Article

OBJECTIVE: To analyze potential cognitive impairment in patients with burn injury
in the inpatient rehabilitation population. DESIGN: Rehabilitation patients with
burn injury were compared with the following impairment groups: spinal cord
injury, amputation, polytrauma and multiple fractures, and hip replacement.
Differences between the groups were calculated for each cognitive subscale item
and total cognitive FIM. Patients with burn injury were compared with the other
groups using a bivariate linear regression model. A multivariable linear
regression model was used to determine whether differences in cognition existed
after adjusting for covariates (eg, sociodemographic factors, facility factors,
medical complications) based on previous studies. SETTING: Inpatient
rehabilitation facilities. PARTICIPANTS: Data from Uniform Data System for
Medical Rehabilitation from 2002 to 2011 for adults with burn injury (N=5347)
were compared with other rehabilitation populations (N=668,816). INTERVENTIONS:
Not applicable. MAIN OUTCOME MEASURES: Comparison of total cognitive FIM scores
and subscales (memory, verbal comprehension, verbal expression, social
interaction, problem solving) for patients with burn injury versus other
rehabilitation populations. RESULTS: Adults with burn injuries had an average
total cognitive FIM score +/- SD of 26.8+/-7.0 compared with an average FIM score
+/- SD of 28.7+/-6.0 for the other groups combined (P<.001). The subscale with
the greatest difference between those with burn injury and the other groups was
memory (5.1+/-1.7 compared with 5.6+/-1.5, P<.001). These differences persisted
after adjustment for covariates. CONCLUSIONS: Adults with burn injury have worse
cognitive FIM scores than other rehabilitation populations. Future research is
needed to determine the impact of this comorbidity on patient outcomes and
potential interventions for these deficits.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS