ArticleInternational health2016
Early physical and functional rehabilitation of trauma patients in the Médecins Sans Frontières trauma centre in Kunduz, Afghanistan: luxury or necessity?
Article in International health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Delivering trauma and rehabilitation interventions to women and children in conflict settings: a systematic review.BMJ global health · 2020Pooled it
- Orthopaedic Trauma in Sudan: Delivering Care and Improving Outcomes in a War-Torn System.Orthopedic reviews · 2025Article
- Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings.PLOS global public health · 2023Article
- Ways to improve surgical outcomes in low- and middle-income countries.Bulletin of the World Health Organization · 2022Article
- Monitoring independence in daily life activities after trauma in humanitarian settings: Item reduction and assessment of content validity of the Activity Independence Measure-Trauma (AIM-T).PLOS global public health · 2022Article
- A Focus Group Study to Understand the Perspectives of Physiotherapists on Barriers and Facilitators to Advancing Rehabilitation in Low-Resource and Conflict Settings.International journal of environmental research and public health · 2021Article
- Users of rehabilitation services in 14 countries and territories affected by conflict, 1988-2018.Bulletin of the World Health Organization · 2020Article
- Epidemiology of Injuries Sustained by Civilians and Local Combatants in Contemporary Armed Conflict: An Appeal for a Shared Trauma Registry Among Humanitarian Actors.World journal of surgery · 2020Review
- Comparison of a Novel Muscle Training Device with Conventional Rehabilitation Training in Motor Dysfunction of Lower Limb Patients: A Pilot Study.Clinical interventions in aging · 2020Article
- Association Between Gender, Surgery and Mortality for Patients Treated at Médecins Sans Frontières Trauma Centre in Kunduz, Afghanistan.World journal of surgery · 2019Article
- Surgery with Limited Resources in Natural Disasters: What Is the Minimum Standard of Care?Current trauma reports · 2018Review
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Authors and funding
12 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Afghanistan, Médecins Sans Frontières 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.
methodsA 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).
resultsOut 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.
conclusionsThe provision of physiotherapy was feasible in this humanitarian setting, and the tailored functional score appeared to be relevant.
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