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Burn Functional Outcomes - Ventilator Usage and Discharge Ambulation Status of Patients in a Burn Wound in-Patient

R L Harmon1, M A H Mian, B Alam

  • 1Doctors Hospital Rehabilitation Unit and Joseph M. Still Burn Center at Doctors Hospital, Augusta, Georgia, USA.

Annals of Burns and Fire Disasters
|October 13, 2011
PubMed

Insights

Burn patients with thermal injuries, inhalation injuries, or requiring ventilator support were less likely to achieve independent ambulation at hospital discharge. This finding aids in prognosis and discharge planning for burn survivors.

Area of Science:

  • Burn Care
  • Rehabilitation Medicine
  • Clinical Outcomes

Background:

  • Accurate prediction of functional outcomes for burn patients is crucial for patient counseling and discharge planning.
  • In-patient burn wound centers manage complex cases requiring specialized care.
  • Understanding factors influencing mobility at discharge is essential for optimizing patient recovery.

Purpose of the Study:

  • To identify predictors of ambulation status at hospital discharge among burn patients.
  • To inform prognosis and guide case management strategies in burn care.

Main Methods:

  • Retrospective review of 37 burn patient records at an in-patient burn wound center.
  • Data collected included patient demographics, burn characteristics, ventilator use, and mobility at discharge.
  • Statistical analysis was performed to compare ambulation outcomes based on injury type and treatment received.

Main Results:

  • Out of 36 analyzed patients, 17 had thermal burns and 9 (25%) had inhalation injuries.
  • Patients with thermal burns (p=0.02), those requiring ventilator support (p=0.04), and those with inhalation injuries (p=0.04) were significantly less likely to be ambulatory at discharge.
  • Mobility outcomes were analyzed after excluding non-ambulatory patients and those with missing data.

Conclusions:

  • Thermal burns, inhalation injuries, and the need for ventilator support are associated with reduced likelihood of independent ambulation at hospital discharge.
  • These findings highlight specific patient groups who may require more intensive rehabilitation and support.
  • Further research is warranted to validate these preliminary findings and explore interventions.

Keywords:
BURNCENTREDISCHARGEOUTCOMESPATIENTSVENTILATOR

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