Effects of an Integrated ‘Fast Track’ Rehabilitation Service for Multi-Trauma Patients: A Non-Randomized Clinical Trial in the Netherlands

Bouman, A.; Hemmen, Bea; Evers, Silvia M. A. A.; Meent, Henk van de; Ambergen, Ton; Vos, Pieter E.; Brink, Peter R.; Seelen, Henk

doi:10.1371/journal.pone.0170047

Cited by 36 publications

(47 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The number of participants varied between 8 (33) and 7612 (34), with an average age of 24.6 ± 12.1 (35) to 53.9 ± 18.8 (36) years, and a proportion of men between 37.5% (33) and 84% (37). The mean ISS ranged between 3.9 ± 1.7 (38) and 56.8 points (39,40) and the AIS -reported in 18 publications -between 0 and 5 points.…”

Section: Characteristics Of Included Publicationsmentioning

confidence: 99%

“…solely the mental or physical part, or selected subscales of the SF-36 or SF-12, chapter 'Disability' of the ICIDH) (34,54,55,71,78). Six publications conducted a retrospective collection of HRQoL via SF-36, SF-12, EQ-5D and TOP capturing the pre-trauma status (37,(46)(47)(48)(49)73).…”

Section: Characteristics Of Included Publicationsmentioning

confidence: 99%

“…A postal survey was most often used to assess HRQoL, ADL, and (social) participation (n = 17) (11, 33, 46-52, 56, 57, 67, 71, 74, 75, 77, 79). Next in frequency were telephone interviews (n = 5) (34,36,54,55,80), expert assessments (n = 2) (44, 63), face to face interview (n = 1) (81), and combinations of those (n = 16) (7,35,37,39,40,42,43,45,58,59,65,68,70,73,82,83). The research settings were: trauma centre (35,42,43,45,84), outpatient clinic (61,64,78), hospital (38), medical centre or place of patient´s residence (63), hospital and home (73).…”

Section: Application Of Instrumentsmentioning

confidence: 99%

See 2 more Smart Citations

Assessment of Patient-Reported Outcomes After Polytrauma: A Systematic Review

Ritschel

Kuske

Gnass

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Tools assessing patient-reported outcomes (PROs) after polytrauma have not been systematically reviewed so far. Therefore, we sought to: (1) collect instruments that assess health-related quality of life (HRQoL), activities of daily living (ADL), and social participation during follow-up after polytrauma, (2) describe their use (e.g. frequency of application during follow-up), and (3) investigate other relevant PROs assessed in the included studies (e.g. pain, depression, anxiety).Methods: The search was conducted in MEDLINE, Embase, CINAHL, PsycINFO, CENTRAL, the trials registers ClinicalTrials.gov, and WHO ICTRP. All original empirical research published between January 2005 and April 2018 was included. Data extraction, narrative content analysis, and a critical appraisal were performed.Results: The search yielded 3496 hits and 54 publications were included in the review. Predominantly, HRQoL was assessed (in 48 of 54 publications), with Short Form-36 Health Survey (SF-36) applied most frequently. ADL and (social) participation were rarely assessed. The follow-up period lasted between 8 days and 17.5 years; assessments were performed between one and five times. Most used were a single assessment of PROs, a follow-up period of 1 to 1.5 years, and a postal survey. Other relevant PRO areas reported were function, mental disorders, and pain.Conclusions: There is a large variation in the assessment of PROs after polytrauma, impairing comparability of outcomes. First efforts to standardise the collection of PROs have been initiated, but further harmonisation between central players, such as trauma registers, is required. Definition and continuous collection of core outcome sets would improve comparability of study results, creating the basis for more targeted treatment. Additional knowledge on rarely reported PRO areas like (social) participation and social network may lead to their consideration in health services provision.Registration: PROSPERO (CRD42017060825)

show abstract

Section: Characteristics Of Included Publicationsmentioning

confidence: 99%

Section: Characteristics Of Included Publicationsmentioning

confidence: 99%

Section: Application Of Instrumentsmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of Patient-Reported Outcomes After Polytrauma: A Systematic Review

Ritschel

Kuske

Gnass

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Furthermore, a Dutch study evaluated an integrated inpatient "Fast Track" rehabilitation service for multi trauma patients. No significant effect differences were observed between the intervention and control group and results of the scheduled economic evaluation have not yet been published (42). Another study evaluated the cost-effectiveness of three inpatient rehabilitation modalities (i.e., physically orientated, geriatrically orientated, and routine treatment) in patients with hip fractures.…”

Section: Comparison With the Literaturementioning

confidence: 99%

Cost-Effectiveness of the Transmural Trauma Care Model (TTCM) for the Rehabilitation of Trauma Patients

Wiertsema

Dongen

Geleijn

et al. 2019

Int J Technol Assess Health Care

View full text Add to dashboard Cite

ObjectivesTo assess the societal cost-effectiveness of the Transmural Trauma Care Model (TTCM), a multidisciplinary transmural rehabilitation model for trauma patients, compared with regular care.MethodsThe economic evaluation was performed alongside a before-and-after study, with a convenience control group measured only afterward, and a 9-month follow-up. Control group patients received regular care and were measured before implementation of the TTCM. Intervention group patients received the TTCM and were measured after its implementation. The primary outcome was generic health-related quality of life (HR-QOL). Secondary outcomes included disease-specific HR-QOL, pain, functional status, and perceived recovery.ResultsEighty-three trauma patients were included in the intervention group and fifty-seven in the control group. Total societal costs were lower in the intervention group than in the control group, but not statistically significantly so (EUR-267; 95 percent confidence interval [CI], EUR-4,175–3011). At 9 months, there was no statistically significant between-group differences in generic HR-QOL (0.05;95 percent CI, −0.02–0.12) and perceived recovery (0.09;95 percent CI, −0.09–0.28). However, mean between-group differences were statistically significantly in favor of the intervention group for disease-specific HR-QOL (−8.2;95 percent CI, −15.0–−1.4), pain (−0.84;95CI, −1.42–−0.26), and functional status (−20.1;95 percent CI, −29.6–−10.7). Cost-effectiveness acceptability curves indicated that if decision makers are not willing to pay anything per unit of effect gained, the TTCM has a 0.54–0.58 probability of being cost-effective compared with regular care. For all outcomes, this probability increased with increasing values of willingness-to-pay.ConclusionsThe TTCM may be cost-effective compared with regular care, depending on the decision-makers willingness to pay and the probability of cost-effectiveness that they perceive as acceptable.

show abstract

“…Furthermore, it is a life-changing experience not only for the person who suffers from it, but also for his/her parents, spouse, children, and siblings [4]. Functional restrictions caused by physical problems can reduce quality of life for people with SCI and their families [5, 6] . When a family member becomes affected by SCI, the rest of family members would do their best to improve the conditions.…”

Section: Introductionmentioning

confidence: 99%

Toward overcoming physical disability in spinal cord injury: a qualitative inquiry of the experiences of injured individuals and their families

et al. 2019

View full text Add to dashboard Cite

Background Spinal cord injury (SCI) is a life-changing experience for the individuals with SCI and their families. This study aimed to investigate physical strategies used for overcoming physical disability in individuals with SCI. Methods In this qualitative study, 17 SCI persons and 13 family caregivers were selected by a purposeful sampling. Settings of the study were Brain and SCI research (BASIR) center of Tehran University of Medical Sciences and Southern Social Welfare Center of Tehran and SCI Association of Tehran, Iran. Data were collected by face-to-face semi-structured interviews, which were continued until data saturation. The gathered data were concurrently analyzed by the content analysis method. Results The data analysis revealed one main theme (towards overcoming physical disability) and three sub-themes: 1) physical rehabilitation by various methods; 2) tendency towards the use of alternative medical methods; and 3) making effort for self-reliance. Conclusion The participants used physiotherapy and occupational therapy as an effective and essential approach offered by the healthcare team. Some individuals with SCI with help of their family had invented simple rehabilitation equipment for help to their physical rehabilitation. However, most participants had referred to different complimentary medicine specialists based on advice friends and relatives and they often had spent a lot of time and money ineffectively. Therefore, they need training and support of the healthcare team as well as social support to achieve physical independence and physical recovery. Further research is suggested to investigate the barriers to achieving physical empowerment in people with SCI in Iran.

show abstract

Effects of an Integrated ‘Fast Track’ Rehabilitation Service for Multi-Trauma Patients: A Non-Randomized Clinical Trial in the Netherlands

Cited by 36 publications

References 40 publications

Assessment of Patient-Reported Outcomes After Polytrauma: A Systematic Review

Assessment of Patient-Reported Outcomes After Polytrauma: A Systematic Review

Cost-Effectiveness of the Transmural Trauma Care Model (TTCM) for the Rehabilitation of Trauma Patients

Toward overcoming physical disability in spinal cord injury: a qualitative inquiry of the experiences of injured individuals and their families

Contact Info

Product

Resources

About