Deena Kishawi1, Amy W Wozniak2, Michael J Mosier3. 1. Stritch School of Medicine, USA. Electronic address: dkishawi@luc.edu. 2. Loyola University Health Science Division, USA. 3. Loyola University Department of Surgery, USA.
Abstract
INTRODUCTION: Burn injuries create physiologic, physical, and emotional effects acutely and long-lasting. Recovery is extensive and requires long-term care. Impaired function related to pain, deconditioning, weakness, and contracture formation are common. We sought to determine factors that impact quality of life (QOL) post recovery. Specifically, to assess whether Health Related QOL (HRQOL) decreases with increasing percent total body surface area (TBSA) and length of stay (LOS). We also explored QOL as a function of burn mechanism. METHODS: Patients >18 years of age with >9.5% TBSA between 1 and 6 years post-burn injury were contacted by mail and asked if they were willing to participate. Those who agreed responded by returning their completed Burn Specific Health Scale-Brief (BSHS-B). Medical records were accessed to determine demographic and treatment information. RESULTS: Statistical analysis revealed a strong correlation between total QOL (total score of BSHS-B) and LOS and TBSA. All domains were negatively correlated with increasing LOS and TBSA. LOS was most strongly correlated with decreasing work function and social function. There were no differences in QOL between burn mechanism. CONCLUSIONS: QOL is greatly impacted by TBSA and LOS.More attention to body image and returning to work should be given, regardless of the type of burn mechanism.
INTRODUCTION: Burn injuries create physiologic, physical, and emotional effects acutely and long-lasting. Recovery is extensive and requires long-term care. Impaired function related to pain, deconditioning, weakness, and contracture formation are common. We sought to determine factors that impact quality of life (QOL) post recovery. Specifically, to assess whether Health Related QOL (HRQOL) decreases with increasing percent total body surface area (TBSA) and length of stay (LOS). We also explored QOL as a function of burn mechanism. METHODS:Patients >18 years of age with >9.5% TBSA between 1 and 6 years post-burn injury were contacted by mail and asked if they were willing to participate. Those who agreed responded by returning their completed Burn Specific Health Scale-Brief (BSHS-B). Medical records were accessed to determine demographic and treatment information. RESULTS: Statistical analysis revealed a strong correlation between total QOL (total score of BSHS-B) and LOS and TBSA. All domains were negatively correlated with increasing LOS and TBSA. LOS was most strongly correlated with decreasing work function and social function. There were no differences in QOL between burn mechanism. CONCLUSIONS: QOL is greatly impacted by TBSA and LOS.More attention to body image and returning to work should be given, regardless of the type of burn mechanism.
Authors: Cailin A Abouzeid; Audrey E Wolfe; Pengsheng Ni; Gretchen J Carrougher; Nicole S Gibran; Flora M Hammond; Radha Holavanahalli; Kara A McMullen; Kimberly Roaten; Oscar Suman; Barclay T Stewart; Steven Wolf; Ross Zafonte; Lewis E Kazis; Colleen M Ryan; Jeffrey C Schneider Journal: J Trauma Acute Care Surg Date: 2022-01-25 Impact factor: 3.697
Authors: Colleen M Ryan; Gabriel D Shapiro; Camerin A Rencken; Cornelia Griggs; James C Jeng; William L Hickerson; Molly Marino; Jeremy Goverman; Lewis E Kazis; Jeffrey C Schneider Journal: Ann Surg Date: 2020-12-18 Impact factor: 13.787