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dc.contributor.authorSchäfer, Christoph
dc.contributor.authorMoksnes, Håkon Øgreid
dc.contributor.authorRasmussen, Mari Storli
dc.contributor.authorHellstrøm, Torgeir
dc.contributor.authorSøberg, Helene L.
dc.contributor.authorRøise, Olav
dc.contributor.authorRøe, Cecilie
dc.contributor.authorK Frisvold, Shirin
dc.contributor.authorBartnes, Kristian
dc.contributor.authorNæss, Pål Aksel
dc.contributor.authorGaarder, Aslaug Christine
dc.contributor.authorHelseth, Eirik
dc.contributor.authorBrunborg, Cathrine
dc.contributor.authorAndelic, Nada
dc.contributor.authorAnke, Audny Gabriele Wagner
dc.date.accessioned2023-11-14T07:54:22Z
dc.date.available2023-11-14T07:54:22Z
dc.date.issued2023-06-27
dc.description.abstractObjective: 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.citationSchäfer 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. 2023en_US
dc.identifier.cristinIDFRIDAID 2192248
dc.identifier.doi10.2340/jrm.v55.6552
dc.identifier.issn1650-1977
dc.identifier.issn1651-2081
dc.identifier.urihttps://hdl.handle.net/10037/31742
dc.language.isoengen_US
dc.publisherMedical Journals Sweden ABen_US
dc.relation.journalJournal of Rehabilitation Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0en_US
dc.rightsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)en_US
dc.titleAdherence to Guidelines for Acute Rehabilitation in the Norwegian Trauma Plan.en_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)