Early physical and functional rehabilitation of trauma patients in the Médecins Sans Frontières trauma centre in Kunduz, Afghanistan: luxury or necessity?

Early physical and functional rehabilitation of trauma patients in the Médecins Sans Frontières trauma centre in Kunduz, Afghanistan: luxury or necessity?

In Afghanistan, Médecins Sans Frontières provided specialised trauma care in Kunduz Trauma Centre (KTC), including physiotherapy. In this study, we describe the development of an adapted functional score for patient outcome monitoring, and document the rehabilitation care provided and patient outcom...

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Bibliographic Details
Published in:International health Vol. 8; no. 6; pp. 381 - 389
Main Authors: Gohy, Bérangère, Ali, Engy, Van den Bergh, Rafael, Schillberg, Erin, Nasim, Masood, Naimi, Muhammad Mahmood, Cheréstal, Sophia, Falipou, Pauline, Weerts, Eric, Skelton, Peter, Van Overloop, Catherine, Trelles, Miguel
Format: Journal Article
Language:English
Published: England Oxford University Press 01-11-2016
Series:Editor's choice
Subjects:
Activities of Daily Living
Adolescent
Adult
Afghan Campaign 2001
Afghanistan
Aged
Altruism
Brain Injuries, Traumatic - rehabilitation
Child
Child, Preschool
Cohort Studies
Female
Fractures, Bone - rehabilitation
Hospitalization
Humans
International Cooperation
Male
Middle Aged
Original
Physical Therapy Modalities
Trauma Centers
Wounds and Injuries - rehabilitation
Young Adult
Afghanistan
Function
MSF
Rehabilitation
Trauma
Outcome measure
Operational Research
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Summary:In Afghanistan, Médecins Sans Frontières provided specialised trauma care in Kunduz Trauma Centre (KTC), including physiotherapy. In this study, we describe the development of an adapted functional score for patient outcome monitoring, and document the rehabilitation care provided and patient outcomes in relation to this functional score. A descriptive cohort study was done, including all patients admitted in the KTC inpatient department (IPD) between January and June 2015. The adapted functional score was collected at four points in time: admission and discharge from both IPD and outpatient department (OPD). Out of the 1528 admitted patients, 92.3% (n = 1410) received at least one physiotherapy session. A total of 1022 patients sustained either lower limb fracture, upper limb fracture, traumatic brain injury or multiple injury. Among them, 966 patients received physiotherapy in IPD, of whom 596 (61.7%) received IPD sessions within 2 days of admission; 696 patients received physiotherapy in OPD. Functional independence increased over time; among patients having a functional score taken at admission and discharge from IPD, 32.2% (172/535) were independent at discharge, and among patients having a functional score at OPD admission and discharge, 79% (75/95) were independent at discharge. The provision of physiotherapy was feasible in this humanitarian setting, and the tailored functional score appeared to be relevant.
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ISSN:1876-3413
1876-3405
DOI:10.1093/inthealth/ihw039