[The Assessment of REC after Thermal Trauma as Part of the Appraisal Process for Statutory Accident Insurance in Germany (Part 1): Low Validity of the REC Form Developed by Donnersmarck and Hörbrand].
The total REC (reduction in earning capacity) after a thermal trauma is usually assessed using an appraisal form for burns victims, initially developed by Hoerbrandt and von Donnersmarck (1995). The criteria for functional impairment, local findings and vegetative-somatic complaints are somewhat imprecise given the broad scope of interpretation which the evaluator can employ in making an appraisal. This means that the overall appraisal of REC is subjective on the part of the evaluator. In addition, one can only calculate an overall REC of at most 40% from local findings and vegetative-somatic symptoms, even in patients with extensive large area burns. Considering these points we investigated the dependency of the results on the evaluator as well as the limited validity of the appraisal form originally developed by Hörbrand and Donnersmark.
Zentrum für Schwerbrandverletzte mit Plastischer Chirurgie, Unfallkrankenhaus Berlin, Berlin.
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C
Ottomann
Klinik für Orthopädie, Unfallchirurgie und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Marienhospital Stuttgart.
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Rapp
Plastische Chirurgie, Clinica Vita, Berlin.
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JC
Bruck
Zentrum für Schwerbrandverletzte mit Plastischer Chirurgie, Unfallkrankenhaus Berlin, Berlin.
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B
Hartmann
D000059:Accidents / Q000191:economics* / Q000331:legislation & jurisprudence*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000145:classification / Q000191:economics* / Q000601:surgery*; D035881:Compensation and Redress / Q000331:legislation & jurisprudence*; D004185:Disability Evaluation; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005260:Female; D005858:Germany; D006801:Humans; D007346:Insurance, Accident / Q000191:economics* / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics* / Q000331:legislation & jurisprudence*; D015588:Observer Variation; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D055815:Young Adult