Article

OBJECTIVE: To investigate the impact of an in-reach rehabilitation team for
patients admitted after road trauma. DESIGN: Randomised control trial of usual
care versus early involvement
of in-reach rehabilitation team. Telephone
follow-up was conducted by a blind assessor at three months for those with
minor/moderate injuries and six months for serious/severe injuries. SETTING: Four
participating trauma services in New South Wales, Australia. SUBJECTS: A total of
214 patients admitted during 2012-2015 with a length of stay of at least five
days. INTERVENTION: Provision of rehabilitation services in parallel with ward
based therapy using an in-reach team for the intervention group. The control
group could still access the ward based therapy (usual care). MAIN MEASURES: The
primary outcome was acute length of stay. Secondary outcomes included percentage
requiring inpatient rehabilitation, function (Functional Independence Measure and
Timed Up and Go Test), psychological status (Depression Anxiety and Stress Score
21), pain (Orebro Musculoskeletal Pain Questionnaire) and quality of life (Short
Form-12 v2). RESULTS: Median length of stay in acute care was 13 days (IQR 8-21).
The intervention group, compared to the control group, received more
physiotherapy and occupational therapy sessions (median number of sessions 16.0
versus 11.5, P=0.003). However, acute length of stay did not differ between the
intervention and control groups (median 15 vs 12 days, P=0.37). There were no
significant differences observed in the secondary outcomes at hospital discharge
and follow-up. CONCLUSION:
No additional benefit was found from the routine use
of acute rehabilitation teams for trauma patients over and above usual care.
- Rééducation précoce

Langue : ANGLAIS