| Autor: |
Cords CI; Association of Dutch Burn Centres, Maasstad Hospital, 3079 DZ Rotterdam, The Netherlands.; Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Centre Rotterdam, 3015 GD Rotterdam, The Netherlands., van der Vlies CH; Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Centre Rotterdam, 3015 GD Rotterdam, The Netherlands.; Department of Trauma and Burn Surgery, Maasstad Hospital, 3079 DZ Rotterdam, The Netherlands., Stoop M; Association of Dutch Burn Centres, Red Cross Hospital, 1942 LE Beverwijk, The Netherlands., Nieuwenhuis MK; Association of Dutch Burn Centres, Martini Hospital, 9728 NT Groningen, The Netherlands.; Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, 9747 AS Groningen, The Netherlands.; Department of Human Movement Sciences, University of Groningen, University Medical Center Groningen, 9713 AV Groningen, The Netherlands., Boudestein K; Department of Gerontology and Geriatrics, Maasstad Hospital, 3079 DZ Rotterdam, The Netherlands., Mattace-Raso FUS; Section of Geriatric Medicine, Department of Internal Medicine, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The Netherlands., van Baar ME; Association of Dutch Burn Centres, Maasstad Hospital, 3079 DZ Rotterdam, The Netherlands.; Department of Public Health, Erasmus MC, University Medical Centre, 3015 GD Rotterdam, The Netherlands., Frail Group, Dutch Burn Repository Group |
| Abstrakt: |
Background: Frailty can have a negative influence on outcomes in elderly patients after burn injuries. The Dutch hospitals have used a four-domain frailty screening instrument from the Dutch Safety Management System (DSMS) since 2012. However, its feasibility and validity have hardly been studied. We aim to assess the feasibility and validity of frailty screening in specialized burn care. Methods: A multicentre retrospective cohort study was conducted in all Dutch burn centres. Patients aged ≥ 70, with a primary admission between 2012-2018, were included. Data were derived from electronic patient files. Results: In total, 515 patients were included. Frailty screening was complete in 39.6% and partially complete in 23.9%. Determinants for a complete screening were admission after 2015 (OR = 2.15, 95% CI 1.42-3.25) and lower percentage TBSA burned (OR = 0.12, 95% CI 0.05-029). In all completely screened patients, 49.9% were at risk of frailty. At risk patients were older, had more comorbidities (known group validity), a longer length of stay, and more frequently a non-home discharge (predictive validity). Conclusion: Frailty screening in specialized burn care is feasible and was conducted in 63.5% of admitted patients. In total, 44% of screened patients were at risk of frailty. Validity of frailty screening was confirmed. Frailty screening can contribute to optimal specialized burn care. |
