Cromes G F, Helm P A
University of Texas Southwestern Medical Center, Dallas.
J Burn Care Rehabil. 1992 Nov-Dec;13(6):656-62. doi: 10.1097/00004630-199211000-00009.
A survey to determine the status of burn rehabilitation services in the United States was developed and sent to 186 burn treatment facilities. The facilities were divided into four groups based upon number of admissions per year (0 to 80, 81 to 120, 121 to 200, and 200+). Completed surveys were received from 114 facilities. Results indicated that burn facilities of different sizes were consistent with respect to the severity of burn injuries treated, the length of hospitalization for acute injuries, and the duration of physician follow-up after discharge. Burn facilities with more admissions were more likely to report (1) organized outpatient burn rehabilitation programs, (2) available specialized burn rehabilitation personnel, (3) regular interdisciplinary inpatient staffing conferences and outpatient clinics, and (4) structured educational activities for staff and Full-time equivalent burn rehabilitation personnel were equally represented across facilities of different sizes. The overall results suggest that there have been substantial improvements in the comprehensiveness of burn rehabilitation care since a previous survey in 1983. Minimum guidelines for burn rehabilitation are suggested based upon the relative consistency between burn facilities indicated by the survey results.
一项旨在确定美国烧伤康复服务现状的调查得以开展，并发送给了186家烧伤治疗机构。这些机构根据每年的入院人数被分为四组（0至80人、81至120人、121至200人以及200人以上）。共收到了114家机构返回的完整调查问卷。结果表明，不同规模的烧伤治疗机构在治疗的烧伤损伤严重程度、急性损伤的住院时长以及出院后医生随访的持续时间方面是一致的。入院人数较多的烧伤治疗机构更有可能报告（1）有组织的门诊烧伤康复项目，（2）有可用的专业烧伤康复人员，（3）定期召开跨学科住院人员配备会议和门诊会诊，以及（4）为工作人员开展结构化教育活动。不同规模的机构中全职等效烧伤康复人员的占比相当。总体结果表明，自1983年上次调查以来，烧伤康复护理的全面性有了显著改善。基于调查结果所显示的烧伤治疗机构之间的相对一致性，提出了烧伤康复的最低指导原则。
