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Effects of an Integrated ‘Fast Track’ Rehabilitation Service for Multi-Trauma Patients: A Non-Randomized Clinical Trial in the Netherlands

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Listed:
  • Ans I E Bouman
  • Bea Hemmen
  • Silvia M A A Evers
  • Henk van de Meent
  • Ton Ambergen
  • Pieter E Vos
  • Peter R G Brink
  • Henk A M Seelen

Abstract

Objectives: The effects on health related outcomes of a newly-developed rehabilitation program, called ‘supported Fast Track multi-trauma rehabilitation service’ (Fast Track), were evaluated in comparison with conventional trauma rehabilitation service (Care as Usual). Methods: Prospective, multi-center, non-randomized controlled study. Between 2009 and 2012, 132 adult multi-trauma patients were included: 65 Fast Track and 67 Care as Usual patients with an Injury Severity Score ≥16, complex multiple injuries in several extremities or complex pelvic and/or acetabulum fractures. The Fast Track program involved: integrated coordination between trauma surgeon and rehabilitation physician, shorter stay in hospital with faster transfer to a specialized trauma rehabilitation unit, earlier start of multidisciplinary treatment and ‘non-weight bearing’ mobilization. Primary outcomes were functional status (FIM) and quality of life (SF-36) measured through questionnaires at baseline, 3, 6, 9 and 12 months post-trauma. Outcomes were analyzed using a linear mixed-effects regression model. Results: The FIM scores significantly increased between 0 and 3 months (p

Suggested Citation

  • Ans I E Bouman & Bea Hemmen & Silvia M A A Evers & Henk van de Meent & Ton Ambergen & Pieter E Vos & Peter R G Brink & Henk A M Seelen, 2017. "Effects of an Integrated ‘Fast Track’ Rehabilitation Service for Multi-Trauma Patients: A Non-Randomized Clinical Trial in the Netherlands," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-16, January.
    • Handle: RePEc:plo:pone00:0170047
    DOI: 10.1371/journal.pone.0170047
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