Effects of an Integrated 'Fast Track' Rehabilitation Service for Multi-Trauma Patients:A Non-Randomized Clinical Trial in the Netherlands
Objectives The effects on health related outcomes of a newly-developed rehabilitation program, called `supported Fast Track multi-trauma rehabilitation service' (Fast Track), were evaluated in comparison with conventional trauma rehabilitation service (Care as Usual). Methods Prospective, multi-center, non-randomized controlled study. Between 2009 and 2012, 132 adult multi-trauma patients were included: 65 Fast Track and 67 Care as Usual patients with an Injury Severity Score >16, complex multiple injuries in several extremities or complex pelvic and/or acetabulum fractures. The Fast Track... Mehr ...
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Dokumenttyp: | Artikel |
Erscheinungsdatum: | 2017 |
Reihe/Periodikum: | Bouman , A I E , Hemmen , B , Evers , S M A A , van de Meent , H , Ambergen , T , Vos , P E , Brink , P R G & Seelen , H A M 2017 , ' Effects of an Integrated 'Fast Track' Rehabilitation Service for Multi-Trauma Patients : A Non-Randomized Clinical Trial in the Netherlands ' , PLOS ONE , vol. 12 , no. 1 , 0170047 . https://doi.org/10.1371/journal.pone.0170047 |
Schlagwörter: | QUALITY-OF-LIFE / FUNCTIONAL INDEPENDENCE MEASURE / SF-36 HEALTH SURVEY / MAJOR TRAUMA / LONGITUDINAL COHORT / FOLLOW-UP / CARE / INJURIES / CONSEQUENCES / VALIDATION |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-27596615 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | https://cris.maastrichtuniversity.nl/en/publications/372e8106-368b-4cbf-9c9c-60e6df1de492 |
Objectives The effects on health related outcomes of a newly-developed rehabilitation program, called `supported Fast Track multi-trauma rehabilitation service' (Fast Track), were evaluated in comparison with conventional trauma rehabilitation service (Care as Usual). Methods Prospective, multi-center, non-randomized controlled study. Between 2009 and 2012, 132 adult multi-trauma patients were included: 65 Fast Track and 67 Care as Usual patients with an Injury Severity Score >16, complex multiple injuries in several extremities or complex pelvic and/or acetabulum fractures. The Fast Track program involved: integrated coordination between trauma surgeon and rehabilitation physician, shorter stay in hospital with faster transfer to a specialized trauma rehabilitation unit, earlier start of multidisciplinary treatment and 'non-weight bearing' mobilization. Primary outcomes were functional status (FIM) and quality of life (SF-36) measured through questionnaires at baseline, 3, 6, 9 and 12 months post-trauma. Outcomes were analyzed using a linear mixed-effects regression model. Results The FIM scores significantly increased between 0 and 3 months (p Conclusion Both Fast Track and Care as Usual rehabilitation programs were effective in that multi trauma patients improved their functional status and quality of life. A faster (maximum) recovery in functional status was observed for Fast Track at 6 months compared to 9 months for Care as Usual. At twelve months follow-up no differential effects between treatment conditions were found.