Journal article
Demographic and Burn Injury-Specific Variables Associated with Limited Joint Mobility at Discharge in a Multicenter Study
Journal of burn care & research, Vol.41(2), pp.363-370
03/01/2020
DOI: 10.1093/jbcr/irz174
PMID: 31895409
Abstract
Burn scar contractures. Existing research on contractures is limited by incomplete analysis of potential contributing variables and differing protocols. This study expands the exploration of contributing variables to include surgery and rehabilitation treatment-related factors. Additionally, this study quantifies direct patient therapy time and patient exposure to rehabilitation prevention therapies. Data from subjects enrolled in the prospective Burn Patient Acuity Demographics, Scar Contractures and Rehabilitation Treatment Related to Patient Outcome Study (ACT) were analyzed to determine variables related to a limited range of motion (limROM) in seven joints and 18 motions (forearm supination) at discharge. Chi-squared and Student's t-test were used accordingly. Multivariate analysis was performed at the patient and joint motion level to control for confounders. Of the 300-member study group, 259 (86.3%) patients had limROM at discharge. Variables independently related to the development of moderate-to-severe limROM on the patient level were larger TBSA, having skin grafted and prolonged bed rest. Variables independently related to moderate-severe limROM on the joint motion level were the percentage of cutaneous functional unit (CFU) burned (P = .044), increase in the length of stay, weight gain, poor compliance with rehabilitation therapy and lower extremity joint burns. Rates of limROM are increased in patients who had larger burns, required surgery, had a greater percentage of the associated CFU burned, and had lower extremity burns. Attention to adequate pain control to ensure rehabilitation tolerance and early ambulation may also decrease limROM at discharge and quicker return to pre-burn activities and employment.
Details
- Title: Subtitle
- Demographic and Burn Injury-Specific Variables Associated with Limited Joint Mobility at Discharge in a Multicenter Study
- Creators
- Jonathan Lensing - University of IowaLucy Wibbenmeyer - University of IowaJunlin Liao - University of IowaIngrid Parry - University of IowaKaren Kowalske - University of IowaRichard Reg - University of IowaRichard C. Schneider - Univ Iowa, Dept Surg, Acute Surg Div, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.41(2), pp.363-370
- DOI
- 10.1093/jbcr/irz174
- PMID
- 31895409
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Publisher
- Oxford Univ Press
- Number of pages
- 8
- Language
- English
- Date published
- 03/01/2020
- Academic Unit
- Surgery; Injury Prevention Research Center
- Record Identifier
- 9984321864502771
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