Annals of Physical and Rehabilitation Medicine最新文献

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A systematic review of rehabilitation programs for cognitive impairment related to breast cancer: Different programs at different times? 针对与乳腺癌相关的认知障碍的康复计划的系统回顾:不同时期的不同计划?
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-26 DOI: 10.1016/j.rehab.2024.101832
Marianne Merceur , Karen T. Reilly , Isabelle Bonan , Julie Holé , Emilie Hummel , Mélanie Cogné , Sophie Jacquin-Courtois
{"title":"A systematic review of rehabilitation programs for cognitive impairment related to breast cancer: Different programs at different times?","authors":"Marianne Merceur ,&nbsp;Karen T. Reilly ,&nbsp;Isabelle Bonan ,&nbsp;Julie Holé ,&nbsp;Emilie Hummel ,&nbsp;Mélanie Cogné ,&nbsp;Sophie Jacquin-Courtois","doi":"10.1016/j.rehab.2024.101832","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101832","url":null,"abstract":"<div><h3>Background</h3><p>“Cancer Related Cognitive Impairment” (CRCI) defines cognitive disorders related to cancer and its treatments. Many people with breast cancer experience signs of CRCI (incidence between 20 and 30 %) and, although several intervention options exist, there is no established standard of care. Our main objective was to provide a detailed description of the methods and results of randomized controlled trials of interventions for CRCI in breast cancer survivors, paying particular attention to the timing of the interventions within the care pathway.</p></div><div><h3>Methods</h3><p>We conducted a systematic literature review following the PRISMA guidelines from 01 to 01–2019 to 16–07–2023 and included randomized controlled trials of interventions for CRCI after breast cancer with at least one objective cognitive assessment as a primary or secondary outcome.</p></div><div><h3>Results</h3><p>Among 228 identified studies, 35 (including 2821 participants) were retained for inclusion. The interventions were classified into 4 categories: cognitive rehabilitation, physical activity, complementary therapy and pharmacological treatment. Our analysis revealed that pharmacological interventions have no effect, whereas physical activity interventions proposed in the months following the initial cancer treatment improve Quality of Life and Speed of Information Processing while interventions proposed later improve Memory and Attention (Cognitive Rehabilitation) and Perceived Cognitive Function and Depression/Anxiety/Mood (Complementary Therapies).</p></div><div><h3>Conclusion</h3><p>CRCI is multifactorial and affected individuals frequently experience high levels of fatigue, pain, anxiety and depression and are most likely to benefit from holistic approaches that include cognition, physical activity, relaxation, psychoeducation, group support and/or psychological counselling. Thus, rehabilitation programs should be designed on multi-modal approaches, using innovative, cost-effective delivery methods that increase access to treatment, and intervention outcomes should be evaluated using measures of participation.</p></div><div><h3>Database registration</h3><p>The review was recorded on Prospero (01–03–2020), with the registration number 135,627.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 5","pages":"Article 101832"},"PeriodicalIF":4.6,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877065724000162/pdfft?md5=d4662c4398d05033f335e59950f52ebb&pid=1-s2.0-S1877065724000162-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of age on outcome 2 years after traumatic brain injury: Case control study 年龄对脑外伤 2 年后疗效的影响:病例对照研究
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-21 DOI: 10.1016/j.rehab.2024.101834
Marina G. Downing , Meagan Carty , John Olver , Michael Ponsford , Rose Acher , Dean Mckenzie , Jennie L. Ponsford
{"title":"The impact of age on outcome 2 years after traumatic brain injury: Case control study","authors":"Marina G. Downing ,&nbsp;Meagan Carty ,&nbsp;John Olver ,&nbsp;Michael Ponsford ,&nbsp;Rose Acher ,&nbsp;Dean Mckenzie ,&nbsp;Jennie L. Ponsford","doi":"10.1016/j.rehab.2024.101834","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101834","url":null,"abstract":"<div><h3>Background</h3><p>Age is associated with outcome after traumatic brain injury (TBI). However, there are mixed findings across outcome domains and most studies lack controls.</p></div><div><h3>Objectives</h3><p>This cross-sectional study examined the association between age group (15–24 years, 25–34 years, 35–44 years, 45–54 years, 55–64 years, and 65 years or more) and outcomes 2 years after TBI in independence in daily activities, driving, public transportation use, employment, leisure activities, social integration, relationships and emotional functioning, relative to healthy controls. It was hypothesized that older individuals with TBI would have significantly poorer outcomes than controls in all domains except anxiety and depression, for which it was expected they would show better outcomes. Global functional outcome (measured using the Glasgow Outcome Scale-Extended) was also examined, and we hypothesized that older adults would have poorer outcomes than younger adults.</p></div><div><h3>Methods</h3><p>Participants were 1897 individuals with TBI (mean, SD age 36.7, 17.7 years) who completed measures 2 years post-injury and 110 healthy controls (age 38.3, 17.5 years).</p></div><div><h3>Results</h3><p>Compared to controls, individuals with TBI were less independent in most activities of daily living, participated less in leisure activities and employment, and were more socially isolated, anxious and depressed (<em>p</em> &lt; 0.001). Those who were older in age were disproportionately less likely to be independent in light domestic activities, shopping and driving; and participated less in occupational activities relative to controls. Functional outcome was significantly higher in the youngest age group than in all older age groups (<em>p</em> &lt; 0.001), but the younger groups were more likely to report being socially isolated (<em>p</em> &lt; 0.001), depressed (<em>p</em> = 0.005) and anxious (<em>p</em> = 0.02), and less likely to be married or in a relationship (<em>p</em> &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>A greater focus is needed on addressing psychosocial issues in younger individuals with TBI, whereas those who are older may require more intensive therapy to maximise independence in activities of daily living and return to employment.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 5","pages":"Article 101834"},"PeriodicalIF":4.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877065724000186/pdfft?md5=ca499dba63496fb2be178e29ae1429c0&pid=1-s2.0-S1877065724000186-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Translation and cross-cultural adaptation into French of the University of Wisconsin Running Injury and Recovery Index 将威斯康星大学跑步损伤和恢复指数翻译成法语并进行跨文化调整
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-21 DOI: 10.1016/j.rehab.2024.101833
Guillaume Servant , Anthony Pernoud , Boris Gojanovic, Bryan Heiderscheit, François Fourchet, Hugo Bothorel
{"title":"Translation and cross-cultural adaptation into French of the University of Wisconsin Running Injury and Recovery Index","authors":"Guillaume Servant ,&nbsp;Anthony Pernoud ,&nbsp;Boris Gojanovic,&nbsp;Bryan Heiderscheit,&nbsp;François Fourchet,&nbsp;Hugo Bothorel","doi":"10.1016/j.rehab.2024.101833","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101833","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 3","pages":"Article 101833"},"PeriodicalIF":4.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Responsiveness to osteopathic manipulative treatments in people with non-specific low back pain: A secondary analysis of the LCOSTEO trial 非特异性腰背痛患者对整骨疗法的反应:LCOSTEO试验的二次分析
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-21 DOI: 10.1016/j.rehab.2024.101831
Alexandra Rören, Didier Marie Yagappa, Rafael Zegarra-Parodi, Laurent Fabre, Guillaume Krief, Camille Daste, Marie-Martine Lefèvre-Colau, François Rannou, Christelle Nguyen
{"title":"Responsiveness to osteopathic manipulative treatments in people with non-specific low back pain: A secondary analysis of the LCOSTEO trial","authors":"Alexandra Rören,&nbsp;Didier Marie Yagappa,&nbsp;Rafael Zegarra-Parodi,&nbsp;Laurent Fabre,&nbsp;Guillaume Krief,&nbsp;Camille Daste,&nbsp;Marie-Martine Lefèvre-Colau,&nbsp;François Rannou,&nbsp;Christelle Nguyen","doi":"10.1016/j.rehab.2024.101831","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101831","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 5","pages":"Article 101831"},"PeriodicalIF":4.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stroke rehabilitation pathways during the first year: A cost-effectiveness analysis from a cohort of 460 individuals 第一年的脑卒中康复路径:对 460 人进行的成本效益分析
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-21 DOI: 10.1016/j.rehab.2024.101824
Pedro Maciel Barbosa , Helena Szrek , Lara Noronha Ferreira , Vitor Tedim Cruz , João Firmino-Machado
{"title":"Stroke rehabilitation pathways during the first year: A cost-effectiveness analysis from a cohort of 460 individuals","authors":"Pedro Maciel Barbosa ,&nbsp;Helena Szrek ,&nbsp;Lara Noronha Ferreira ,&nbsp;Vitor Tedim Cruz ,&nbsp;João Firmino-Machado","doi":"10.1016/j.rehab.2024.101824","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101824","url":null,"abstract":"<div><h3>Background</h3><p>Stroke burden challenges global health, and social and economic policies. Although stroke recovery encompasses a wide range of care, including in-hospital, outpatient, and community-based rehabilitation, there are no published cost-effectiveness studies of integrated post-stroke pathways.</p></div><div><h3>Objective</h3><p>To determine the most cost-effective rehabilitation pathway during the first 12 months after a first-ever stroke.</p></div><div><h3>Methods</h3><p>A cohort of people in the acute phase of a first stroke was followed after hospital discharge; 51 % women, mean (SD) age 74.4 (12.9) years, mean National Institute of Health Stroke Scale score 11.7 (8.5) points, and mode modified Rankin Scale score 3 points. We developed a decision tree model of 9 sequences of rehabilitation care organised in 3 stages (3, 6 and 12 months) through a combination of public, semi-public and private entities, considering both the individual and healthcare service perspectives. Health outcomes were expressed as quality-adjusted life years (QALY) over a 1-year time horizon. Costs included healthcare, social care, and productivity losses. Sensitivity analyses were conducted on model input values.</p></div><div><h3>Results</h3><p>From the individual perspective, pathway 3 (Short-term Inpatient Unit » Community Clinic) was the most cost-effective, followed by pathway 1 (Rehabilitation Centre » Community Clinic). From the healthcare service perspective, pathway 3 was the most cost-effective followed by pathway 7 (Outpatient Hospital » Private Clinic). All other pathways were considered strongly dominated and excluded from the analysis. The total 1-year mean cost ranged between €12104 and €23024 from the individual's perspective and between €10992 and €31319 from the healthcare service perspective.</p></div><div><h3>Conclusion</h3><p>Assuming a willingness-to-pay threshold of one times the national gross domestic product (€20633/QALY), pathway 3 (Short-term Inpatient Unit » Community Clinic) was the most cost-effective strategy from both the individual and healthcare service perspectives. Rehabilitation pathway data contribute to the development of a future integrated care system adapted to different stroke profiles.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 4","pages":"Article 101824"},"PeriodicalIF":4.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877065724000083/pdfft?md5=31a747090728ec4ba491d947eb4df7c0&pid=1-s2.0-S1877065724000083-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Achilles tendons change shape after 21 days of bedrest: A crossover study 卧床 21 天后跟腱形状发生变化交叉研究
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-12 DOI: 10.1016/j.rehab.2024.101818
T Mark Campbell, Charles Godbout, Guy Trudel
{"title":"Achilles tendons change shape after 21 days of bedrest: A crossover study","authors":"T Mark Campbell,&nbsp;Charles Godbout,&nbsp;Guy Trudel","doi":"10.1016/j.rehab.2024.101818","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101818","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 3","pages":"Article 101818"},"PeriodicalIF":4.6,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140113680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Listening to classical music influences brain connectivity in post-stroke aphasia: A pilot study 聆听古典音乐影响脑卒中后失语症患者的大脑连通性:一项试点研究
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-12 DOI: 10.1016/j.rehab.2024.101825
Maryane Chea , Amina Ben Salah , Monica N. Toba , Ryan Zeineldin , Brigitte Kaufmann , Agnès Weill-Chounlamountry , Lionel Naccache , Eléonore Bayen , Paolo Bartolomeo
{"title":"Listening to classical music influences brain connectivity in post-stroke aphasia: A pilot study","authors":"Maryane Chea ,&nbsp;Amina Ben Salah ,&nbsp;Monica N. Toba ,&nbsp;Ryan Zeineldin ,&nbsp;Brigitte Kaufmann ,&nbsp;Agnès Weill-Chounlamountry ,&nbsp;Lionel Naccache ,&nbsp;Eléonore Bayen ,&nbsp;Paolo Bartolomeo","doi":"10.1016/j.rehab.2024.101825","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101825","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 4","pages":"Article 101825"},"PeriodicalIF":4.6,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140104160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-pharmacological and pharmacological treatments for bone health after stroke: Systematic review with meta-analysis 中风后骨骼健康的非药物和药物治疗:系统回顾与荟萃分析
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-12 DOI: 10.1016/j.rehab.2024.101823
Huixi Ouyang, Tsun C. Lee, Faye YF Chan, Xun Li, King Y. Lai, Wing Y. Lam, Tsz Y. Yung, Marco Y.C. Pang
{"title":"Non-pharmacological and pharmacological treatments for bone health after stroke: Systematic review with meta-analysis","authors":"Huixi Ouyang,&nbsp;Tsun C. Lee,&nbsp;Faye YF Chan,&nbsp;Xun Li,&nbsp;King Y. Lai,&nbsp;Wing Y. Lam,&nbsp;Tsz Y. Yung,&nbsp;Marco Y.C. Pang","doi":"10.1016/j.rehab.2024.101823","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101823","url":null,"abstract":"<div><h3>Background</h3><p>Hemi-osteoporosis is a common secondary complication of stroke. No systematic reviews of pharmacological and non-pharmacological agents for post-stroke bone health have estimated the magnitude and precision of effect sizes to guide better clinical practice.</p></div><div><h3>Objectives</h3><p>To examine the benefits and harms of pharmacological and non-pharmacological agents on bone health in post-stroke individuals.</p></div><div><h3>Methods</h3><p>Eight databases were searched (PubMed, Cochrane library, Scopus, CINAHL Complete, Embase, PEDro, Clinicaltrils.gov and ICTRP) up to June 2023. Any controlled studies that applied physical exercise, supplements, or medications and measured bone-related outcomes in people with stroke were included. PEDro and the GRADE approach were used to examine the methodological quality of included articles and quality of evidence for outcomes. Effect sizes were calculated as standardized mean differences (SMD) and risk ratio (RR). Review Manager 5.4 was used for data synthetization.</p></div><div><h3>Results</h3><p>Twenty-four articles from 21 trials involving 22,500 participants (3,827 in 11 non-pharmacological and 18,673 in 10 pharmacological trials) were included. Eight trials were included in the meta-analysis. The methodological quality of half of the included non-pharmacological studies was either poor or fair, whereas it was good to excellent in 8 of 10 pharmacological studies. Meta-analysis revealed a beneficial effect of exercise on the bone mineral density (BMD) of the paretic hip (SMD: 0.50, 95 % CI: 0.16; 0.85; low-quality evidence). The effects of anti-resorptive medications on the BMD of the paretic hip were mixed and thus inconclusive (low-quality evidence). High-quality evidence showed that the administration of antidepressants increased the risk of fracture (RR: 2.36, 95 % CI 1.64–3.39).</p></div><div><h3>Conclusion</h3><p>Exercise under supervision may be beneficial for hip bone health in post-stroke individuals. The effect of anti-resorptive medications on hip BMD is uncertain. The adverse effects of antidepressants on fracture risk among post-stroke individuals warrant further attention. Further high-quality studies are required to better understand this issue.</p><p>Registration: PROSPERO CRD42022359186</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 4","pages":"Article 101823"},"PeriodicalIF":4.6,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140104158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors and indicators of prolonged hospital stay (“bed blocking”) in rehabilitation: Data from the Paris region 康复治疗中住院时间延长("床位堵塞")的预测因素和指标:巴黎大区的数据
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-12 DOI: 10.1016/j.rehab.2023.101816
Emmanuelle Devaux, Thierry Roditis, Gaelle Quily, Catherine Karanfilovic, Agnès Bouniol, Delphine Nidegger, Pascal Charpentier, Sadia Ghulam, Philippe Azouvi
{"title":"Predictors and indicators of prolonged hospital stay (“bed blocking”) in rehabilitation: Data from the Paris region","authors":"Emmanuelle Devaux,&nbsp;Thierry Roditis,&nbsp;Gaelle Quily,&nbsp;Catherine Karanfilovic,&nbsp;Agnès Bouniol,&nbsp;Delphine Nidegger,&nbsp;Pascal Charpentier,&nbsp;Sadia Ghulam,&nbsp;Philippe Azouvi","doi":"10.1016/j.rehab.2023.101816","DOIUrl":"https://doi.org/10.1016/j.rehab.2023.101816","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 3","pages":"Article 101816"},"PeriodicalIF":4.6,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Twelve-month recovery following road trauma: Results from an inception cohort in Vancouver, Canada 道路创伤后 12 个月的恢复情况:加拿大温哥华初始队列的结果
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-03-12 DOI: 10.1016/j.rehab.2024.101828
Lulu X Pei , Herbert Chan , John A Staples , John A Taylor , Devin R Harris , Lina Jae , Jeffrey R Brubacher
{"title":"Twelve-month recovery following road trauma: Results from an inception cohort in Vancouver, Canada","authors":"Lulu X Pei ,&nbsp;Herbert Chan ,&nbsp;John A Staples ,&nbsp;John A Taylor ,&nbsp;Devin R Harris ,&nbsp;Lina Jae ,&nbsp;Jeffrey R Brubacher","doi":"10.1016/j.rehab.2024.101828","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101828","url":null,"abstract":"<div><h3>Background</h3><p>Injury-related disability following road trauma is a major public health concern. Unfortunately, outcome following road trauma and risk factors for poor recovery are inadequately studied, especially for road trauma survivors with minor injuries that do not require hospitalization.</p></div><div><h3>Objectives</h3><p>This manuscript reports 12-month recovery outcomes for a large cohort of road trauma survivors.</p></div><div><h3>Methods</h3><p>This was a prospective, observational inception cohort study of 1,480 road trauma survivors recruited between July 2018 and March 2020 from 3 trauma centres in British Columbia, Canada. Participants were aged ≥16 years and arrived in a participating emergency department within 24 h of a motor vehicle collision. Data on baseline health and injury severity were collected from structured interviews and medical records. Outcome measures, including the SF-12, were collected during follow-up interviews at 2, 4, 6 and 12 months. Predictors of recovery outcomes were identified using Cox proportional hazards models and summarized using hazard ratios.</p></div><div><h3>Results</h3><p>Only 42 % of participants self-reported full recovery and only 66 % reported a return to usual daily activities. Females, older individuals, pedestrians, and those who required hospital admission had a poorer recovery than other groups. Similar patterns were observed for the SF-12 physical component. For the SF-12 mental component, no significant differences were observed between participants admitted to hospital and those discharged home from the ED. Return to work was reported by 77 % of participants who had a paying job at baseline, with no significant differences between sex and age groups.</p></div><div><h3>Conclusions</h3><p>In a large cohort of road trauma survivors, under half self-reported full recovery one year after the injury. Poor mental health recovery was observed in both participants admitted to hospital and those discharged home from the ED. This finding may indicate a need for early intervention and continued mental health monitoring for all injured individuals, including for those with less serious injuries.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 4","pages":"Article 101828"},"PeriodicalIF":4.6,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877065724000125/pdfft?md5=0ec5d54f3da70197b0e3e4764a3094ac&pid=1-s2.0-S1877065724000125-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140104159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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