Rehabilitation outcomes for orthopaedic trauma individuals as measured by the INTERMED.

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State: Public
Version: author
Serval ID
serval:BIB_6C437824BE7C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Rehabilitation outcomes for orthopaedic trauma individuals as measured by the INTERMED.
Journal
Disability and Rehabilitation
Author(s)
Luthi F., Stiefel F., Gobelet C., Rivier G., Deriaz O.
ISSN
1464-5165 (Electronic)
ISSN-L
0963-8288
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
33
Number
25-26
Pages
2544-2552
Language
english
Notes
Publication types: Journal Article
Abstract
PURPOSE: Bio-psychosocial characteristics of patients after orthopaedic traumas may be a strong predictor of poor outcome. The objective of this prospective study was to assess whether the INTERMED, a measure of bio-psychosocial complexity, identifies complex inpatients during rehabilitation including vocational aspects with a poor outcome 1 year after discharge.
METHOD: At entry, the INTERMED scores of 118 inpatients were used to assign patients to the high or low complexity group. A questionnaire evaluated 1 year after discharge whether patients: (1) returned to work, (2) still have therapies, (3) take psychoactive drugs, (4) take medication against pain and (5) were satisfied with vocational therapy. Univariate logistic regressions identified which variables predict INTERMED case complexity during hospitalisation as well as predictors (i.e. INTERMED case complexity, French as preferred language, duration of the disability, accident at work, work qualification, severity of the injury, psychiatric co-morbidities, pain) of the five measured outcomes 1 year after discharge.
RESULTS: During hospitalisation, the high complexity group was associated with a high prevalence of psychiatric co-morbidities, a higher level of pain and a weaker perception of treatment effects. One year after discharge, the INTERMED was the sole variable to predict all outcomes.
CONCLUSION: The INTERMED identifies complex patients during vocational rehabilitation after orthopaedic trauma and is a good predictor of poor outcome 1 year after discharge.
Keywords
Adolescent, Adult, Comorbidity, Female, Humans, Logistic Models, Male, Mental Disorders/epidemiology, Middle Aged, Musculoskeletal System/injuries, Pain Measurement, Prospective Studies, Questionnaires, Rehabilitation, Vocational, Social Support, Treatment Outcome, Wounds and Injuries/epidemiology, Wounds and Injuries/rehabilitation, Young Adult
Pubmed
Web of science
Create date
26/08/2011 16:04
Last modification date
20/08/2019 15:26
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