The Incidence of Physiatry-Relevant Complications in Trauma Patients Admitted to an Urban Canadian Trauma Center
| Autor: | Lawrence R. Robinson, Shannon L MacDonald |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Canada 030506 rehabilitation medicine.medical_specialty Traumatic brain injury Physical Therapy Sports Therapy and Rehabilitation Young Adult 03 medical and health sciences Hospitals Urban Injury Severity Score 0302 clinical medicine Physical medicine and rehabilitation Trauma Centers Acute care medicine Humans Spinal cord injury Physical Therapy Modalities Aged Retrospective Studies business.industry Incidence Incidence (epidemiology) Rehabilitation Trauma center Age Factors Retrospective cohort study Length of Stay Middle Aged medicine.disease Wounds and Injuries Female 0305 other medical science business Complication 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 98:165-168 |
| ISSN: | 1537-7385 0894-9115 |
| DOI: | 10.1097/phm.0000000000001021 |
| Popis: | The objective of this study was to describe the incidence of complications in trauma patients that could be prevented, diagnosed, or managed by a consulting acute care physiatrist. Demographic and complication data were extracted by chart review of adult trauma patients admitted to a Canadian academic trauma center. Subjects were included if they had a diagnosis of traumatic brain injury, spinal cord injury, or multiple injuries resulting in an Injury Severity Score greater than 15. Means and standard deviations were calculated for continuous variables and frequencies for categorical data. Secondary analyses involved using Spearman's ρ and χ analysis to examine relationships between the development of complications and various patient factors. A total of 286 individuals were included. The overall incidence of a physical medicine & rehabilitation-relevant complication was 32.9%. The complications with the highest incidence were pneumonia (15.5%), delirium (14.1%), and urinary tract infection (13.4%). Secondary analyses demonstrated associations between the development of complications with older age, the presence of comorbidities, having both a traumatic brain injury and spinal cord injury, and length of stay. This study demonstrated that trauma patients may experience multiple complications that are of relevance to the consulting physiatrist. |
| Databáze: | OpenAIRE |
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