Evidence map›Paper›PMID 39680082›Full record

SynthesisInternational orthopaedics2025

The three stages of polytrauma rehabilitation- a recommendation and a systematic literature review on behalf of SICOT.

Felix Karl-Ludwig Klingebiel, Vincent Landre, Morgan Hasegawa, Yannik Kalbas, Marc Hanschen, Kenichi Sawauchi, Sayid Omar Mohamed, Mohammed Zarti, Mohammad Zain-Ur-Rehmann, Alaric Aroojis and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Review
  5. Return to work 10 years after severe trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  6. 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

14 authors.

Felix Karl-Ludwig KlingebielUniversity of Zurich, Zurich, Switzerland. felixkarl-ludwig.klingebiel@usz.ch.
Vincent LandreUniversity of Zurich, Zurich, Switzerland. Vincent.Landre@usz.ch.
Morgan HasegawaUniversity of Hawai'i, Honolulu, USA.
Yannik KalbasUniversity of Zurich, Zurich, Switzerland.
Marc HanschenTechnical University of Munich, Klinikum rechts der Isar, Munich, Germany.
Kenichi SawauchiHarald-Tscherne Laboratory for Orthopaedic and Trauma Research, University Hospital Zurich, Switzerland.
Sayid Omar MohamedJazeera University Hospital, Mogadishu, Somalia.
Mohammed ZartiAlkhadra Hospital, Tripoli, Libya.
Mohammad Zain-Ur-RehmannWorcestershire Acute Hospitals NHS Trust, Worcester, UK.
Alaric AroojisBai Jerbai Wadia Hospital for Children, Mumbai, India.
Shanmuganathan RajasekaranGanga Medical Centre and Hospitals Pvt. Ltd, Coimbatore, India.
Hans-Christoph PapeUniversity of Zurich, Zurich, Switzerland.
Roman PfeiferUniversity of Zurich, Zurich, Switzerland. roman.pfeifer@usz.ch.
SICOT Trauma & Rehabilitation Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePolytrauma presents a devastating event with great impact on the patient's life. While we are taking great care of improving our treatment algorithms, the rehabilitation often takes place outside of our direct field of vision. Yet, adequate rehabilitation is crucial for the patients to regain their former lives. The aim of this study, on the behalf of SICOT Trauma & Rehabilitation Research Group, was to identify rehabilitation strategies and standards in existing scientific literature.

methodsA systematic literature search of MEDLINE and Embase from 2000 to 2023 was conducted. Inclusion criteria was the description of polytrauma rehabilitation strategies in the acute, post-acute or long-term stage. Reported treatment aims, conducted therapies and challenges were extracted and stratified to either of the stages.

resultsA total of 5212 studies were identified and 6 reviews and one original study were included according to our criteria. Overall, no article of higher evidence on how to perform polytrauma rehabilitation could be identified. From the available literature, disciplines involved in the rehabilitation could be described such as major challenges along the rehabilitation process.

conclusionThis study highlights the need for standardized polytrauma rehabilitation algorithms. Whereas we could identify important information about each rehabilitation stage, we did not encounter specific evidence for prioritization of different therapies or algorithms of treatment. Polytrauma rehabilitation needs to shift from eminence to evidence.

Indexed as

Multiple TraumaAlgorithmsHumansPolytraumaRecoveryRehabilition

Identifiers

PMID39680082
PMCPMC11762570

What OpenQuestion holds

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Registered trials

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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.