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

FRAIL group; Dutch Burn Repository group

doi:10.3390/ebj4010009

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

FRAIL group
, Dutch Burn Repository group

Healthy Ageing, Allied Health Care and Nursing

Vereniging Samenwerkende Brandwondencentra in Nederland
Erasmus MC, Department of Surgery, Trauma Research Unit
Maasstad Hospital, Department of Trauma and Burn Surgery
Association of Dutch Burn Centres, Burn Centre, Red Cross Hospital
Rijksuniversiteit Groningen, Universitair Medisch Centrum Groningen, Afdeling Bewegingswetenschappen
Maasstad Hospital, Department of Gerontology and Geriatrics
Erasmus MC, Department of Internal Medicine, Section of Geriatric Medicine
Association of Dutch Burn Centres, Burn Centre, Maasstad Hospital
Erasmus MC, University Medical Center Rotterdam, Department of Public Health

Onderzoeksoutput: Article › Academic › peer review

Samenvatting

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.

Originele taal-2	English
Pagina's (van-tot)	87-100
Aantal pagina's	14
Tijdschrift	European Burn Journal
Volume	4
Nummer van het tijdschrift	1
DOI's	https://doi.org/10.3390/ebj4010009
Status	Published - 13 feb. 2023

Keywords

Nederlands Veiligheidsmanagementprogramma
brandwondenzorg
haalbaarheid
kwetsbaarheidsscreening
ouderen
validiteit

Research Focus Areas Hanze University of Applied Sciences

Healthy Ageing

Research Focus Areas Research Centre or Centre of Expertise

Kwetsbaarheid en passende zorg

Publinova thema's

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10.3390/ebj4010009Licentie: CC BY

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title = "Frailty Screening Practice in Specialized Burn Care: A Retrospective Multicentre Cohort Study",

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.",

keywords = "Dutch Safety Mangement Program, burn care, elderly, feasibility, frailty screening, validity, Nederlands Veiligheidsmanagementprogramma, brandwondenzorg, haalbaarheid, kwetsbaarheidsscreening, ouderen, validiteit",

author = "\{FRAIL group\} and \{Dutch Burn Repository group\} and Cords, \{Charlotte I\} and \{van der Vlies\}, \{Cornelis H\} and Matthea Stoop and Nieuwenhuis, \{Marianne K\} and Kris Boudestein and Mattace-Raso, \{Francesco U S\} and \{van Baar\}, \{Margriet E\}",

year = "2023",

month = feb,

day = "13",

doi = "10.3390/ebj4010009",

language = "English",

volume = "4",

pages = "87--100",

journal = "European Burn Journal",

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publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

number = "1",

}

TY - JOUR

T1 - Frailty Screening Practice in Specialized Burn Care

T2 - A Retrospective Multicentre Cohort Study

AU - FRAIL group

AU - Dutch Burn Repository group

AU - Cords, Charlotte I

AU - van der Vlies, Cornelis H

AU - Stoop, Matthea

AU - Nieuwenhuis, Marianne K

AU - Boudestein, Kris

AU - Mattace-Raso, Francesco U S

AU - van Baar, Margriet E

PY - 2023/2/13

Y1 - 2023/2/13

N2 - 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.

AB - 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.

KW - Dutch Safety Mangement Program

KW - burn care

KW - elderly

KW - feasibility

KW - frailty screening

KW - validity

KW - Nederlands Veiligheidsmanagementprogramma

KW - brandwondenzorg

KW - haalbaarheid

KW - kwetsbaarheidsscreening

KW - ouderen

KW - validiteit

U2 - 10.3390/ebj4010009

DO - 10.3390/ebj4010009

M3 - Article

C2 - 39599973

SN - 2673-1991

VL - 4

SP - 87

EP - 100

JO - European Burn Journal

JF - European Burn Journal

IS - 1

ER -

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

Samenvatting

Keywords

Research Focus Areas Hanze University of Applied Sciences

Research Focus Areas Research Centre or Centre of Expertise

Publinova thema's

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