Frailty Screening Practice in Specialized Burn Care—A Retrospective Multicentre Cohort Study

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-02-13 DOI:10.3390/ebj4010009

C. Cords, C. H. van der Vlies, M. Stoop, M. Nieuwenhuis, K. Boudestein, F. Mattace-Raso, M. V. van Baar

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Abstract

Background: Frailty can have a negative influence on outcomes in elderly patients after burn injuries. The Dutch hospitals have used a four-domain frailty screening instrument from the Dutch Safety Management System (DSMS) since 2012. However, its feasibility and validity have hardly been studied. We aim to assess the feasibility and validity of frailty screening in specialized burn care. Methods: A multicentre retrospective cohort study was conducted in all Dutch burn centres. Patients aged ≥ 70, with a primary admission between 2012–2018, were included. Data were derived from electronic patient files. Results: In total, 515 patients were included. Frailty screening was complete in 39.6% and partially complete in 23.9%. Determinants for a complete screening were admission after 2015 (OR = 2.15, 95% CI 1.42–3.25) and lower percentage TBSA burned (OR = 0.12, 95% CI 0.05–029). In all completely screened patients, 49.9% were at risk of frailty. At risk patients were older, had more comorbidities (known group validity), a longer length of stay, and more frequently a non-home discharge (predictive validity). Conclusion: Frailty screening in specialized burn care is feasible and was conducted in 63.5% of admitted patients. In total, 44% of screened patients were at risk of frailty. Validity of frailty screening was confirmed. Frailty screening can contribute to optimal specialized burn care.

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烧伤专科护理中的衰弱筛查实践——多中心回顾性队列研究

背景:虚弱会对老年烧伤患者的预后产生负面影响。自2012年以来，荷兰医院一直使用荷兰安全管理系统(DSMS)的四域虚弱筛查工具。然而，其可行性和有效性却鲜有研究。我们的目的是评估虚弱筛查在烧伤专科护理中的可行性和有效性。方法:在荷兰所有烧伤中心进行多中心回顾性队列研究。患者年龄≥70岁，首次入院时间为2012-2018年。数据来源于电子病历。结果:共纳入515例患者。39.6%的患者完成虚弱筛查，23.9%的患者部分完成虚弱筛查。完整筛查的决定因素是2015年后入院(OR = 2.15, 95% CI 1.42-3.25)和较低的TBSA烧伤百分比(OR = 0.12, 95% CI 0.05-029)。在所有完全筛查的患者中，49.9%有虚弱的风险。有风险的患者年龄较大，合并症较多(已知的组效度)，住院时间较长，并且更频繁地非家庭出院(预测效度)。结论:虚弱筛查在烧伤专科护理中是可行的，63.5%的住院患者进行了虚弱筛查。总的来说，44%的筛查患者有虚弱的风险。虚弱筛查的有效性得到了证实。虚弱筛查有助于最佳的专门烧伤护理。

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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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.