ArticleArchives of trauma research2013
Early rehabilitation in head injury; can we improve the outcomes?
Article in Archives of trauma research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 7 citations in OpenAlex.
- Management of traumatic brain injury (TBI): a clinical neuroscience-led pathway for the NHS.Clinical medicine (London, England) · 2021Article
- Family members' experience with in-hospital health care after severe traumatic brain injury: a national multicentre study.BMC health services research · 2018Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe quality of care after head injury is still very variable with a little coordination between different specialties. Acute care dominates, often with little regard to rehabilitation needs.
objectivesTo improve the outcomes of all head injury admissions to hospital, including mild and moderate, by creating a head injury team to supervise a rehabilitation clinical pathway. PATIENTS AND
methodsA head injury team was established to manage the care of all non-neurosurgical admissions with head injury to a large teaching hospital. Apart from inpatient care, the team coordinates various services involved in the care of head injuries, arranged suitable follow-ups, supported relatives and trained healthcare staff on general wards in the treatment of head injured patients. Follow-up clinics at 6 weeks and 6 months were arranged.
resultsIn the first three years, the team managed the care of 812 admissions. Mean age was 44.3 years (SD = 24.8) and mean length of hospital stay was 6.1 days (SD = 10.9). Of these individuals, 674 attended for 6 month follow-up with 52.2% having a good outcome on Extended Glasgow outcome score. Patients and their relatives' feedbacks were excellent with an average score of 4.7/5 on overall satisfaction rating. Following presentations at national meetings and elsewhere, other centers in the United Kingdom are now setting up similar pathways.
conclusionsA dedicated clinical pathway and head injury team can improve the quality of care for all admissions with head injury and enhance the role for rehabilitation medicine input at an early stage.
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Registered trials
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