Physical functional outcome assessment of patients with major burns admitted to a UK Burn Intensive Care Unit

Sarah T. Smailes, Kayleen Engelsman, Peter Dziewulski

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Determining the discharge outcome of burn patients can be challenging and therefore a validated objective measure of functional independence would assist with this process. We developed the Functional Assessment for Burns (FAB) score to measure burn patients' functional independence. FAB scores were taken on discharge from ICU (FAB 1) and on discharge from inpatient burn care (FAB 2) in 56 patients meeting the American Burn Association criteria for major burn. We retrospectively analysed prospectively collected data to measure the progress of patients' physical functional outcomes and to evaluate the predictive validity of the FAB score for discharge outcome. Mean age was 38.6 years and median burn size 35%. Significant improvements were made in the physical functional outcomes between FAB 1 and FAB 2 scores (p < 0.0001). 48 patients were discharged home, 8 of these with social care. 8 patients were transferred to another hospital for further inpatient rehabilitation. FAB 1 score (≤9) is strongly associated with discharge outcome (p < 0.006) and as such can be used to facilitate early discharge planning. FAB 2 score (≤26) independently predicts discharge outcome (p < 0.0001) and therefore is a valid outcome measure to determine discharge outcome of burn patients.

Original languageEnglish (US)
Pages (from-to)37-43
Number of pages7
JournalBurns
Volume39
Issue number1
DOIs
StatePublished - Feb 1 2013
Externally publishedYes

    Fingerprint

Keywords

  • Discharge outcome
  • Functional Assessment for Burns score
  • Physical functional outcome assessment

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this