PMID: 9191675May 1, 1997Paper

Rehabilitation results of patients with multiple injuries and multiple organ failure and long-term intensive care

The Journal of Trauma
M GrotzG Regel

Abstract

Multiple organ failure is regarded to be the major complication of trauma victims treated in the intensive care unit. Long-term rehabilitation results of this special group of patients have not been analyzed so far. Fifty patients with multiple injuries and multiple organ failure (Injury Severity Score > or = 36.8) were followed-up 4.9 +/- 0.3 years after the trauma. To show any organotopic sequelae, laboratory tests for the function of lungs, liver, kidney, and the hematologic system were performed. Additionally their functional (locomotion and neurologic system) and occupational rehabilitation results were investigated. The laboratory tests showed entirely normal results. The only pathologic values could be found in the lung function tests. Nineteen percent of the patients showed nonphysiologic results in either spirometry, body plethysmography, or diffusion capacity of carbon monoxide. In more than 25% of the patients, permanently decreased range of motion (limitation of more than 30% of the entire range of motion) of the elbow, hip, knee, or ankle joint were found. In 40% of the patients, permanent motoric nerve lesions were identified; in 50% of the patients, permanent sensoric nerve lesions could be verified. The return t...Continue Reading

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Citations

Sep 3, 2003·Injury·J WesthoffC Krettek
Nov 9, 2001·Critical Care Medicine·N A BlackS Ridley
May 22, 2010·The Journal of Trauma·Hans-Christoph PapeNicola-Alexander Sittaro
Jul 28, 2015·Disability and Rehabilitation·Joanne NunnerleyTim Woodfield
Jul 7, 2007·Clinical Rehabilitation·Herman R HoltslagEline Lindeman
Jan 24, 2006·Injury·Duncan A RedmillClaire Templeton
Oct 17, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Erik von OelreichEmma Larsson

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