Model System:

Burn

Reference Type:

Journal

Accession No.:

J75236

Journal:


PM & R

Year, Volume, Issue, Page(s):

, 9, 1, 7-Jan

Publication Website:

Abstract:

Study assessed how cognitive function affects rehabilitation outcomes in the burn injury population. A retrospective analysis was conducted of 5,347 adults admitted to inpatient rehabilitation facilities in the United States with burn injuries between 2002 and 2011. Rehabilitation outcomes examined included: Functional Independence Measure (FIM) total gain, readmission to an acute care setting at any time during inpatient rehabilitation, acute readmissions in the first 3 days of IRF admission, rate of discharge to the community setting, and length of stay (LOS) efficiency. Multivariable regression was used to model rehabilitation outcome measures, using the cognitive domain of the FIM instrument as the independent variable and controlling for demographic, medical, and facility covariates. Cognitive FIM total scores at admission was a significant predictor of FIM total gain, LOS efficiency, and acute readmission at 3 days. Cognitive FIM total scores did not have an impact on acute care readmission rate or discharge to the community setting. Findings suggest that cognitive status may be an important predictor of rehabilitation outcomes in the burn injury population. Future work is needed to further examine the impact of specific cognitive interventions on rehabilitation outcomes in this population.

Author(s):


Bajorek, Alexander J., Slocum, Chloe, Goldstein, Richard, Mix, Jacqueline, Niewczyk, Paulette, Ryan, Colleen M., Hendricks, Carla T., Zafonte, Ross, Schneider, Jeffrey C.