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Title
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Rehabilitation after traumatic brain injury : a survey in 70 european neurotrauma centres participating in the center-tbi study
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Author
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Institution/Organisation
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CENTER-TBI Investigators
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Abstract
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| Objective: To describe variation in structural and process characteristics of acute in-hospital rehabilitation and referral to post-acute care for patients with traumatic brain injury across Europe. Design: Survey study, of neurotrauma centres. Methods: A 14-item survey about in-hospital rehabilitation and referral to post-acute care was sent to 71 neurotrauma centres participating in a European multicentre study (CENTER-TBI). The questionnaire was developed based on literature and expert opinion and was pilot-tested before sending out to the centres. Results: Seventy (99%) centres in 20 countries completed the survey. The included centres were predominately academic level I trauma centres. Among the 70 centres, a multidisciplinary rehabilitation team can be consulted at 41% (n = 29) of the intensive care units and 49% (n = 34) of the wards. Only 13 (19%) centres used rehabilitation guidelines in patients with traumatic brain injury. Age was reported as a major determinant of referral decisions in 32 (46%) centres, with younger patients usually referred to specialized rehabilitation centres, and patients = 65 years also referred to nursing homes or local hospitals. Conclusion: Substantial variation exists in structural and process characteristics of in-hospital acute rehabilitation and referral to post-acute rehabilitation facilities among neurotrauma centres across Europe. |
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Language
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English
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Source (journal)
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Journal of rehabilitation medicine. - Basingstoke
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Publication
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Basingstoke
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2017
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ISSN
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1650-1977
[Print]
1651-2081
[Online]
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DOI
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10.2340/16501977-2216
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Volume/pages
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49
:5
(2017)
, p. 395-401
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ISI
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000401997100004
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Pubmed ID
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28440841
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Full text (Publisher's DOI)
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Full text (open access)
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