Balance Impairment in the Burn Population: A Burn Model System National Database Study

IF 1 Q4 CRITICAL CARE MEDICINE
Edward Santos, Kaitlyn L. Chacon, Lauren J. Shepler, K. McMullen, Mary D Slavin, Marc van de Rijn, K. Kowalske, Colleen M. Ryan, Jeffrey C Schneider
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Abstract

Balance is an important component of daily function and impairments can lead to injury and quality-of-life limitations. Balance is not well studied in the burn population. This study examines the frequency of long-term balance impairments and associated factors after a burn injury. The Burn Model System National Database was analyzed. Trouble with balance was self-reported at discharge, 6, 12, 24, and 60 months after injury. Regression analyses examined the associations between demographic and clinical characteristics and balance impairments at 12 months. Of 572 participants, balance impairments were most reported at discharge (40.3%), continuing over 60 months (26.8–36.0%). Those reporting balance impairments (n = 153) were more likely to be older, unemployed, have Medicaid or Medicare, receive inpatient rehabilitation, receive outpatient physical or occupational therapy, have vision problems, have leg or feet burns and swelling, and have foot numbness compared to those without (p ≤ 0.001). Regression analysis demonstrated a 4% increased odds of balance impairment for every increase in year of age (p < 0.001), 71% lower odds if employed at time of injury (p < 0.001), and 140% higher odds if receiving outpatient physical or occupational therapy at 12 months (p = 0.008). Common reports of balance impairments highlight the need for routine screenings to identify burn survivors that may benefit from targeted interventions.
烧伤人群的平衡障碍:烧伤模型系统国家数据库研究
平衡是日常功能的一个重要组成部分,平衡受损会导致伤害和生活质量受限。对烧伤人群平衡能力的研究并不多。本研究探讨了烧伤后长期平衡障碍的频率和相关因素。研究分析了烧伤模型系统国家数据库。在出院时、受伤后 6 个月、12 个月、24 个月和 60 个月,患者都会自我报告平衡问题。回归分析研究了人口统计学特征和临床特征与 12 个月时平衡障碍之间的关系。在 572 名参与者中,出院时报告平衡障碍的人数最多(40.3%),并在 60 个月内持续存在(26.8%-36.0%)。与无平衡障碍者相比,有平衡障碍者(n = 153)更有可能是老年人、失业者、享受医疗补助或医疗保险者、接受住院康复治疗者、接受门诊物理或职业治疗者、有视力问题者、腿部或足部烧伤和肿胀者以及足部麻木者(p ≤ 0.001)。回归分析表明,年龄每增加一岁,平衡能力受损的几率就会增加 4%(p < 0.001),如果受伤时有工作,几率会降低 71%(p < 0.001),如果在 12 个月内接受了门诊物理或职业治疗,几率会增加 140%(p = 0.008)。关于平衡障碍的常见报告突出表明,有必要进行常规筛查,以识别可能受益于针对性干预措施的烧伤幸存者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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