dc.contributor.author | Sveen, Unni | |
dc.contributor.author | Røe, Cecilie | |
dc.contributor.author | Sigurdardottir, Solrun | |
dc.contributor.author | Skandsen, Toril | |
dc.contributor.author | Andelic, Nada | |
dc.contributor.author | Manskow, Unn Sollid | |
dc.contributor.author | Berntsen, Svein A | |
dc.contributor.author | Søberg, Helene L. | |
dc.contributor.author | Anke, Audny | |
dc.date.accessioned | 2017-06-02T12:59:09Z | |
dc.date.accessioned | 2017-06-13T13:00:40Z | |
dc.date.available | 2017-06-02T12:59:09Z | |
dc.date.available | 2017-06-13T13:00:40Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Sveen, U., Røe, C., Sigurdardottir, S., Skandsen, T., Andelic, N., Manskow, U.E. & Anke, A. (2016). Rehabilitation pathways and functional independence one year after severe traumatic brain injury. European Journal of Physical and Rehabilitation Medicine, 52(5), 650-661 | language |
dc.identifier.issn | 1973-9087 | |
dc.identifier.issn | 1973-9087 | |
dc.identifier.issn | 1973-9095 | |
dc.identifier.uri | https://hdl.handle.net/10642/5017 | |
dc.description.abstract | bacKGround:
after severe traumatic brain injury (tbi) it is recommended that patients in need of rehabilitation be transferred directly from
acute care to specialized rehabilitation. however, recent European cohort studies found a variety of care pathways and delays in admission to
rehabilitation after severe
tbi.
aiM:
to study the pathways within rehabilitation services in a
norwegian national cohort with severe
tbi and the association to functional
independence 12 months post-injury.
dEsiGn: observational prospective multicenter study.
sEttinG: regional trauma centers.
population:
a total of 163 adults, age 16-85 years, with severe
tbi.
MEthods:
the main variables were transfer between acute care and rehabilitation, type of rehabilitation services and functional independence.
results: 75% of the patients had specialized
tbi rehabilitation, 11% non-specialized and 14% no in-patient rehabilitation. in total, 48% were trans
-
ferred directly to specialized rehabilitation from acute units in regional trauma centers.
there were no differences in injury severity between patients
transferred directly and non-directly, but the direct-transfer patients were younger.
at 12 months post-injury, 71% were functionally independent
and 90% lived in their home.
younger age, fewer days of ventilation and shorter post-traumatic amnesia were associated with independence.
among
patients treated with specialized rehabilitation, direct transfer to rehabilitation was associated with functional independence (or=4.3, p<0.01).
conclusions:
a direct clinical pathway including specialized rehabilitation in dedicated units was associated with functional independence.
CLINICAL REHABILITATION IMPACT: Direct pathways from acute care to sub-acute specialized rehabilitation might prove beneficial to
functional status | language |
dc.language.iso | en | language |
dc.publisher | Edizioni Minerva Medica | language |
dc.relation.ispartofseries | European Journal of Physical and Rehabilitation Medicine;52(5) | |
dc.relation.uri | http://www.minervamedica.it/en/freedownload.php?cod=R33Y2016N05A0650 | |
dc.subject | Critical pathway | language |
dc.subject | Multicenter study | language |
dc.subject | Rehabilitation | language |
dc.subject | Treatment outcome | language |
dc.subject | Brain injuries | language |
dc.title | Rehabilitation pathways and functional independence one year after severe traumatic brain injury | language |
dc.type | Journal article | language |
dc.type | Peer reviewed | language |
dc.date.updated | 2017-06-02T12:59:09Z | |
dc.description.version | publishedVersion | language |
dc.identifier.cristin | 1377451 | |