Cognition in patients with burn injury in the inpatient rehabilitation population
| Autor: | Richard Goldstein, Deborah Nadler, Jeffrey C. Schneider, Margaret A. DiVita, Colleen M. Ryan, Chloe Slocum, Katie Mathews, Paul Gerrard, Ross Zafonte, Maulik P. Purohit, Karen J. Kowalske |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Burn injury medicine.medical_treatment Arthroplasty Replacement Hip Population Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers Amputation Surgical Disability Evaluation Physical medicine and rehabilitation Mental Processes medicine Humans education Spinal cord injury Physical Therapy Modalities Spinal Cord Injuries Aged education.field_of_study Inpatients Rehabilitation business.industry Cognition Middle Aged medicine.disease Comorbidity Polytrauma Amputation Physical therapy Female business Burns |
| Zdroj: | Archives of physical medicine and rehabilitation. 95(7) |
| ISSN: | 1532-821X |
| Popis: | To analyze potential cognitive impairment in patients with burn injury in the inpatient rehabilitation population.Rehabilitation patients with burn injury were compared with the following impairment groups: spinal cord injury, amputation, polytrauma and multiple fractures, and hip replacement. Differences between the groups were calculated for each cognitive subscale item and total cognitive FIM. Patients with burn injury were compared with the other groups using a bivariate linear regression model. A multivariable linear regression model was used to determine whether differences in cognition existed after adjusting for covariates (eg, sociodemographic factors, facility factors, medical complications) based on previous studies.Inpatient rehabilitation facilities.Data from Uniform Data System for Medical Rehabilitation from 2002 to 2011 for adults with burn injury (N=5347) were compared with other rehabilitation populations (N=668,816).Not applicable.Comparison of total cognitive FIM scores and subscales (memory, verbal comprehension, verbal expression, social interaction, problem solving) for patients with burn injury versus other rehabilitation populations.Adults with burn injuries had an average total cognitive FIM score ± SD of 26.8±7.0 compared with an average FIM score ± SD of 28.7±6.0 for the other groups combined (P.001). The subscale with the greatest difference between those with burn injury and the other groups was memory (5.1±1.7 compared with 5.6±1.5, P.001). These differences persisted after adjustment for covariates.Adults with burn injury have worse cognitive FIM scores than other rehabilitation populations. Future research is needed to determine the impact of this comorbidity on patient outcomes and potential interventions for these deficits. |
| Databáze: | OpenAIRE |
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