Article

Burn survivors tend to have complex medical issues requiring
rehabilitation to improve overall function and quality of life.
A subset of burn
patients treated in inpatient rehabilitation facilities (IRFs) may require more
than 1 rehabilitation stay for the same injury.
OBJECTIVE: To compare the
rehabilitation outcomes among burn patients admitted to an IRF who were
discharged to acute care and then readmitted to an IRF with burn patients
admitted to an IRF only 1 time. DESIGN: Retrospective cohort study. SETTING:
Inpatient rehabilitation facilities. PARTICIPANTS: Burn injury patients aged 18
years or more who were admitted to IRFs between 2002 and 2011. METHODS: We
performed a secondary analysis of data from Uniform Data System for Medical
Rehabilitation, a national data repository. Outcomes of the repeaters' second
stay (n = 188) were compared to the nonrepeaters' first and only stay (n =
6,855), using linear regression and logistic regression to determine whether
repeater status was associated with rehabilitation outcomes. MAIN OUTCOME MEASUREMENTS: Functional status (using the Functional Independence Measure [FIM]
instrument) at admission, discharge and change, length of stay, FIM efficiency
(total FIM points gained per day), and discharge disposition. RESULTS: Repeater
status was inversely associated with discharge FIM total (coefficient = -3.42,
95% confidence interval = -5.76, -1.07) and FIM change (coefficient = -4.05, 95%
CI = -6.34, -1.75) in linear regression models. No other significant differences
were found, and those differences in discharge FIM total and FIM change were
small. CONCLUSIONS: Differences found in rehabilitation outcomes between the
repeater and nonrepeater groups were small and may not reflect clinically
meaningful differences. Burn injury patients who required a second IRF admission
had rehabilitation outcomes similar to those of burn injury patients who did not
require a second IRF admission, emphasizing the value of inpatient rehabilitation
for burn injury IRF readmissions.
CI - Copyright (c) 2014 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS