
Trauma
Early multidisciplinary approach no more effective than usual care for traumatic injuries
This report has been verified
by one or more authors of the
original publication.
Disabil Rehabil. 2013 Jul;35(14):1149-63. doi: 10.3109/09638288.2012.721047. Epub 2012 Oct 22
142 patients who had suffered a traumatic injury within 4 weeks were randomized to receive treatment using either a multidisciplinary intervention (MI), or usual care (UC) to determine the effectiveness of this approach on physical and psychological functioning. Results at 6 months indicated that there was no significant difference in physical or psychological function between the MI and UC groups. However, when the patients at risk for post-traumatic stress disorder (PTSD) and depression were compared to the control group, those in the MI group reported better pain relief and a lower frequency of general physician (GP) visits. Acute post-traumatic adjustment, acute PTSD and depressive symptoms, acute pain and alcohol use were identified as the best predictors of psychological outcomes, mobility, and pain at 6 months.
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