烧伤中心与外部中心门诊康复的人口结构模式和结果:烧伤模型系统数据库研究
Dania Johnson1, Trevor A Pickering2, Dawn Kurakazu3
1Keck School of Medicine of University of Southern California, Los Angeles, CA, United States.
概括
物理和职业治疗 (PT/OT) 有助于火灾幸存者恢复. 烧伤中心康复可能会改善社区整合,但任何环境中的治疗都有利于整体功能.
科学领域:
- 康复医学 康复医学 康复医学
- 烧伤手术的结果
- 患者报告的结果
背景情况:
- 烧伤恢复需要广泛的门诊康复,包括物理和职业治疗 (PT / OT).
- 康复设置因地理和保险的影响而有所不同,但对其对结果的影响数据有限.
- 了解不同的康复环境如何影响烧伤幸存者的功能恢复至关重要.
研究的目的:
- 研究成年烧伤幸存者的康复环境 (烧伤中心与外部) 与患者报告的功能结果之间的关联.
- 分析PT/OT利用的趋势,并在放电后的时间内设置偏好.
- 确定影响康复环境选择的因素及其对康复的影响.
主要方法:
- 对成年烧伤幸存者的多中心纵向数据库 (2016-2024) 的回顾性分析.
- 康复机构的分类是在6,12和24个月后退院后的烧伤中心内或外.
- 根据人口统计,保险和身体总表面积 (TBSA) 进行调整的混合效应模型,以评估身体功能,社会角色和社区融合.
主要成果:
- 随着时间的推移,PT/OT使用和烧伤中心治疗的利用率在出院后显著下降.
- 未经调整的分析表明,在烧伤中心康复后,身体功能和社会角色得分更好,尽管在调整后没有统计学意义.
- 烧伤中心康复与改善社区整合有显著的关联 (p=.05).
结论:
- 虽然烧伤中心康复可以提高烧伤幸存者的社区重返社会,但结构化的PT / OT无论环境如何都是有益的.
- 伤害的严重程度和保险影响康复设置的选择.
- 所有的康复机构都会为火灾幸存者的康复过程做出贡献.
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