Model System:

Burn

Reference Type:

Journal

Accession No.:

J74664

Journal:


Journal of Burn Care And Research (formerly Journal of Burn Care & Rehabilitation)

Year, Volume, Issue, Page(s):

, 38, 1, e359-e369

Publication Website:

Abstract:

Study examined the prevalence and impact of cognitive-communication disorders among 144 adults with burn injuries admitted to an inpatient rehabilitation facility. Descriptive statistics were used to identify the prevalence of cognitive-communication deficits on admission and discharge. Two main outcomes were analyzed: (1) cognitive-communication ratings on discharge from inpatient rehabilitation as measured by the memory and problem-solving domains of the Functional Independence Measure (FIM) and (2) composite score of the Functional Communication Measure (FCM). Medical, demographic, and rehabilitation predictors of the main outcomes were assessed using regression analyses. Results indicated that on admission to inpatient rehabilitation, 79 percent of the 144 patients presented with cognitive-communication impairments, and of them, 27 percent presented with persistent deficits on discharge. Admission FIM memory score, marital status, and age were significant predictors of the discharge FIM memory score. Admission FIM problem-solving score, age, marital status, and prehospital living with another were significant predictors of the discharge FIM problem-solving score. Admission FCM score and age were significant predictors of the discharge FCM cognitive score. The findings suggest that people with burn injuries are at risk for cognitive-communication impairments, which may persist after inpatient rehabilitation. FIM data obtained on admission can be used as a screening tool to identify these at-risk patients.

Author(s):


Hendricks, Carla T., Camara, Kristin, Boole, Kathryn V., Napoli, Maureen F., Goldstein, Richard, Ryan, Colleen M., Schneider, Jeffrey C.

Participating Centers: