Unmet rehabilitation needs in the first 6 months post-injury in a trauma centre population with moderate-to-severe traumatic injuries

Authors

  • Håkon Øgreid Moksnes Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway
  • Nada Andelic Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway
  • Christoph Schäfer Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway; Department of Clinical Medicine, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway; Department of Rehabilitation, University Hospital of North Norway, Tromsø, Norway
  • Audny Anke Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway; Department of Clinical Medicine, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway ; Department of Rehabilitation, University Hospital of North Norway, Tromsø, Norway
  • Helene Lundgaard Soberg Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway 2Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway; Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
  • Cecilie Røe Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
  • Emilie Isager Howe Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway
  • Marit V. Forslund Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway
  • Olav Røise Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway; Norwegian Trauma Registry, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway
  • Hilde Margrete Dahl Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway; Department of Clinical Neurosciences for Children, Oslo University Hospital, Oslo, Norway
  • Frank Becker Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway; Department of Research, Sunnaas Rehabilitation Hospital, Bjørnemyr, Norway
  • Marianne Løvstad Department of Research, Sunnaas Rehabilitation Hospital, Bjørnemyr, Norway; Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway
  • Paul B. Perrin School of Data Science, University of Virginia, Charlottesville, VA, USA; Department of Psychology, University of Virginia, Charlottesville, VA, USA; Central Virginia Veterans Affairs Health Care System, Richmond, VA, USA
  • Juan Lu Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway; Department of Epidemiology, School of Population Health, Virginia Commonwealth University, Richmond, USA
  • Unni Sveen Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
  • Torgeir Hellstrøm Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway
  • Mari S. Rasmussen Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo, Oslo, Norway; Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway

DOI:

https://doi.org/10.2340/jrm.v56.40078

Keywords:

assessment of healthcare needs, community health services, rehabilitation, multiple trauma, traumatic injury, trauma centre

Abstract

Objective: To describe the needs for subacute inpatient rehabilitation and community-based healthcare 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.

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2024-05-27

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Moksnes, H. Øgreid, Andelic, N., Schäfer, C., Anke, A., Soberg, H. L., Røe, C., … Rasmussen, M. S. (2024). Unmet rehabilitation needs in the first 6 months post-injury in a trauma centre population with moderate-to-severe traumatic injuries. Journal of Rehabilitation Medicine, 56, jrm40078. https://doi.org/10.2340/jrm.v56.40078

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Vol. 56 (2024)

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Copyright (c) 2024 Håkon Øgreid Moksnes, Nada Andelic, Christoph Schäfer, Audny Anke, Helene Lundgaard Soberg, Cecilie Røe, Emilie Isager Howe, Marit V. Forslund, Olav Røise, Hilde Margrete Dahl, Frank Becker, Marianne Løvstad, Paul B. Perrin, Juan Lu, Unni Sveen, Torgeir Hellstrøm, Mari S. Rasmussen

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