Polytraumatisierte Brandverletzte

Abstract

Most polytraumatized burn injury persons aged 30-40 years who have suffered a burn or a burn-like injury are stigmatized by serious functional deficits, temporary loss of their social independence, injury-associated psychological reactions of different levels, and unusual reversible deficits in their higher cortical functions. The result is a prolonged stage of acute treatment and rehabilitation as well as very often the lifelong need for highly specialized care by physicians and other medical professionals. Accordingly, the deficits in any individual case are high and in spite of the low case rate (approximately 300-400 cases/ year) these accidents have a high impact on society as a whole, resulting in a significant financial burden for the social security system, insurance funds, and pension funds.

Evaluation of an International Classification of Functioning, Disability and Health-based rehabilitation for thermal burn injuries: a prospective non-randomized design

“…During the rehabilitation process, the injured persons and those in their social environment should accept and learn an unbiased handling of the consequences of the injury. These goals can be achieved by helping the person to regain activity and providing behavioral therapy, compensatory strategies (functional adaptation), and assistance in coping with the trauma [5, 6].…”

“…Besides differences in elaborateness, they all confirm the importance of this phase in the treatment of burn injuries. The most clearly defined indications for burn rehabilitation are described in the guidelines of the German Society for Burn Medicine, as listed in Table 1 [6, 14].…”

“…During the rehabilitation process, consultations involving multiple other medical disciplines such as pain medicine are often needed. Regular meetings of a multidisciplinary team focusing on the quality of patients’ lives are recommended [6].…”