Disputas Cand. Med. Christopher Schäfer

Opptak av disputasen vil være tilgjengelig i et døgn.

A recording of the disputation will be available for 24 hours.

Prøveforelesning over oppgitt emne holdes kl. 10.15, samme sted

Integrating the ICF Framework into Vocational Rehabilitation: Theoretical foundations and clinical Interventions after a trauma.

Populærvitenskapelig sammendrag av avhandlingen:

The aims of this thesis were to evaluate the implementation of the Norwegian national recommendations for early treatment and rehabilitation and to investigate aspects of disability, including return to work, in patients with moderate to severe trauma. This population-based prospective observational study was conducted over 1 year and involved adult patients with moderate to severe trauma treated at two trauma centres in the North and Southeast of Norway. Results: 18% of the participants were assessed by a physical medicine and rehabilitation physician within 72 hours after admission to the intensive care unit. 72% of those with severe trauma underwent early rehabilitation in the intensive care unit. 22% of the patients were directly transferred from acute ward to a specialised rehabilitation unit. Few patients with orthopaedic injuries and fewer women than men were directly transferred. After 6 months 22% of the participants reported no disability, 49% mild to moderate disability and 29% severe disability measured by WHODAS 2.0. Low educational level, comorbidities, number of injuries and higher estimated rehabilitation complexity at discharge from acute care were significantly associated with greater disability. Of the 223 participants who attended both the 6- and the 12-months follow-ups, 68% had returned to work after 6 months and 77% after 12 months. Factors negatively impacting return to work were increased age, having a blue-collar job, total number of injuries, estimated rehabilitation complexity and worse functioning. RTW was lower for participants with dominating orthopedic injuries living in less central areas. Conclusion: Adherence to acute rehabilitation guidelines after trauma was poor. The findings indicate a need for more systematic integration of rehabilitation in the acute treatment phase after trauma. Rehabilitation needs should be assessed and addressed from a long-term perspective, at least in the first year after trauma. The focus should be not only on injury-related factors but also on personal and environmental factors that increase the risk of worse outcomes.

Hovedveileder

Professor Audny Gabriele Wagner Anke, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet

Bedømmelseskomite

Professor Jan Lexell, Lund Universitet, Sverige – 1. opponent

Førsteamanuensis Eirik Vikane,Universitetet i Bergen – 2. opponent

Professor Ranveig Lind, institutt for helse- og omsorgsfag

Det helsevitenskapelige fakultet, UiT Norges arktiske universitet – leder av komite

Disputasleder: Ph.d.Solveig Flatebø, Institutt for klinisk medisin, Det helsevitenskapelige fakultet, UiT Norges arktiske universitet