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Polytrauma überlebt – und was kommt dann?

Die Rehabilitation Schwerstverletzter

Surviving multiple trauma – what comes next?

The rehabilitation of seriously injured patients

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Zusammenfassung

Die Überlebenschancen Polytraumatisierter haben sich in den letzten Jahrzehnten kontinuierlich verbessert. Es stellt sich daher nicht nur die Frage, ob ein Patient einen schweren Unfall überlebt, sondern wie er ihn überlebt. Traumafolgen finden sich sowohl auf körperlichem Gebiet als auch auf psychischem und sozialem. Sie haben Einfluss auf die Lebensqualität und sind noch viele Jahre nach dem Unfallereignis messbar. Die Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) stellt ein System bereit zur Einordnung von Traumafolgen, die mit Hilfe von Assessment-Instrumenten erfasst werden können. Die Kenntnis, welche Parameter diese Folgen beeinflussen können, ist entscheidend für die Planung, Organisation und Durchführung einer Rehabilitation nach schweren Verletzungen. Der Anspruch an einen optimalen Rehabilitationsprozess stellt hohe Anforderungen an die Rehabilitationseinrichtungen und an das Rehabilitationsteam, die letztendlich nur von spezialisierten Einrichtungen erfüllt werden können.

Abstract

The survival chances of multiple trauma patients have improved continuously over the last decades. Therefore, not only the question of whether the patient survives a serious accident arises, but rather how the patient survives it. The after effects of trauma are seen not only physically, but also psychologically and socially. These affect quality of life and are evident years after the accident. The International Classification of Functioning, Disability and Health (ICF) provides a system to classify the after effects of trauma, which can be measured with the help of assessment instruments. Knowing which parameters can influence trauma after effects is essential for the planning, organization, and implementation of a rehabilitation programme following severe injury. The requirements of an optimal rehabilitation process place high demands on the rehabilitation facility and on the rehabilitation team, which ultimately can only be fulfilled by specialized facilities.

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  1. Abteilung für BG-Rehabilitation, BG-Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418, Murnau, Deutschland

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Simmel, S., Bühren, V. Polytrauma überlebt – und was kommt dann?. Unfallchirurg 112, 965–974 (2009). https://doi.org/10.1007/s00113-009-1686-y

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