Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study
Background: Traumatic injuries, defined as physical injuries with sudden onset, are a major public health problem worldwide. There is a paucity of knowledge regarding rehabilitation needs and service provision for patients with moderate and major trauma, even if rehabilitation research on a spectrum...
Published in: | JMIR Research Protocols |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
2021
|
Subjects: | |
Online Access: | http://hdl.handle.net/10852/86476 http://urn.nb.no/URN:NBN:no-89111 https://doi.org/10.2196/25980 |
id |
ftoslouniv:oai:www.duo.uio.no:10852/86476 |
---|---|
record_format |
openpolar |
institution |
Open Polar |
collection |
Universitet i Oslo: Digitale utgivelser ved UiO (DUO) |
op_collection_id |
ftoslouniv |
language |
English |
description |
Background: Traumatic injuries, defined as physical injuries with sudden onset, are a major public health problem worldwide. There is a paucity of knowledge regarding rehabilitation needs and service provision for patients with moderate and major trauma, even if rehabilitation research on a spectrum of specific injuries is available. Objective: This study aims to describe the prevalence of rehabilitation needs, the provided services, and functional outcomes across all age groups, levels of injury severity, and geographical regions in the first year after trauma. Direct and indirect costs of rehabilitation provision will also be assessed. The overarching aim is to better understand where to target future efforts. Methods: This is a population-based prospective follow-up study. It encompasses patients of all ages with moderate and severe acute traumatic injury (New Injury Severity Score >9) admitted to the regional trauma centers in southeastern and northern Norway over a 1-year period (2020). Sociodemographic and injury data will be collected. Upon hospital discharge, rehabilitation physicians estimate rehabilitation needs. Rehabilitation needs are assessed by the Rehabilitation Complexity Scale Extended–Trauma (RCS E–Trauma; specialized inpatient rehabilitation), Needs and Provision Complexity Scale (NPCS; community-based rehabilitation and health care service delivery), and Family Needs Questionnaire–Pediatric Version (FNQ-P). Patients, family caregivers, or both will complete questionnaires at 6- and 12-month follow-ups, which are supplemented by telephone interviews. Data on functioning and disability, mental health, health-related quality of life measured by the EuroQol Questionnaire (EQ-5D), and needs and provision of rehabilitation and health care services are collected by validated outcome measures. Unmet needs are represented by the discrepancies between the estimates of the RCS E–Trauma and NPCS at the time of a patient’s discharge and the rehabilitation services the patient has actually received. Formal service provision (including admission to inpatient- or outpatient-based rehabilitation), informal care, and associated costs will be collected. Results: The project was funded in December 2018 and approved by the Regional Committee for Medical and Health Research Ethics in October 2019. Inclusion of patients began at Oslo University Hospital on January 1, 2020, and at the University Hospital of North Norway on February 1, 2020. As of February 2021, we have enrolled 612 patients, and for 286 patients the 6-month follow-up has been completed. Papers will be drafted for publication throughout 2021 and 2022. Conclusions: This study will improve our understanding of existing service provision, the gaps between needs and services, and the associated costs for treating patients with moderate and major trauma. This may guide the improvement of rehabilitation and health care resource planning and allocation. |
format |
Article in Journal/Newspaper |
author |
Søberg, Helene Lundgaard Moksnes, Håkon Øgreid Anke, Audny Røise, Olav Røe, Ellen-Cecilie Treu Aas, Eline Sveen, Unni Gaarder, Christine Næss, Pål Aksel Helseth, Eirik Dahl, Hilde Margrete Becker, Frank Løvstad, Marianne Bartnes, Kristian Schäfer, Christoph Rasmussen, Mari Storli Perrin, Paul B. Lu, Juan Hellstrøm, Torgeir Hadzic-Andelic, Nada |
spellingShingle |
Søberg, Helene Lundgaard Moksnes, Håkon Øgreid Anke, Audny Røise, Olav Røe, Ellen-Cecilie Treu Aas, Eline Sveen, Unni Gaarder, Christine Næss, Pål Aksel Helseth, Eirik Dahl, Hilde Margrete Becker, Frank Løvstad, Marianne Bartnes, Kristian Schäfer, Christoph Rasmussen, Mari Storli Perrin, Paul B. Lu, Juan Hellstrøm, Torgeir Hadzic-Andelic, Nada Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study |
author_facet |
Søberg, Helene Lundgaard Moksnes, Håkon Øgreid Anke, Audny Røise, Olav Røe, Ellen-Cecilie Treu Aas, Eline Sveen, Unni Gaarder, Christine Næss, Pål Aksel Helseth, Eirik Dahl, Hilde Margrete Becker, Frank Løvstad, Marianne Bartnes, Kristian Schäfer, Christoph Rasmussen, Mari Storli Perrin, Paul B. Lu, Juan Hellstrøm, Torgeir Hadzic-Andelic, Nada |
author_sort |
Søberg, Helene Lundgaard |
title |
Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study |
title_short |
Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study |
title_full |
Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study |
title_fullStr |
Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study |
title_full_unstemmed |
Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study |
title_sort |
rehabilitation needs, service provision, and costs in the first year following traumatic injuries: protocol for a prospective cohort study |
publishDate |
2021 |
url |
http://hdl.handle.net/10852/86476 http://urn.nb.no/URN:NBN:no-89111 https://doi.org/10.2196/25980 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway Northern Norway |
genre_facet |
North Norway Northern Norway |
op_source |
1929-0748 |
op_relation |
http://urn.nb.no/URN:NBN:no-89111 Søberg, Helene Lundgaard Moksnes, Håkon Øgreid Anke, Audny Røise, Olav Røe, Ellen-Cecilie Treu Aas, Eline Sveen, Unni Gaarder, Christine Næss, Pål Aksel Helseth, Eirik Dahl, Hilde Margrete Becker, Frank Løvstad, Marianne Bartnes, Kristian Schäfer, Christoph Rasmussen, Mari Storli Perrin, Paul B. Lu, Juan Hellstrøm, Torgeir Hadzic-Andelic, Nada . Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study. JMIR Research Protocols. 2021 http://hdl.handle.net/10852/86476 1905553 info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=JMIR Research Protocols&rft.volume=&rft.spage=&rft.date=2021 JMIR Research Protocols 10 4 https://doi.org/10.2196/25980 URN:NBN:no-89111 Fulltext https://www.duo.uio.no/bitstream/handle/10852/86476/1/article.pdf |
op_rights |
Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/ |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.2196/25980 |
container_title |
JMIR Research Protocols |
container_volume |
10 |
container_issue |
4 |
container_start_page |
e25980 |
_version_ |
1766140201267101696 |
spelling |
ftoslouniv:oai:www.duo.uio.no:10852/86476 2023-05-15T17:39:26+02:00 Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study Søberg, Helene Lundgaard Moksnes, Håkon Øgreid Anke, Audny Røise, Olav Røe, Ellen-Cecilie Treu Aas, Eline Sveen, Unni Gaarder, Christine Næss, Pål Aksel Helseth, Eirik Dahl, Hilde Margrete Becker, Frank Løvstad, Marianne Bartnes, Kristian Schäfer, Christoph Rasmussen, Mari Storli Perrin, Paul B. Lu, Juan Hellstrøm, Torgeir Hadzic-Andelic, Nada 2021-04-21T12:01:06Z http://hdl.handle.net/10852/86476 http://urn.nb.no/URN:NBN:no-89111 https://doi.org/10.2196/25980 EN eng http://urn.nb.no/URN:NBN:no-89111 Søberg, Helene Lundgaard Moksnes, Håkon Øgreid Anke, Audny Røise, Olav Røe, Ellen-Cecilie Treu Aas, Eline Sveen, Unni Gaarder, Christine Næss, Pål Aksel Helseth, Eirik Dahl, Hilde Margrete Becker, Frank Løvstad, Marianne Bartnes, Kristian Schäfer, Christoph Rasmussen, Mari Storli Perrin, Paul B. Lu, Juan Hellstrøm, Torgeir Hadzic-Andelic, Nada . Rehabilitation Needs, Service Provision, and Costs in the First Year Following Traumatic Injuries: Protocol for a Prospective Cohort Study. JMIR Research Protocols. 2021 http://hdl.handle.net/10852/86476 1905553 info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=JMIR Research Protocols&rft.volume=&rft.spage=&rft.date=2021 JMIR Research Protocols 10 4 https://doi.org/10.2196/25980 URN:NBN:no-89111 Fulltext https://www.duo.uio.no/bitstream/handle/10852/86476/1/article.pdf Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/ CC-BY 1929-0748 Journal article Tidsskriftartikkel Peer reviewed PublishedVersion 2021 ftoslouniv https://doi.org/10.2196/25980 2021-06-30T22:30:57Z Background: Traumatic injuries, defined as physical injuries with sudden onset, are a major public health problem worldwide. There is a paucity of knowledge regarding rehabilitation needs and service provision for patients with moderate and major trauma, even if rehabilitation research on a spectrum of specific injuries is available. Objective: This study aims to describe the prevalence of rehabilitation needs, the provided services, and functional outcomes across all age groups, levels of injury severity, and geographical regions in the first year after trauma. Direct and indirect costs of rehabilitation provision will also be assessed. The overarching aim is to better understand where to target future efforts. Methods: This is a population-based prospective follow-up study. It encompasses patients of all ages with moderate and severe acute traumatic injury (New Injury Severity Score >9) admitted to the regional trauma centers in southeastern and northern Norway over a 1-year period (2020). Sociodemographic and injury data will be collected. Upon hospital discharge, rehabilitation physicians estimate rehabilitation needs. Rehabilitation needs are assessed by the Rehabilitation Complexity Scale Extended–Trauma (RCS E–Trauma; specialized inpatient rehabilitation), Needs and Provision Complexity Scale (NPCS; community-based rehabilitation and health care service delivery), and Family Needs Questionnaire–Pediatric Version (FNQ-P). Patients, family caregivers, or both will complete questionnaires at 6- and 12-month follow-ups, which are supplemented by telephone interviews. Data on functioning and disability, mental health, health-related quality of life measured by the EuroQol Questionnaire (EQ-5D), and needs and provision of rehabilitation and health care services are collected by validated outcome measures. Unmet needs are represented by the discrepancies between the estimates of the RCS E–Trauma and NPCS at the time of a patient’s discharge and the rehabilitation services the patient has actually received. Formal service provision (including admission to inpatient- or outpatient-based rehabilitation), informal care, and associated costs will be collected. Results: The project was funded in December 2018 and approved by the Regional Committee for Medical and Health Research Ethics in October 2019. Inclusion of patients began at Oslo University Hospital on January 1, 2020, and at the University Hospital of North Norway on February 1, 2020. As of February 2021, we have enrolled 612 patients, and for 286 patients the 6-month follow-up has been completed. Papers will be drafted for publication throughout 2021 and 2022. Conclusions: This study will improve our understanding of existing service provision, the gaps between needs and services, and the associated costs for treating patients with moderate and major trauma. This may guide the improvement of rehabilitation and health care resource planning and allocation. Article in Journal/Newspaper North Norway Northern Norway Universitet i Oslo: Digitale utgivelser ved UiO (DUO) Norway JMIR Research Protocols 10 4 e25980 |