Follow-up After Burn Injury Is Disturbingly Low and Linked With Social Factors

Autor: Kathleen S Romanowski, Eve A Solomon, David G. Greenhalgh, Tina L Palmieri, Irina P Karashchuk, Soman Sen
Rok vydání: 2021
Předmět:
Adult
Male
Burn injury
medicine.medical_specialty
Physical Injury - Accidents and Adverse Effects
Multivariate analysis
Clinical Sciences
Basic Behavioral and Social Science
Social Networking
Appointments and Schedules
03 medical and health sciences
0302 clinical medicine
Risk Factors
Clinical Research
Interquartile range
Internal medicine
Behavioral and Social Science
2021 ABA Annual Meeting Abstract/Poster
Humans
Medicine
Social Factors
Referral and Consultation
Retrospective Studies
Travel
030222 orthopedics
Substance dependence
business.industry
Rehabilitation
Homelessness
030208 emergency & critical care medicine
Burn center
Emergency department
Odds ratio
Middle Aged
medicine.disease
Emergency & Critical Care Medicine
Brain Disorders
Substance abuse
Good Health and Well Being
Emergency Medicine
Surgery
Burns
business
Follow-Up Studies
Zdroj: Journal of burn care & research : official publication of the American Burn Association, vol 42, iss 4
J Burn Care Res
ISSN: 1559-0488
1559-047X
DOI: 10.1093/jbcr/irab065
Popis: For medical and social reasons, it is important that burn patients attend follow-up appointments (FUAs). Our goal was to examine the factors leading to missed FUAs in burn patients. A retrospective chart review was conducted of adult patients admitted to the burn center from 2016 to 2018. Data collected included burn characteristics, social history, and zip code. Data analysis was conducted using chi-square, Wilcoxon Rank-Sum tests, and multivariate regression models. A total of 878 patients were analyzed, with 224 (25.5%) failing to attend any FUAs and 492 (56.0%) missing at least one appointment (MA). Patients who did not attend any FUAs had smaller burns (4.5 [8]% vs 6.5 [11]% median [inter quartile range]), traveled farther (70.2 [111.8] vs 52.5 [76.7] miles), and were more likely to be homeless (22.8% vs 6.9%) and have drug dependence (47.3% vs 27.2%). Patients who had at least one MA were younger (42 [26] vs 46 [28] years) and more likely to be homeless (17.5% vs 2.6%) and have drug dependence (42.5% vs 19.4%). On multivariate analysis, factors associated with never attending an FUA were distance from hospital (odds ratio [OR] 1.004), burn size (OR 0.96), and homelessness (OR 0.33). Factors associated with missing at least one FUA: age (OR 0.99), drug dependence (OR 0.46), homelessness (OR 0.22), and Emergency Department visits (OR 0.56). A high percentage of patients fail to make any appointment following their injury and/or have at least one MA. Both FUAs and MAs are influenced by social determinants of health.
Databáze: OpenAIRE
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