Impact of Cognition on Burn Inpatient Rehabilitation Outcomes.
Alexander J Bajorek, Chloe Slocum, Richard Goldstein and 6 others
PMID 27404335WHAT IT FOUND
Higher cognitive scores at burn rehab admission were associated with greater total function gain and lower early acute transfer chance.
Each extra cognitive point was linked to 0.7 more FIM points and a 24% lower chance of transfer within 3 days.
Key findings
01Admission cognitive FIM total scores were significantly associated with total FIM gain, length of stay efficiency, and early acute transfers.
02Each one-point increase in admission cognitive FIM total score was associated with 0.7 more total FIM gain.
03Each one-point increase in admission cognitive FIM total score was associated with 24% lower odds of early acute transfer.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study used retrospective database records, so it can show association but cannot prove cause. Total burn surface area was missing for about one-half of patients and was imputed. The database did not include burn type, medication dosing, or reasons for acute transfer. The cognitive FIM total score is a global measure and may miss specific cognitive problems. No minimal clinically important difference for FIM gain has been established for burn patients in this setting. FIM scores were collected only on admission and discharge, so changes during the stay could not be assessed.
The easy way to misread this
Do not conclude that treating cognition will improve burn rehabilitation outcomes. This was an observational database study showing associations only, and it did not test cognitive interventions or establish cause.