Evidence map›Paper›PMID 37366570›Full record

ArticleJournal of rehabilitation medicine2023

Adherence to Guidelines for Acute Rehabilitation in the Norwegian Trauma Plan.

Christoph Schäfer, Håkon Øgreid Moksnes, Mari S Rasmussen, Torgeir Hellstrøm, Helene Lundgaard Soberg, Olav Røise, Cecilie Røe, Shirin Frisvold, Kristian Bartnes, Pål Aksel Næss and 5 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of rehabilitation medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Management of traumatic spinal cord injury in the Nordic countries: a multidisciplinary survey.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Christoph SchäferDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo; Faculty of Health Sciences, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø; Department of Rehabilitation, University Hospital of North Norway, Tromsø; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo. christoph.schafer@unn.no.
Håkon Øgreid MoksnesDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo.
Mari S RasmussenDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo; Faculty of Health Sciences, Oslo Metropolitan University.
Torgeir HellstrømDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo.
Helene Lundgaard SobergDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo; Faculty of Health Sciences, Oslo Metropolitan University.
Olav RøiseNorwegian Trauma Registry, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo.
Cecilie RøeDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo.
Shirin FrisvoldFaculty of Health Sciences, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø; Department of Intensive Care Medicine.
Kristian BartnesFaculty of Health Sciences, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø; Division of Cardiothoracic and Respiratory Medicine, University Hospital North Norway, Tromsø.
Pål Aksel NæssInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo; Department of Traumatology, Oslo University Hospital.
Christine GarderInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo; Department of Traumatology, Oslo University Hospital.
Eirik HelsethInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo; Department of Neurosurgery, Division of Emergencies and Critical Care, Department of Research and Development.
Cathrine BruborgOslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo, Norway.
Nada AndelicDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo.
Audny AnkeFaculty of Health Sciences, Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø; Department of Rehabilitation, University Hospital of North Norway, Tromsø; Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models & Services (CHARM), Faculty of Medicine, University of Oslo.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate adherence to 3 central operational recommendations for acute rehabilitation in the Norwegian trauma plan.

methodsA prospective multi-centre study of 538 adults with moderate and severe trauma with New Injury Severity Score > 9.

resultsAdherence to the first recommendation, assessment by a physical medicine and rehabilitation physician within 72 h following admission to the intensive care unit (ICU) at the trauma centre, was documented for 18% of patients. Adherence to the second recommendation, early rehabilitation in the intensive care unit, was documented for 72% of those with severe trauma and ≥ 2 days ICU stay. Predictors for early rehabilitation were ICU length of stay and spinal cord injury. Adherence to the third recommendation, direct transfer of patients from acute ward to a specialized rehabilitation unit, was documented in 22% of patients, and occurred more often in those with severe trauma (26%), spinal cord injury (54%) and traumatic brain injury (39%). Being employed, having head or spinal chord injury and longer ICU stay were predictors for direct transfer to a specialized rehabilitation unit.

conclusionAdherence to acute rehabilitation guidelines after trauma is poor. This applies to documented early assessment by a physical medicine and rehabilitation physician, and direct transfer from acute care to rehabilitation after head and extremity injuries. These findings indicate a need for more systematic integration of rehabilitation in the acute treatment phase after trauma.

Indexed as

Brain Injuries, TraumaticSpinal Cord InjuriesAdultHospitalizationHumansIntensive Care UnitsLength of StayProspective StudiesRetrospective Studies

Identifiers

PMID37366570
PMCPMC10312324

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.