Cognition in Patients with Burn Injury in the Inpatient Rehabilitation Population

Cognitive function after spinal cord injury

“…A total of 18 studies matched the criteria (table 1). 10,14,21,[24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] Eight studies utilized the comprehensive neuropsychological test battery. 10,25-28,32,34,36 Early reports by Wilmot et al 10 and Davidoff et al 26 reported the incidence of impairment at 64% and between 3% and 63%, respectively.…”

“…Five studies reported the incidence of cognitive impairment using the Functional Independence Measure (FIM) instrument. 29,33,35,37,38 The largest of these (n = 233,778) by Purohit et al 35 showed the incidence of impairment across comprehension (35%), expression (34%), social interaction (39%), memory (45%), and problem-solving (50%) acutely after SCI. Zonfrillo et al 38 reported impaired cognition in 52% of participants with tetraplegia and 33% of those with paraplegia at the time of admission and 19% in both groups at discharge.…”

Impact of Cognition on Burn Inpatient Rehabilitation Outcomes

“…It has been reported previously that patients with burn injury have lower cognitive FIM total scores on admission compared with other inpatient rehabilitation groups, particularly in the memory domain [11]. However, cognitive deficits are underappreciated clinical sequelae of burns [9,11]. Most often, rehabilitation of burn patients focuses on acute medical management and prevention of metabolic disturbances, pain, dermatologic, orthopedic, and peripheral neurologic complications.…”

“…The FIM instrument is made up of 2 domains, namely, motor and cognitive. Adults with burn injury have been reported to have worse cognitive FIM total scores on admission than other rehabilitation populations, particularly in the memory domain [9]. In one analysis of burn patients admitted to an IRF setting, 79% had cognitive FIM deficits on admission, and 27% had cognitive deficits at discharge [10].…”

“…Postacute neuropsychiatric symptoms have also been reported in the burn population, including delirium, temporary amnesia, hallucinations, and seizures [13]. However, cognitive sequelae of burns are not widely studied in the clinical inpatient rehabilitation setting [9,14‐16].…”