121 An Examination of Function at Follow-Up in Historically Marginalized Persons with Burn Injury

Autor: Betsey Ferreira, Lynne Benavides, Miranda Yelvington, Kathryn Lundquist, Lauren J Shepler, Jeffrey Schneider, Kyra Jeanine Solis, Samuel Mandell, Nicole Gibran, Kara McMullen
Rok vydání: 2023
Předmět:
Zdroj: Journal of Burn Care & Research. 44:S73-S73
ISSN: 1559-0488
1559-047X
Popis: Introduction Previous studies demonstrate that historically marginalized individuals living with burn injury received comparable physical and occupational therapy services to non-marginalized groups. However, other outcomes are not well studied in these groups. This study aims to examine functional outcomes of historically marginalized burn population. Methods Data was obtained from the Burn Model System National Database between 1993 and 2015 for adults alive at discharge. The marginalized group was defined as: age >65; non-White; Hispanic; Medicaid or public support/indigent; homeless; drug or alcohol misuse prior to injury. Demographic and clinical characteristics were examined. Function was compared between groups (marginalized vs. non-marginalized) using the SF-12/VR-12 Physical (PCS) and Mental Component Summary (MCS) Scores at 6 and 12 months after injury. Results The sample included 583 participants (69.3%, n=404 marginalized group), was 83.9% white, and mean burn size was 16.7% (SD 17.6) total body surface area. Follow-up status was not significantly different between groups at 12 (p=0.115) and 24 (p=0.250) months. The non-marginalized group had higher PCS and MCS scores at 6 months than the marginalized group (Table). There were no significant differences in outcomes between groups at other time points. Conclusions The marginalized group exhibited worse physical and mental function scores than the non-marginalized group. This suggests that despite similar follow-up rates marginalized populations have worse outcomes. Applicability of Research to Practice Differences in functional scores between groups suggest that patients from historically marginalized groups may require more resources to achieve similar outcomes to their non-marginalized counterparts. Further research is necessary to delineate the unique needs of historically marginalized groups and design interventions to achieve equitable outcomes.
Databáze: OpenAIRE
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