Development of a Burn Rehabilitation Unit: Impact on Burn Center Length of Stay and Functional Outcome
| Autor: | Fran Egan, Leslie DeSanti, Robert H. Demling, Lisa Lincoln |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Patient Transfer Rehabilitation hospital medicine.medical_specialty medicine.medical_treatment Burn Units Rehabilitation Centers Outcome Assessment Health Care Skin substitutes medicine Humans General Nursing Body surface area Rehabilitation Burn therapy business.industry Rehabilitation unit Burn center Length of Stay General Health Professions Emergency Medicine Physical therapy Female Surgery Burns business Total body surface area Boston |
| Zdroj: | Journal of Burn Care & Rehabilitation. 19:414-419 |
| ISSN: | 0273-8481 |
| DOI: | 10.1097/00004630-199809000-00011 |
| Popis: | In 1995 we initiated the development of a specialized burn rehabilitation unit within an acute rehabilitation hospital, geographically separated from our burn center. The purpose was to allow an earlier initiation of an intensive rehabilitation program while still maintaining optimal burn wound care and nutritional support. The unit was directed by a burn center nurse coordinator who spent 50% of the time in the burn center and 50% in the rehabilitation unit training and supervising care. By 1996 the unit was able to manage open wounds, including skin substitutes of as much as 18% total body surface area, with 2- to 3-day returns to the center for wound coverage (2.5 +/- 0.5 procedures/patient). Our length of stay in 1996 for burns requiring inpatient rehabilitation (mean size 54% +/- 7% total body surface area) decreased by 21 +/- 5 days with respect to those in 1994 and 1995, with no increased morbidity. This length of stay was also significantly shorter (24%) than that predicted by the American Burn Association Registry formula. In addition, the rehabilitation unit length of stay required to restore the same degree of function according to a standardized measurement was significantly shorter (by 9 +/- 3 days) than for patients referred to other rehabilitation facilities in 1996. We conclude that the benefits of a burn rehabilitation unit include not only a decreased burn center length of stay but also a more rapid restoration of function. |
| Databáze: | OpenAIRE |
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