St Vincent's Hospital Sydney, Sydney, Australia.
St Vincent's Clinical School, University of New South Wales, Sydney, Australia.
Disabil Rehabil. 2022 Jul;44(15):3795-3804. doi: 10.1080/09638288.2021.1887377. Epub 2021 Feb 19.
Persistent activity limitations are common among road trauma survivors, yet access to rehabilitation in hospital and in the community remains variable. This study aimed to identify unmet rehabilitation needs following road trauma and assess the feasibility of a novel rehabilitation consultation service delivered telehealth following hospitalization.
A pilot cohort study was conducted with survivors of road trauma who were hospitalized but did not receive formal inpatient rehabilitation. All participants received a multidisciplinary rehabilitation consultation telehealth 1-3 weeks post-discharge, to assess rehabilitation needs and initiate treatment referrals as required. Functional and qualitative outcomes were assessed at baseline (1-7 days); one month and three months post-discharge.
38 participants were enrolled. All (100%) reported functional limitations at baseline; 86.5% were found to have unmet rehabilitation needs, and 75.7% were recommended rehabilitation interventions. Functional ability improved over time, but more than half the cohort continued to report activity limitations (67.6%), pain (64.7%) and/or altered mood (41.2%) for up to three months. Participants found the telehealth service to be acceptable, convenient, and helpful for recovery.
A high proportion of mild-moderate trauma survivors report unmet rehabilitation needs following hospital discharge. Telehealth appears to be a feasible, convenient and acceptable mode of assessing these needs.Implications for rehabilitationSurvivors of road-related injuries often experience ongoing impairments and activity limitations.Among those who don't receive rehabilitation in hospital, we found a high proportion (86.5%) had unmet rehabilitation needs after discharge.A telehealth rehabilitation service was feasible to deliver and could successfully identify unmet rehabilitation needs.The piloted telehealth intervention was viewed as acceptable, convenient and beneficial by patients.
道路创伤幸存者普遍存在持续性活动障碍，但在医院和社区获得康复治疗的机会仍然存在差异。本研究旨在确定道路创伤后未满足的康复需求，并评估一种新的康复咨询服务在出院后通过远程医疗提供的可行性。
对住院但未接受正式住院康复治疗的道路创伤幸存者进行了一项试点队列研究。所有参与者在出院后 1-3 周内通过远程医疗接受多学科康复咨询，以评估康复需求并根据需要启动治疗转诊。在基线（1-7 天）、出院后一个月和三个月时评估功能和定性结果。
共纳入 38 名参与者。所有（100%）参与者在基线时均报告存在功能障碍；86.5%的人存在未满足的康复需求，75.7%的人被推荐进行康复干预。随着时间的推移，功能能力有所改善，但超过一半的队列在三个月内仍报告存在活动障碍（67.6%）、疼痛（64.7%）和/或情绪改变（41.2%）。参与者认为远程医疗服务是可接受的、方便的，并且有助于康复。
出院后，相当一部分轻度至中度创伤幸存者报告存在未满足的康复需求。远程医疗似乎是一种可行、方便且可接受的评估这些需求的模式。
道路相关伤害的幸存者经常经历持续的损伤和活动障碍。在那些在医院没有接受康复治疗的人中，我们发现出院后有相当高比例（86.5%）的人存在未满足的康复需求。远程医疗康复服务是可行的，可以成功识别未满足的康复需求。试点远程医疗干预措施被患者认为是可接受的、方便的和有益的。
