Sliwa James A, Heinemann Allen, Semik Patrick
Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine and Rehabilitation Institute of Chicago, Chicago, IL, USA.
Arch Phys Med Rehabil. 2005 Oct;86(10):1920-3. doi: 10.1016/j.apmr.2005.04.024.
To identify demographic characteristics of burn patients referred for inpatient rehabilitation, the benefits of rehabilitation in this population, and factors that influence functional outcome.
Retrospective chart review.
Free-standing rehabilitation hospital.
Patients (N=129) admitted for inpatient rehabilitation after a burn injury.
Comprehensive inpatient rehabilitation.
Demographic data and the FIM instrument on admission and discharge for all patients.
Linear measures of functional status derived by Rasch analysis of the FIM showed significant improvements from admission to discharge for all patients. There was no correlation between total body surface area (TBSA), premorbid psychiatric alcohol or drug abuse history, and change between admission and discharge FIM score. There was a significant correlation between TBSA burn and age and between TBSA and length of stay.
Burn patients referred for inpatient rehabilitation are either older or have large TBSA burns. All patients made significant functional improvements and consequently inpatient rehabilitation can be considered an important component of care after a burn injury.
确定被转介接受住院康复治疗的烧伤患者的人口统计学特征、该人群康复治疗的益处以及影响功能结局的因素。
回顾性病历审查。
独立的康复医院。
烧伤后接受住院康复治疗的患者（N = 129）。
全面的住院康复治疗。
所有患者入院时和出院时的人口统计学数据及FIM量表。
通过对FIM进行拉施分析得出的功能状态线性指标显示，所有患者从入院到出院均有显著改善。总体表面积（TBSA）、病前精神疾病、酒精或药物滥用史与入院和出院时FIM评分的变化之间无相关性。TBSA烧伤与年龄之间以及TBSA与住院时间之间存在显著相关性。
被转介接受住院康复治疗的烧伤患者要么年龄较大，要么TBSA烧伤面积较大。所有患者的功能均有显著改善，因此住院康复治疗可被视为烧伤后护理的重要组成部分。
