[Trauma reha score : How can we define the rehabilitation needs of the severely injured?].

A seamless rehabilitation of polytrauma patients starting as early as possible is the primary goal in order to ensure long-term participation and quality of life. In reality, however, there is often still a large time gap between acute care and inpatient rehabilitation, the "rehab hole".The aim of the phase model of trauma rehabilitation is to ensure a complete rehabilitation chain. After acute patient care (phase A) and a potentially required early patient rehabilitation (phase B), trauma rehabilitation should seamlessly continue on to phase C.In order to identify those patients who require specialized phase C trauma rehabilitation before discharge from acute treatment, the DGOU trauma rehabilitation working group suggests a simple assessment. The trauma rehabilitation score (TRS) is based on two parts, a prescreening and a main screening. It supports the trauma surgeon at the end of the acute treatment with the needs-based indications for further rehabilitation and serves as an argumentation aid to the payers of the rehabilitation.In addition to the early rehabilitation Barthel index (FRB) for assessing the need for care and mobility, other relevant characteristics are recorded. From a rehabilitation point of view, a special effort arises from an increased diagnostic and therapeutic needs, through specialist care and treatment in nonorthopedic areas, extensive wound management, pain therapy measures, the provision of aids and special psychological care for the seriously injured.