Colleen M Ryan1, Gabriel D Shapiro, Camerin A Rencken, Cornelia Griggs, James C Jeng, William L Hickerson, Molly Marino, Jeremy Goverman, Lewis E Kazis, Jeffrey C Schneider. 1. Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts Shriners Hospitals for Children - Boston, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada New York Presbyterian/Morgan Stanley Children's Hospital Department of Pediatric Radiology and Surgery, New York, New York Nathan Speare Regional Burn Treatment Center, Crozer-Chester Medical Center, Upland, Pennsylvania University of Tennessee Health Science Center, Memphis, Tennessee Quality Measurement and Health Policy Program, RTI International, Waltham, Massachusetts Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, Massachusetts Spaulding Research Institute, Boston, Massachusetts.
Abstract
OBJECTIVE: To assess the association of burn size and community participation as measured by the LIBRE Profile. SUMMARY OF BACKGROUND DATA: Burn size is an established clinical predictor of survival after burn injury. It is often a factor in guiding decisions surrounding early medical interventions, however, literature is inconclusive on its relationship to quality of life outcomes. METHODS: This is a secondary data analysis of a cross-sectional survey of adult burn survivors. Self-reported data were collected between October 2014 and December 2015 from 601 burn survivors aged ≥18 years with ≥5% total body surface area (TBSA) or burns to critical areas. Sociodemographic characteristics were compared between participants with small burns (≤40% TBSA burned) and large burns (>40% TBSA burned). Ordinary least squares regression models examined associations between burn size and LIBRE Profile scale scores with adjustments for sex, current work status, burns to critical areas, and time since burn injury. RESULTS: The analytic sample comprised 562 participants with data available for burn size. 42% of respondents had large burns (>40% TBSA burned) and 58% reported smaller burns (TBSA ≤40%). In adjusted regression models, patients with large burns tended to score lower on the Social Activities and Work & Employment scales (P < 0.05) and higher on the Family & Friends scale (P < 0.05). Participants with burns >40% TBSA scored lower for several individual items in the Social Activities scale and one item in the Work & Employment scale (P < 0.05). CONCLUSIONS: Increasing burn size was found to be negatively associated with selected items of Work & Employment, and Social Activities, but positively associated with aspects of Family & Friend Relationships. Future longitudinal studies are necessary to assess and understand the long-term social impact of burn injuries on adult populations.
OBJECTIVE: To assess the association of burn size and community participation as measured by the LIBRE Profile. SUMMARY OF BACKGROUND DATA: Burn size is an established clinical predictor of survival after burn injury. It is often a factor in guiding decisions surrounding early medical interventions, however, literature is inconclusive on its relationship to quality of life outcomes. METHODS: This is a secondary data analysis of a cross-sectional survey of adult burn survivors. Self-reported data were collected between October 2014 and December 2015 from 601 burn survivors aged ≥18 years with ≥5% total body surface area (TBSA) or burns to critical areas. Sociodemographic characteristics were compared between participants with small burns (≤40% TBSA burned) and large burns (>40% TBSA burned). Ordinary least squares regression models examined associations between burn size and LIBRE Profile scale scores with adjustments for sex, current work status, burns to critical areas, and time since burn injury. RESULTS: The analytic sample comprised 562 participants with data available for burn size. 42% of respondents had large burns (>40% TBSA burned) and 58% reported smaller burns (TBSA ≤40%). In adjusted regression models, patients with large burns tended to score lower on the Social Activities and Work & Employment scales (P < 0.05) and higher on the Family & Friends scale (P < 0.05). Participants with burns >40% TBSA scored lower for several individual items in the Social Activities scale and one item in the Work & Employment scale (P < 0.05). CONCLUSIONS: Increasing burn size was found to be negatively associated with selected items of Work & Employment, and Social Activities, but positively associated with aspects of Family & Friend Relationships. Future longitudinal studies are necessary to assess and understand the long-term social impact of burn injuries on adult populations.
Authors: S B Brych; L H Engrav; F P Rivara; J T Ptacek; D C Lezotte; P C Esselman; K J Kowalske; N S Gibran Journal: J Burn Care Rehabil Date: 2001 Nov-Dec
Authors: Erin E Ross; Rachel A Colbath; Jeremy Yu; Naikhoba Munabi; T Justin Gillenwater; Haig A Yenikomshian Journal: J Burn Care Res Date: 2022-09-01 Impact factor: 1.819
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: Clifford C Sheckter; Sabina Brych; Gretchen J Carrougher; Steven E Wolf; Jeffrey C Schneider; Nicole Gibran; Barclay T Stewart Journal: J Burn Care Res Date: 2021-11-24 Impact factor: 1.819