dc.contributor.author | Schäfer, Christoph | |
dc.contributor.author | Moksnes, Håkon Øgreid | |
dc.contributor.author | Rasmussen, Mari Storli | |
dc.contributor.author | Hellstrøm, Torgeir | |
dc.contributor.author | Søberg, Helene L. | |
dc.contributor.author | Røise, Olav | |
dc.contributor.author | Røe, Cecilie | |
dc.contributor.author | K Frisvold, Shirin | |
dc.contributor.author | Bartnes, Kristian | |
dc.contributor.author | Næss, Pål Aksel | |
dc.contributor.author | Gaarder, Aslaug Christine | |
dc.contributor.author | Helseth, Eirik | |
dc.contributor.author | Brunborg, Cathrine | |
dc.contributor.author | Andelic, Nada | |
dc.contributor.author | Anke, Audny Gabriele Wagner | |
dc.date.accessioned | 2023-11-14T07:54:22Z | |
dc.date.available | 2023-11-14T07:54:22Z | |
dc.date.issued | 2023-06-27 | |
dc.description.abstract | Objective: To evaluate adherence to 3 central operational recommendations for acute rehabilitation
in the Norwegian trauma plan.<p>
<p>Methods: A prospective multi-centre study of 538
adults with moderate and severe trauma with New
Injury Severity Score >9.
<p>Results: Adherence to the first recommendation,
assessment by a physical medicine and rehabilitation physician within 72 h following admission to
the intensive care unit (ICU) at the trauma centre,
was documented for 18% of patients. Adherence to
the second recommendation, early rehabilitation in
the intensive care unit, was documented for 72%
of those with severe trauma and ≥2 days ICU stay.
Predictors for early rehabilitation were ICU length
of stay and spinal cord injury. Adherence to the
third recommendation, direct transfer of patients
from acute ward to a specialized rehabilitation unit,
was documented in 22% of patients, and occurred
more often in those with severe trauma (26%), spinal cord injury (54%) and traumatic brain injury
(39%). Being employed, having head or spinal
chord injury and longer ICU stay were predictors for
direct transfer to a specialized rehabilitation unit.
<p>Conclusion: Adherence to acute rehabilitation guidelines after trauma is poor. This applies to documented early assessment by a physical medicine
and rehabilitation physician, and direct transfer
from acute care to rehabilitation after head and
extremity injuries. These findings indicate a need
for more systematic integration of rehabilitation in
the acute treatment phase after trauma. | en_US |
dc.identifier.citation | Schäfer C, Moksnes HØ, Rasmussen MS, Hellstrøm T, Søberg HL, Røise O, Røe C, K Frisvold S, Bartnes K, Næss PA, Gaarder C, Helseth E, Brunborg C, Andelic N, Anke A. Adherence to Guidelines for Acute Rehabilitation in the Norwegian Trauma Plan.. Journal of Rehabilitation Medicine. 2023 | en_US |
dc.identifier.cristinID | FRIDAID 2192248 | |
dc.identifier.doi | 10.2340/jrm.v55.6552 | |
dc.identifier.issn | 1650-1977 | |
dc.identifier.issn | 1651-2081 | |
dc.identifier.uri | https://hdl.handle.net/10037/31742 | |
dc.language.iso | eng | en_US |
dc.publisher | Medical Journals Sweden AB | en_US |
dc.relation.journal | Journal of Rehabilitation Medicine | |
dc.rights.accessRights | openAccess | en_US |
dc.rights.holder | Copyright 2023 The Author(s) | en_US |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0 | en_US |
dc.rights | Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) | en_US |
dc.title | Adherence to Guidelines for Acute Rehabilitation in the Norwegian Trauma Plan. | en_US |
dc.type.version | publishedVersion | en_US |
dc.type | Journal article | en_US |
dc.type | Tidsskriftartikkel | en_US |
dc.type | Peer reviewed | en_US |