were established for pain,hemorrhage and bruis-ing:pain was defined as pain that occurrs during daily activities and persists for longer than 72 h,hemorrhage as bleeding that continues for ≥ 3 min despite pressure application,and bruising as having a bruise with a diameter of ≥ 3 cm.Open-ended descriptions were allowed for AEs not covered by the checklist,and severity and causality were assessed using the Common Terminology Criteria for Adverse Events and modified World Health Organization-Uppsala Monitoring Center criteria.Conclusion:ACUPOCHECK provides a standardization framework that can help research on traditional practices as well as new tools and techniques that are more invasive and may cause more severe AEs.Subsequent studies will use ACUPOCHECK to develop rational safety guidelines for acupotomy tech-niques.

AcupotomyDelphi techniquePatient safetySafety managementAdverse event

Hyungsun Jun、Haebeom Lee、Sang-Hoon Yoon、Chan-Young Kwon、Damin Jeon、Jun-Hwan Lee、Jungtae Leem

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Department of Diagnostics,College of Korean Medicine,Wonkwang University,Iksan 54538,Republic of Korea

Days Inc.,Seoul 06247,Republic of Korea

Chung-Yeon Korean Medicine Clinic,Seoul 06224,Republic of Korea

Department of Oriental Neuropsychiatry,Dong-Eui University College of Korean Medicine,Busan 47227,Republic of Korea

Chonnam National University Hwasun Hospital,Hwasun 58128,Republic of Korea

KM Science Research Division,Korea Institute of Oriental Medicine,Daejeon 34054,Republic of Korea

Department of Korean Convergence Medical Science,KIOM School,University of Science & Technology(UST),Daejeon 34054,Republic of Korea

Department of Physical Medicine and Rehabilitation,Spaulding Rehabilitation Hospital,Harvard Medical School,Boston,MA 02115,USA

Research Center of Traditional Korean Medicine,College of Korean Medicine,Wonkwang University,Iksan 54538,Republic of Korea

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2024

10.1016/j.joim.2024.08.003

结合医学学报(英文版)
上海市中西医结合学会,上海长海医院

结合医学学报(英文版)

CSTPCD
影响因子：0.711
ISSN：2095-4964
年,卷(期)：2024.22(5)