University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne Medical School
  • Medicine (RMH)
  • Medicine (RMH) - Research Publications
  • View Item
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne Medical School
  • Medicine (RMH)
  • Medicine (RMH) - Research Publications
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

    Systematic review of multidisciplinary rehabilitation in patients with multiple trauma

    Thumbnail
    Citations
    Scopus
    Web of Science
    Altmetric
    35
    28
    Author
    Khan, F; Amatya, B; Hoffman, K
    Date
    2012-01-01
    Source Title
    BRITISH JOURNAL OF SURGERY
    Publisher
    WILEY
    University of Melbourne Author/s
    Khan, Farees; Amatya, Bhasker; Bhasker, Amatya
    Affiliation
    Medicine - Royal Melbourne Hospital
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Khan, F., Amatya, B. & Hoffman, K. (2012). Systematic review of multidisciplinary rehabilitation in patients with multiple trauma. BRITISH JOURNAL OF SURGERY, 99 (SUPPL. 1), pp.88-96. https://doi.org/10.1002/bjs.7776.
    Access Status
    This item is currently not available from this repository
    URI
    http://hdl.handle.net/11343/32998
    DOI
    10.1002/bjs.7776
    Description

    C1 - Journal Articles Refereed

    Abstract
    BACKGROUND: Multiple trauma is a cause of significant disability in adults of working age. Despite the implementation of trauma systems for improved coordination and organization of care, rehabilitation services are not yet routinely considered integral to trauma care processes. METHODS: MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine, Physiotherapy Evidence Database, Latin American and Caribbean Literature on Health Sciences and Cochrane Library databases were searched up to May 2011 for randomized clinical trials, as well as observational studies, reporting outcomes of injured patients following multidisciplinary rehabilitation that addressed functional restoration and societal reintegration based on the International Classification of Functioning, Disability and Health. RESULTS: No randomized and/or controlled clinical trials were identified. Fifteen observational studies involving 2386 participants with injuries were included. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach assessed methodological quality as 'poor' in all studies, with selection and observer bias. Although patients with low functional scores showed improvement after rehabilitation, they were unable to resume their pretrauma level of activity. Their functional ability was significantly associated with motor independence on admission and early acute rehabilitation, which contributed to a shorter hospital stay. Injury location, age, co-morbidity and education predicted long-term functional consequences. Trauma care systems were associated with reduced mortality. The gaps in evidence include: rehabilitation settings, components, intensity, duration and types of therapy, and long-term outcomes for survivors of multiple trauma. CONCLUSION: Rehabilitation is an expensive resource and the evidence to support its justification is needed urgently. The issues in study design and research methodology in rehabilitation are challenging. Opportunities to prioritize trauma rehabilitation, disability management and social reintegration of multiple injury survivors are discussed.
    Keywords
    Neurology and Neuromuscular Diseases; Nervous System and Disorders

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Minerva Elements Records [52443]
    • Medicine (RMH) - Research Publications [786]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors