Universität zu Köln

Kaske, Sigune, Lefering, Rolf, Bouillon, Bertil and Maegele, Marc (2019). Introduction of a novel questionnaire to assess the quality of postdischarge outpatient care and socioeconomic state after severe multiple injury. Eur. J. Phys. Rehabil. Med., 55 (4). S. 463 - 472. TURIN: EDIZIONI MINERVA MEDICA. ISSN 1973-9095

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Abstract

BACKGROUND AND AIM: Trauma registries provide knowledge about the pathophysiological events that follow severe injuries but only little is known about outpatient care and socioeconomic consequences at later stages in case of survival. We introduce a novel questionnaire to specifically assess the quality of postdischarge outpatient care and socioeconomic burden up to two years after severe multiple injury. DESIGN: Observational Study. SETTING: Postdischarge outpatient treatment and socioeconomic burden within two years after severe trauma. POPULATION: Severely injured adult trauma patients (Injury Severity Score 9 and ICU admission). METHODS: A new questionnaire was introduced in context of a two-year follow-up mail survey. RESULTS: The response rate was 57% (150/264 patients; 73% male, mean 45 years, mean ISS 17/New ISS 22; 99% blunt trauma). Rehabilitation measures were conducted in 70% of patients while 87% underwent outpatient treatment after discharge from the acute care facility. Further in-hospital stays were observed in 63% of patients and 19% reported the need for ongoing permanent care. Pain medication was taken by 74% of patients after discharge while 32% were still on pain medication at two years. 35% had been on sick leave >1 year while 18% had entirely lost their job. Every second patient reported financial disadvantages. CONCLUSIONS: The questionnaire yielded detailed information about the quality of outpatient care after discharge and confirmed the high socioeconomic burden among patients at two years after severe multiple injury. CLINICAL REHABILITATION IMPACT: Long- term impairments after severe trauma are described frequently. Evaluation of ambulant treatment is the first step to optimize long- term rehabilitation and re-integration.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kaske, Sigune UNSPECIFIED UNSPECIFIED UNSPECIFIED Lefering, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED Bouillon, Bertil UNSPECIFIED UNSPECIFIED UNSPECIFIED Maegele, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-134027
DOI:	10.23736/S1973-9087.19.05419-4
Journal or Publication Title:	Eur. J. Phys. Rehabil. Med.
Volume:	55
Number:	4
Page Range:	S. 463 - 472
Date:	2019
Publisher:	EDIZIONI MINERVA MEDICA
Place of Publication:	TURIN
ISSN:	1973-9095
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRAUMATIC BRAIN-INJURY; OF-LIFE; FUNCTIONAL CONSEQUENCES; RECOVERY Multiple languages Rehabilitation Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13402