一项基于国际功能、残疾和健康分类（ICF）评估新的烧伤康复方案的前瞻性多中心非劣效性试验。

IF 3.2 3区医学 Q2 CRITICAL CARE MEDICINE

Burns Pub Date : 2025-03-15 DOI:10.1016/j.burns.2025.107461

Leila Harhaus , Hans Ziegenthaler , Hubert Neubauer , Felix J. Klimitz , Mareike Strupat , Sabine Ripper , Ulrich Kneser , Annette Stolle

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引用次数: 0

摘要

背景：烧伤对身体和心理健康有持久的影响。本研究基于国际功能、残疾和健康分类（ICF）模型评估了两种烧伤特异性康复方案的结果。方法：在一项前瞻性多中心试验中，103例与工作有关的烧伤患者在新建立的基于icf的项目（中心a）或已建立的项目（中心B）中接受多学科康复治疗。在住院康复开始（T1）和结束（T2）以及出院后3个月（T3）和12个月（T4）进行综合结果评估，以评估两种康复方案的有效性。该研究包括对每个中心的纵向变化进行分析，以评估患者随时间的预后，并在每个时间点对两个中心进行比较，以评估康复效果的潜在差异。主要结果是36项短表调查（SF-36）的身体成分评分（PCS）和精神成分评分（MCS），次要结果包括握力、活动范围（AROM）和烧伤疤痕评估等。结果：结果显示，从T1到T4，身体健康（sf - 36pcs）有显著改善（p ）。结论：本研究强调了基于icf的康复对身体恢复的积极影响，持续的心理健康需求强调了长期心理支持对烧伤幸存者的重要性。

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A prospective multicenter non-inferiority trial to evaluate a new burn rehabilitation program based on the International Classification of Functioning, Disability and Health (ICF)

Background

Burn injuries have a lasting impact on physical and psychological health. This study evaluated outcomes for two burn-specific rehabilitation programs based on the International Classification of Functioning, Disability, and Health (ICF) model.

Methods

In a prospective multicenter trial, 103 patients with work-related burn injuries underwent multidisciplinary rehabilitation in either a newly established ICF-based program (Center A) or a well-established program (Center B). A comprehensive outcome assessment was performed at the beginning (T1) and the end of inpatient rehabilitation (T2), and at three (T3) and 12 months (T4) after discharge to evaluate the effectiveness of the two rehabilitation programs. The study included an analysis of longitudinal changes within each center to assess patient outcomes over time and a comparison between the two centers at each time point to evaluate potential differences in rehabilitation effectiveness. Primary outcomes were the Physical Component Score (PCS) and Mental Component Score (MCS) of the 36-Item Short Form Survey (SF-36), with secondary outcomes including grip strength, active range of motion (AROM), and burn scar assessment among others.

Results

Results showed significant improvements in physical health (SF-36 PCS) from T1 to T4 (p < 0.001), while mental health (SF-36 MCS) showed no significant change (p = 0.20). Grip strength and AROM improved significantly over time in both centers. Non-inferiority between centers was confirmed for all outcomes except MCS at T2 and T3.

Conclusion

This study highlights the positive impact of ICF-based rehabilitation on physical recovery, with ongoing mental health needs underscoring the importance of long-term psychological support for burn survivors.

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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.