The main objective is to examine the effectiveness, the costs and the cost-effectiveness of an integrated *fast track* rehabilitation service for multi-trauma patients (SFTRS) involving dedicated early rehab intervention programs. The SFTRS is…
ID
Source
Brief title
Condition
- Other condition
- Muscle disorders
- Spinal cord and nerve root disorders
Synonym
Health condition
multi-trauma
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary outcome measures are *quality of life* and *functional health
status* (SF-36, FIM).
Secondary outcome
Secondary outcome measures are *anxiety and depression*, *cognitive
functioning* and *extent to which
individual ADL treatment goals are met* (HADS, MMSE, COPM). Also costs will be
assessed (cost-questionnaire).
Background summary
Annually +/- 99.000 people are admitted to hospital after an accident. 880.000
people visit the accident & emergency department (A&E) after an accident. These
accidents lead to considerable societal costs. Direct medical costs are
estimated at 1 billion euro annually, i.e. 3-4% of the total Dutch health care
budget. Production losses due to acute trauma are estimated at 4 billion euro.
In conventional multi-trauma care service (CTCS) each of the partners has its
own more or less autonomous treatment perspective, depending on the
professional*s individual treatment views and experience. Clinical evidence,
however,
suggests that an integrated multi-trauma rehabilitation service approach or
*Supported Fast track multi-Trauma Rehabilitation Service* (SFTRS), featuring:
1) shorter stay in hospital and earlier transfer of multi-trauma patients to a
specialised trauma rehabilitation unit
2) an earlier start of both specific *non-weight bearing* rehab training and
multidisciplinary treatment
3) early individual goal setting
4) an integrated co-ordination of treatment between trauma surgeon and
rehabilitation physician
5) shorter stay in trauma rehab unit
may be more (cost-)effective.
SFTRS is expected to lead to:
* optimisation of treatment
* reduction of secondary complications
* reduction of function loss associated with prolonged bed rest (e.g. muscle
atrophy, endurance loss, contractures)
* achievement of an optimal level of functioning, participation and quality of
life.
Study objective
The main objective is to examine the effectiveness, the costs and the
cost-effectiveness of an integrated *fast track* rehabilitation service for
multi-trauma patients (SFTRS) involving dedicated early rehab intervention
programs. The SFTRS is contrasted with conventional multi-trauma care*.
Study design
In a prospective, multi-centre, non-randomised clinical trial 164 (2x 82)
mult-trauma patients will participate. The duration of follow-up is 12 months.
One group of patients will follow the SFTRS treatment, whereas the second group
will receive conventional multi-trauma care.
Study burden and risks
There is no risk to the patient regarding his/her participation in this study.
Data wil be collected from medical files and questionnaires.
Zandbergsweg 111
6432 CC Hoensbroek
NL
Zandbergsweg 111
6432 CC Hoensbroek
NL
Listed location countries
Age
Inclusion criteria
- Age >=18 years
- multi-trauma
- Injury Severity Scale (ISS)score >=16
- Hospitalisation after A&E admission
- Rehabilitation indication, i.e. lasting impairments or handicaps are expected
- Adequate Dutch language skills
Exclusion criteria
- Alcohol and/or drug abuse
- Severe psychiatric problems
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL20890.022.07 |