John C Luce1, Jacqueline Mix, Katie Mathews, Richard Goldstein, Paulette Niewczyk, Margaret A DiVita, Paul Gerrard, Robert L Sheridan, Colleen M Ryan, Karen Kowalske, Ross Zafonte, Jeffrey C Schneider. 1. From the Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts (JCL, KM, RG, PG, RZ, JCS); Harvard Medical School, Boston, Massachusetts (JCL, PG, CMR, RZ, JCS); Uniform Data System for Medical Rehabilitation, University at Buffalo, Amherst, New York (JM, PN, MAD); Department of Health Care Studies, Daeman College, Amherst, New York (PN); Health Department, State University of New York at Cortland (MAD); Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Boston (PG); The Spine Center, Newton-Wellesley Hospital, Newton, Massachusetts (PG); Department of Surgery, Massachusetts General Hospital, Boston (RLS, CMR); Shriners Hospitals for Children, Boston, Massachusetts (RLS, CMR, JCS); and Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas (KK).
Abstract
OBJECTIVE: This study aimed to describe the pediatric burn inpatient rehabilitation population and short-term functional outcomes using the Uniform Data System for Medical Rehabilitation. DESIGN: This is a secondary analysis of data from the Uniform Data System for Medical Rehabilitation database between 2002 and 2011 included children younger than 18 yrs at time of admission to inpatient rehabilitation with primary diagnosis of burn injury. Demographic, medical, and functional data were evaluated. Function was assessed with the Functional Independence Measure or the WeeFIM. RESULTS: A total of 509 children were included, of whom 124 were evaluated with Functional Independence Measure and 385 with WeeFIM. The mean age of the population was 8.6 yrs and most were boys (72%). The mean length of stay for the population was 35 days. Functional status improved significantly from admission to discharge; most gains were in the motor subscore. Most patients were discharged home (95%). Of those discharged home, most (96%) went home with family. CONCLUSIONS: Children receiving multidisciplinary inpatient rehabilitation make significant functional improvements in total functional scores and in both motor and cognitive subscores. Most patients are discharged home with family. This study advances understanding of pediatric burn post-acute care outcomes.
OBJECTIVE: This study aimed to describe the pediatric burn inpatient rehabilitation population and short-term functional outcomes using the Uniform Data System for Medical Rehabilitation. DESIGN: This is a secondary analysis of data from the Uniform Data System for Medical Rehabilitation database between 2002 and 2011 included children younger than 18 yrs at time of admission to inpatient rehabilitation with primary diagnosis of burn injury. Demographic, medical, and functional data were evaluated. Function was assessed with the Functional Independence Measure or the WeeFIM. RESULTS: A total of 509 children were included, of whom 124 were evaluated with Functional Independence Measure and 385 with WeeFIM. The mean age of the population was 8.6 yrs and most were boys (72%). The mean length of stay for the population was 35 days. Functional status improved significantly from admission to discharge; most gains were in the motor subscore. Most patients were discharged home (95%). Of those discharged home, most (96%) went home with family. CONCLUSIONS:Children receiving multidisciplinary inpatient rehabilitation make significant functional improvements in total functional scores and in both motor and cognitive subscores. Most patients are discharged home with family. This study advances understanding of pediatric burn post-acute care outcomes.
Authors: Khushbu F Patel; Silvanys L Rodríguez-Mercedes; Gabrielle G Grant; Camerin A Rencken; Erin M Kinney; Amelia Austen; Carina Hou; Keri J S Brady; Jeffrey C Schneider; Lewis E Kazis; Colleen M Ryan Journal: J Burn Care Res Date: 2022-03-23 Impact factor: 1.819