Early rehabilitation in trauma patients: an observational study from two Norwegian trauma centers
DOI:
https://doi.org/10.2340/jrm.v58.45625Keywords:
multiple trauma, rehabilitation, trauma centre, wounds and injuriesAbstract
Objective: To examine the provision of consultation by a specialist in physical and rehabilitation medicine, and timing of early rehabilitation services for severely injured trauma patients as recommended in the Norwegian Trauma Plan.
Design: Observational cohort study.
Subjects/Patients: Adults aged ≥ 18 years admitted with severe (New Injury Severity Score > 12) traumatic injuries.
Methods: Observational cohort study with data from the Norwegian Trauma Registry and medical records. Outcomes included consultation with a physical and rehabilitation medicine specialist, timing of assessment, and involvement of health professions.
Results: Among 317 patients, 10% received assessment by a physical and rehabilitation medicine specialist within 72 h. Early assessment occurred in 43% (n = 6) of patients with spinal cord injury, 12% (n = 8) with traumatic brain injury, and 7% (n = 17) with multitrauma. Overall, 31% (n = 99) of all patients were assessed by a physical and rehabilitation medicine specialist, including 93% (n = 13) of spinal cord injury patients, 57% (n = 39) with traumatic brain injury, and 19% (n = 43) with multitrauma. Physiotherapists assessed 72% of patients, while involvement from other rehabilitation professionals was limited.
Conclusion: Despite recommendations, only one-third of patients were assessed by a physical and rehabilitation medicine specialist, and 10% within 72 h. Physiotherapy was common, but other rehabilitation input was limited. Patients with spinal cord injury received more comprehensive care than those with traumatic brain injury or multitrauma.
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Copyright (c) 2026 Ingri G. Olsen, Marianne Wesnes, Hanne Næss, Eike Wehling, Eirik Vikane, Geir Arne Sunde, Oddvar Uleberg, Lars Gunnar Johnsen
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