A1 Refereed original research article in a scientific journal
Rehabilitation after traumatic brain injury: A survey in 70 European neurotrauma centres participating in the CENTER-TBI study
Authors: Cnossen MC, Lingsma HF, Tenovuo O, Maas AIR, Menon D, Steyerberg EW, Ribbers GM, Polinder S
Publisher: FOUNDATION REHABILITATION INFORMATION
Publication year: 2017
Journal: Journal of Rehabilitation Medicine
Journal name in source: JOURNAL OF REHABILITATION MEDICINE
Journal acronym: J REHABIL MED
Volume: 49
Issue: 5
First page : 395
Last page: 401
Number of pages: 7
ISSN: 1650-1977
DOI: https://doi.org/10.2340/16501977-2216
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/25415730
Objective: To describe variation in structural and process characteristics of acute in-hospital rehabilitation and referral to post-acute care for patients with traumatic brain injury across Europe.Design: Survey study, of neurotrauma centres.Methods: A 14-item survey about in-hospital rehabilitation and referral to post-acute care was sent to 71 neurotrauma centres participating in a European multicentre study (CENTER-TBI). The questionnaire was developed based on literature and expert opinion and was pilot-tested before sending out to the centres.Results: Seventy (99%) centres in 20 countries completed the survey. The included centres were predominately academic level I trauma centres. Among the 70 centres, a multidisciplinary rehabilitation team can be consulted at 41% (n = 29) of the intensive care units and 49% (n = 34) of the wards. Only 13 (19%) centres used rehabilitation guidelines in patients with traumatic brain injury. Age was reported as a major determinant of referral decisions in 32 (46%) centres, with younger patients usually referred to specialized rehabilitation centres, and patients = 65 years also referred to nursing homes or local hospitals.Conclusion: Substantial variation exists in structural and process characteristics of in-hospital acute rehabilitation and referral to post-acute rehabilitation facilities among neurotrauma centres across Europe.
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