[Development of a standardized instrument for quantitative and reproducible rehabilitation data assessment after polytrauma (HASPOC)].
BACKGROUND
Previous scoring systems for measurement of the quality of outcome are based on scores regarding injuries to individual body regions. Known scores which describe several organ regions are of no importance for trauma patients. Therefore a new rehabilitation outcome evaluation score was developed at our hospital.


METHODS
Based on a prospective reinvestigation, a score system was developed that allows a quantitative appraisal of the subjective and objective outcome. A complete physical examination was performed, including ROM, neurologic examination and strength analysis. Part I (113 questions) is to be filled out by the patient; part II (191 questions) focusses on different body regions, physical examination and functional scoring. Included are the MFA, FIM, GCO and Frankel score. A final score (HASPOC) was developed to give a quantitative result of the outcome.


RESULTS
The new score has a range from 5 to 411 points. One hundred and fifty patients were re-examined. The mean follow-up time was 2.2 +/- 0.1 years. The SF 12 indicated an outcome more than satisfactory in 63% of cases. The MFA demonstrated moderate or severe restrictions in 41%, in the case of injuries of the lower extremity in 52% of patients. The HASPOC indicated a mean of 44.5 points.


CONCLUSIONS
This paper describes the development, structure, and the quantitative outcome of rehabilitation in polytrauma patients. This standardized rehabilitation instrument deals with a very heterogeneous patient population and shows the rehabilitation deficits accurately. Implemented recognized evaluations allow comparison of these results with those of other scoring systems.
Stalp
M
M
Unfallchirurgische Klinik, Medizinische Hochschule Hannover. Stalp.Michael@mh-hannover.de
Koch
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Regel
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Krettek
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Pape
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HC
D003625:Data Collection / Q000706:statistics & numerical data; D005500:Follow-Up Studies; D006801:Humans; D009104:Multiple Trauma / Q000534:rehabilitation*; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care; D015203:Reproducibility of Results