{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:21:16Z","timestamp":1787786476623,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Phys Med Rehabil"],"published-print":{"date-parts":[[2019,1]]},"abstract":"\n Objective<\/jats:title>\n Previous retrospective studies suggest that early physical medicine and rehabilitation (PM&R) consultation for trauma patients improves outcome and reduces acute care length of stay (LOS). There have not been controlled studies to evaluate this impact. This study assesses the impact of PM&R consultations on acute trauma patients.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n This study compared measured outcomes before and after the introduction of a PM&R consultation service to the trauma program at a large academic hospital. The primary outcome measure was acute care LOS.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The 274 historical controls and 76 patients who received a PM&R consultation were not different in injury severity score, age, or sex. Length of stay was not different between the two groups. However, when early (\u22648 days after injury) versus late (>8 days) consults were compared, the early group had a markedly lower LOS (12 vs. 30 days, P<\/jats:italic> < 0.001). When adjusted for injury severity score, an early consult was associated with an 11.8-day lower LOS (P<\/jats:italic> < 0.001). The early consult group also had fewer complications and less usage of benzodiazepines and antipsychotics.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n An acute care PM&R consultation of 8 days or less after admission is associated with a shorter acute care LOS, fewer complications, and less use of benzodiazepines and antipsychotics.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/phm.0000000000001007","type":"journal-article","created":{"date-parts":[[2018,7,31]],"date-time":"2018-07-31T20:55:35Z","timestamp":1533070535000},"page":"20-25","source":"Crossref","is-referenced-by-count":18,"title":["The Impact of Introducing a Physical Medicine and Rehabilitation Trauma Consultation Service to an Academic Level 1 Trauma Center"],"prefix":"10.1097","volume":"98","author":[{"given":"Lawrence R.","family":"Robinson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan K. H.","family":"Tam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon L.","family":"MacDonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin Y.","family":"Hanada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Berbrayer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdikarim","family":"Abdullahi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna G.","family":"Camilotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Homer","family":"Tien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20230922","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/S0003-9993(98)90210-6","article-title":"Status of physiatry and physical medicine and rehabilitation de partments in adult level I trauma centers","volume":"79","year":"1998","journal-title":"Arch Phys Med Rehabil"},{"key":"bib2-20230922","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/PHM.0000000000000406","article-title":"What should be the role of physiatrists in early acute care rehabilitation?: current literature, models of care, and thoughts for the future","volume":"95","year":"2016","journal-title":"Am J Phys Med Rehabil"},{"key":"bib3-20230922","first-page":"635","article-title":"Early intervention in severe head injury: long-term benefits of a formalized program","volume":"73","year":"1992","journal-title":"Arch Phys Med Rehabil"},{"key":"bib4-20230922","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1097\/01.PHM.0000073825.09942.8F","article-title":"Physical medicine and rehabilitation consultation: relationships with acute functional outcome, length of stay, and discharge planning after traumatic brain injury","volume":"82","year":"2003","journal-title":"Am J Phys Med Rehabil"},{"key":"bib5-20230922","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1097\/00005373-198704000-00005","article-title":"Evaluating trauma care: the TRISS method. 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