Regional Differences in Rehabilitation Needs, Rehabilitation Access, and Physical Outcomes Among Multiple Trauma Survivors

摘要

Sirois M-J, Dionne CE, Lavoie A: Regional differences in rehabilitation needs, rehabilitation access, and physical outcomes among multiple trauma survivors. Am J Phys Med Rehabil 2009;88:387-398.Objectives: The aims of this study were to compare regional differences in perceived needs for postacute rehabilitation services, perceived barriers to postacute rehabilitation services, and long-term functional and physical health outcomes among multiple trauma survivors.Design: A population-based cohort study with retrospective measures of exposure and cross-sectional health outcomes measures was conducted in regions with different levels of rehabilitation services availability in the province of Quebec, Canada. The study included 435 participants, aged 18-65 yrs, admitted to level I or level II trauma centers in 2000-2001, who required rehabilitation services. The participants were interviewed by telephone 2-4 yrs postinjury. Needs for (yeso) and perceived barriers (yeso) to obtain 18 posttraumatic rehabilitation services were assessed. Physical health was measured with the medical outcome study SF-12 and functional status with the functional independence measure.Results: There were no significant regional differences in the proportions of perceived barriers to functional rehabilitation (39.4%), to social/ vocational rehabilitation (52.2%), and to community integration services (46.5%). Adjusted-SF-12 and functional independence measure scores were similar across regions.Conclusion: Contrary to expectations, there were no regional differences in perceived barriers to rehabilitation services for multiple trauma survivors. Rather, surprisingly high proportions of barriers were reported across the province.