Return to Work and Functional Outcomes After Major Trauma

Gabbe, Belinda; Simpson, Pamela; Harrison, James Edward; Lyons, Ronan A; Ameratunga, Shanthi; Ponsford, Jennie; Fitzgerald, Mark; Judson, Rodney; Collie, Alex; Cameron, Peter

doi:10.1097/sla.0000000000001564

Cited by 159 publications

(173 citation statements)

References 42 publications

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“…There were some common findings with other studies, such as poorer outcomes with increasing age,13 42 and in those with pre-existing conditions 7 13…”

Section: Discussionsupporting

confidence: 67%

“…Recent research by Gabbe et al reported declining function over time following major trauma in older age groups, people with significant pre-existing conditions, low fall injuries and isolated head injuries 13. All of these factors are particularly relevant to older people and although they were not specifically identified in this review, this is more likely a reflection of the lack of literature rather than inconsistencies between studies.…”

Section: Discussionmentioning

confidence: 88%

“…All of these factors are particularly relevant to older people and although they were not specifically identified in this review, this is more likely a reflection of the lack of literature rather than inconsistencies between studies. A further finding by Gabbe et al was a lack of improvement in return to work rates between 12 and 24 months in people aged 55–64 years 13. This has significant economic and social consequences, and warrants closer investigation as to why this is the case.…”

Section: Discussionmentioning

confidence: 97%

“…Decreases in injury-related mortality rates have contributed to an increased focus on the survivors of injury and their longer-term outcomes, functional abilities, disabilities and health-related quality of life (HRQoL) 13. Research in this area has expanded in the last 10–15 years, however, it also focuses on working age adults, and their predominant types of injury (eg, road trauma, interpersonal violence or work-related injuries) and outcomes relevant to the working age population (eg, return to work or study, loss of income or unemployment) 13 14…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Functioning and health-related quality of life following injury in older people: a systematic review

et al. 2017

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“…There were some common findings with other studies, such as poorer outcomes with increasing age,13 42 and in those with pre-existing conditions 7 13…”

Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Functioning and health-related quality of life following injury in older people: a systematic review

et al. 2017

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“…Care at MTS has been shown to improve functional outcomes (Gabbe et al 2016, MacKenzie et al 2008, Nirula and Brasel 2006, but the reasons for this are unknown. It has been suggested that this may, in part, relate to greater clinical expertise, experience and staffing levels within allied health (Gabbe et al 2012), whose interventions are specifically focused on this aspect of patient recovery.…”

Section: Introductionmentioning

confidence: 99%

A benchmarking project of physiotherapy in Australian and New Zealand adult major trauma services

Calthorpe¹,

Kimmel²,

Webb³

et al. 2016

NZJP

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Traumatic injury places a great burden on individuals and society. As mortality plateaus in mature trauma systems, there is an increasing shift towards understanding patients' morbidity and functional outcomes. Physiotherapy plays a key role in recovery after traumatic injury, but little is currently known about its role in the acute hospital setting for trauma patients. This study aimed to document physiotherapy service structure and practice in adult major trauma services (MTS) across Australia and New Zealand. A survey was distributed electronically to physiotherapists working within designated MTS (n=25), achieving a 92% response rate (n=23). Physiotherapy service delivery, expertise and availability varied greatly. Only seven sites (30%) had a dedicated trauma physiotherapist with this showing a trend towards an association with major trauma admissions (provided by the Australian Trauma Registry; p=0.07). Only eight (35%) had blanket referral systems for physiotherapy review, which was significantly associated with having a dedicated specialised physiotherapist (p =0.015). Most ran a five day/week service for all patients with priority cover over the weekends (78% n=18). Future research should explore the benefits of specialised trauma physiotherapy roles in optimising patient outcomes in order to standardise this across all trauma centres in Australia and New Zealand.

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The Need for Postdischarge, Patient-Centered Data in Trauma

2016

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Trauma accounts for 199 800 deaths and 30.9 million nonfatal injuries in the United States each year. 1 Among survivors, the long-term consequences can be devastating in terms of both medical considerations, such as risk of readmission and need for rehabilitation, and patients' lived experience, affecting functional outcomes and health-related quality of life. Data from the Centers for Disease Control and Prevention suggest that in 2010, estimated annual lifetime costs due to trauma totaled more than $187 billion (an average of $1.05 million per person), of which 98.9% ($1.04 million per person) was due to loss of work alone. 1 Recent work by the National Institutes of Health and American College of Surgeons recognized this issue, calling for a need to consider longer-term outcomes of care and to implement patientcentered methods to collect postdischarge outcomes in existing trauma registries. 2 Consensus statements from Europe tell a similar story. 3 Nevertheless, despite widespread recognition, there remains a paucity of data concerning the postdischarge experience of trauma patients, particularly as it pertains to patient-centered outcomes. On a national scale, it is not known what information is being collected.As the largest trauma registry in the world collected in accordance with the US National Trauma Data Standard, the National Trauma Database provides a national repository of information on trauma care. In 2014, it collected data on more than 861 300 patient encounters and 724 trauma centers across the United States. The National Trauma Database has helped to inform stakeholders about the experience of injured patients in the acute care setting with an impact that, like other trauma registries throughout the world, traverses "epidemiology, prevention, monitoring and benchmarking, and quality improvement," among other uses. 4 It does not, however, collect information on events or outcomes following discharge from the emergency department or inpatient care-neither does the National Inpatient Sample.To assess the current status of postdischarge data collection in trauma registries, we conducted an internetbased systematic search of all 50 US states and the District of Columbia Department of Public Health (Emergency Medical Services) websites with the objective of identifying trauma registry data dictionaries and statewide trauma reports. In states where trauma registries are collected, existing information was queried for the inclusion of postdischarge outcomes, including what information is collected, for whom, and over what time span. Telephone requests for data dictionaries were made when they were not available online. Fortyseven of 51 states/regions had a statewide trauma registry (Table ).

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Return to Work and Functional Outcomes After Major Trauma

Cited by 159 publications

References 42 publications

Functioning and health-related quality of life following injury in older people: a systematic review

Functioning and health-related quality of life following injury in older people: a systematic review

A benchmarking project of physiotherapy in Australian and New Zealand adult major trauma services

The Need for Postdischarge, Patient-Centered Data in Trauma

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