Early physical and functional rehabilitation of trauma patients in the Médecins Sans Frontières trauma centre in Kunduz, Afghanistan: luxury or necessity?

Autor: Rafael Van den Bergh, Peter Skelton, Engy Ali, Erin Schillberg, Eric Weerts, Catherine Van Overloop, Bérangère Gohy, Sophia Cheréstal, Miguel Trelles, Masood Nasim, Muhammad Mahmood Naimi, Pauline Falipou
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Health (social science)
medicine.medical_treatment
International Cooperation
Upper Limb Fracture
Outcome monitoring
Cohort Studies
Outcome measure
Fractures
Bone
0302 clinical medicine
Trauma Centers
Activities of Daily Living
Brain Injuries
Traumatic
Outpatient clinic
030212 general & internal medicine
Function
Child
Functional rehabilitation
Rehabilitation
Afghan Campaign 2001
General Medicine
Middle Aged
Hospitalization
Child
Preschool
Female
Cohort study
Adult
medicine.medical_specialty
Adolescent
Traumatic brain injury
Operational Research
Trauma
03 medical and health sciences
Young Adult
MSF
medicine
Trauma centre
Humans
Physical Therapy Modalities
Aged
business.industry
Public Health
Environmental and Occupational Health
Afghanistan
030208 emergency & critical care medicine
Original Articles
medicine.disease
Altruism
Physical therapy
Wounds and Injuries
business
Zdroj: International Health
ISSN: 1876-3405
1876-3413
Popis: Background In Afghanistan, Medecins Sans Frontieres provided specialised trauma care in Kunduz Trauma Centre (KTC), including physiotherapy. In this study, we describe the development of an adapted functional score for patient outcome monitoring, and document the rehabilitation care provided and patient outcomes in relation to this functional score. Methods A descriptive cohort study was done, including all patients admitted in the KTC inpatient department (IPD) between January and June 2015. The adapted functional score was collected at four points in time: admission and discharge from both IPD and outpatient department (OPD). Results Out of the 1528 admitted patients, 92.3% (n = 1410) received at least one physiotherapy session. A total of 1022 patients sustained either lower limb fracture, upper limb fracture, traumatic brain injury or multiple injury. Among them, 966 patients received physiotherapy in IPD, of whom 596 (61.7%) received IPD sessions within 2 days of admission; 696 patients received physiotherapy in OPD. Functional independence increased over time; among patients having a functional score taken at admission and discharge from IPD, 32.2% (172/535) were independent at discharge, and among patients having a functional score at OPD admission and discharge, 79% (75/95) were independent at discharge. Conclusions The provision of physiotherapy was feasible in this humanitarian setting, and the tailored functional score appeared to be relevant.
Databáze: OpenAIRE
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