122 Assessment of Frailty on Discharge Disposition and Long Term Functional Outcomes Following Burn Injury
Notice bibliographique
Résumé
Abstract Introduction There is an increasing aging population. The goal of our study was to look at how frailty impacts discharge from acute hospitalization as well as long term function at 1 year following their burn. Methods After IRB approval, all patients over age 50 who were admitted September 2019-2021 were considered for enrollment. Exclusion criteria included, a non-survival burn and underlying co-morbidities that would affect long term outcomes independent of a burn. Data collected included: age, gender, TBSA, surgical intervention, Canadian Health and Aging Frailty Score (CFS), discharge disposition, Barthel index, and a functional questionnaire. Follow-up phone calls were completed 6 month-1.5 post. Results Follow up data obtained via phone call for 30 subjects; the average age was 71 (10.8) years old with 8.6 % (16.5) TBSA, with a CFS average of 2.89 (1.5). 20 (40%) were lost to follow-up. 90 % of patients returned to their baseline and prior living environment. Of the patients who did not return to their prior functional status all had impaired Bartel index prior to their burn injury as well as higher CFS >5, as well as longer LOS (26 day), and were older. Discharge was assessed based on enrollment sample size (n=50), average age 71 yo (10.4), burn size of 7.4% TBSA (13.2), CFS of 3.4 (1.64), and length of stay 20 (25.09) days. 13 patients (26%) were discharge to an IRF, 10 patients (20%) to a SNF, and 27 patients (54%) to home. Patients who discharge home had Lower CFS 2.2, lower age, 69 y.o., and lower TBSA 5.6% compared to patients who were discharged to SNF and IRF. Patients who were discharge to an IRF were older (77yo), had larger TBSA (13.5) and a lower CFS (3) compared to patients who were discharged to a SNF. 80% of patients who discharge to a IRF returned to their prior level of function compared to 40 % who discharged to a SNF Conclusions This work helps structure discussions with the geriatric population about expectations to return to their prior level of function. Frailty appears to be associated with outcomes and discharge as lower CFS, older age and larger TBSA were more likely to discharge to IRF and recover to their baseline compared to patients with higher frailty score who were more likely to discharge to a SNF despite younger age and smaller TBSA. This shows that even relatively small burns (8% TBSA) in the elderly can affect ability to care for oneself and ability to go into the community 1 year after their injury. Applicability of Research to Practice This can be used by physicians and therapists to aide in discussions about discharge from the hospital as well as long term outcomes expected following their burn injury.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».