Unmet rehabilitation needs in the first 6 months post-injury in a trauma centre population with moderate-to-severe traumatic injuries
Moksnes, Håkon Øgreid; Andelic, Nada; Schäfer, Christoph; Anke, Audny Gabriele Wagner; Søberg, Helene L.; Røe, Cecilie; Howe, Emilie Isager; Forslund, Marit Vindal; Røise, Olav; DAHL, HILDE MARGRETE; Becker, Frank; Løvstad, Marianne; Perrin, Paul B; Lu, Juan; Sveen, Unni; Hellstrøm, Torgeir; Rasmussen, Mari Storli
Peer reviewed, Journal article
Published version
View/ Open
Date
2024Metadata
Show full item recordCollections
Original version
10.2340/jrm.v56.40078Abstract
Objective: To describe the needs for subacute inpatient rehabilitation and community-based health- care services, rehabilitation, and social support in patients with moderate-to-severe traumatic injury in the first 6 months post-injury. Further, to explore associations between sociodemographic and clinical characteristics and unmet needs.
Design: Multicentre prospective cohort study.
Subjects: Of 601 persons (75% males), mean (standard deviation) age 47 (21) years, admitted to trauma centres in 2020 with moderate-to-severe injury, 501 patients responded at the 6-month follow-up and thus were included in the analyses.
Methods: Sociodemographic and injury-related characteristics were recorded at inclusion. Estimation of needs was assessed with the Rehabilitation Complexity Scale Extended–Trauma and the Needs and Provision Complexity Scale on hospital discharge. Provision of services was recorded 6 months post-injury. Multivariable logistic regressions explored associations between baseline variables and unmet inpatient rehabilitation and community-based service needs.
Results: In total, 20% exhibited unmet needs for subacute inpatient rehabilitation, compared with 60% for community-based services. Predictors for unmet community-based service needs included residing in less central areas, profound injury severity, severe head injury, and rehabilitation referral before returning home.
Conclusion: Inadequate provision of healthcare and rehabilitation services, particularly in the municipalities, resulted in substantial unmet needs in the first 6 months following injury.