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Physician resource utilization after geriatric trauma

P A Taheri1, L H Iteld, A J Michaels

  • 1Department of Surgery, University of Michigan, Ann Arbor, USA.

The Journal of Trauma
|November 14, 1997
PubMed
Summary
This summary is machine-generated.

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Early physical medicine and rehabilitation (PMR) consultation for geriatric trauma patients did not significantly improve long-term functional outcomes or rehabilitation processes. Integrating PMR into trauma teams showed no discernible benefit.

Area of Science:

  • Geriatric Trauma Care
  • Physical Medicine and Rehabilitation (PMR)
  • Health Services Research

Background:

  • Healthcare resources are strained, necessitating evaluation of physician consultation value.
  • The role of Physical Medicine and Rehabilitation (PMR) in geriatric trauma care requires scrutiny.

Purpose of the Study:

  • To review the value of early PMR consultation within an integrated trauma service for geriatric patients.
  • To assess the impact of PMR integration and early consultation on patient outcomes.

Main Methods:

  • Retrospective review of 110 geriatric trauma patients (age > 60, ISS > 15).
  • Comparison between patients admitted to general surgery versus a multidisciplinary trauma service.
  • Subgroup analysis of early (< or =3 days) versus late (>3 days) PMR consultation.

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Main Results:

  • No significant differences in demographic, physiologic, or long-term outcome data between groups.
  • Early versus late PMR consultation showed no significant difference in intervention effectiveness.
  • No group differences in post-discharge outcomes like care dependence, nursing home placement, or readmission.

Conclusions:

  • Integrating PMR into multidisciplinary trauma teams does not affect long-term patient functional outcomes.
  • Early PMR consultation does not alter the in-house rehabilitation process for geriatric trauma patients.