Supported fast track multi-trauma rehabilitation service

Not Applicable

Completed

• Conditions: Multi-trauma rehabilitation; Injury, Occupational Diseases, Poisoning; Unspecified multiple injuries

• Registration Number: ISRCTN68246661
• Lead Sponsor: Adelante Rehabilitation Centre (Netherlands)

Brief Summary

2017 results in: https://www.ncbi.nlm.nih.gov/pubmed/28076441 2019 cost-effectiveness results in: https://www.ncbi.nlm.nih.gov/pubmed/30901353 (added 18/12/2019)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2008-08-21
• Study Completion: 2012-12-31
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 132

Inclusion Criteria

Multi-trauma patients admitted to one of the Accident and Emergency Departments (A&E) of the participating hospitals are included. Multi-trauma is defined as having at least two or more injuries of which at least one is life-threatening, including:
1. Trauma with an Injury Severity Scale score (ISS) greater than or equal to 16
2. Complex multiple injuries on both lower extremities
3. A combination of one upper and one lower extremity injury, the latter of which can not be used in load-bearing, or
4. Complex pelvis/acetabulum fractures

Inclusion criteria are:
1. Aged 18 years or over, either sex
2. Multi-trauma (as defined above)
3. Hospitalisation after A&E admission
4. Rehabilitation indication, i.e. lasting impairments or handicaps are expected
5. Adequate Dutch language skills

Exclusion Criteria

1. Alcohol and/or drug abuse
2. Severe psychiatric problems

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> 1. Generic quality of life: 36-item Short Form Health Survey (SF-36)<br> 2. Functional health status: Functional Independence Measure (FIM)<br><br> Outcome measures are collected at baseline (i.e. as soon as possible after trauma), 3, 6, 9 and 12 months post-trauma, i.e. T0, T1, T2, T3 and T4.<br>

Secondary Outcome Measures

Name	Time	Method
<br> 1. Extent to which individual ADL treatment goals are met: Canadian Occupational Performance Measure (COPM)<br> 2. Anxiety and depression: Hospital Anxiety and Depression Scale (HADS)<br> 3. Cognitive functioning: Mini-Mental State Examination (MMSE)<br><br> Next to that costs will be assessed using the PRODISQ, a cost questionnaire and data from the hospital databases. Outcome measures are collected at baseline (i.e. as soon as possible after trauma), 3, 6, 9 and 12 months post-trauma, i.e. T0, T1, T2, T3 and T4.<br><br> In studies comparing the effectiveness of different treatment regimes, differences in treatment credibility and expectancy may influence the outcome. In the proposed study the credibility/expectancy questionnaire (CEQ) will be administered directly following the explanation of the study?s rationale to patients, i.e. after informed consent has been obtained.<br>