Benjamin B Wang1, Khushbu F Patel2, Audrey E Wolfe3, Shelley Wiechman4, Kara McMullen4, Nicole S Gibran5, Karen Kowalske6, Walter J Meyer7, Lewis E Kazis8, Colleen M Ryan2, Jeffrey C Schneider9. 1. Tufts University School of Medicine, Boston, MA, United States. 2. Shriners Hospitals for Children - Boston, Boston, MA United States; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States. 3. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Charlestown, MA, United States. 4. Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States. 5. Department of Surgery, University of Washington Harborview, Seattle, WA, United States. 6. Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, United States. 7. Department of Psychiatry, University of Texas Medical Branch, Galveston, TX, United States. 8. Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, United States. 9. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Charlestown, MA, United States. Electronic address: jcschneider@partners.org.
Abstract
INTRODUCTION: Facial burns account for persistent differences in psychosocial functioning in adult burn survivors. Although adolescent burn survivors experience myriad chronic sequelae, little is known about the effect of facial injuries. This study examines differences in long-term outcomes with and without head and neck involvement. METHODS: Data collected for 392 burn survivors between 14-17.9 years of age from the Burn Model System National Database (2006-2015) were analyzed. Comparisons were made between two groups based on presence of a head and neck burn (H&N) using the following patient reported outcome measures: Satisfaction with Appearance Scale, Satisfaction with Life Scale, Community Integration Questionnaire, and Short Form-12 Health Survey at 6, 12, and 24 months after injury. Regression analyses were used to assess association between outcome measures and H&N group at 12-months. RESULTS: The H&N group had more extensive burns, had longer hospital stays, were more likely to be burned by fire/flame and were more likely to be Hispanic compared to the non-H&N group. Regression analysis found that H&N burn status was associated with worse SWAP scores. No significant associations were found between H&N burn status and other outcome measures. CONCLUSIONS: Adolescents with H&N burn status showed significantly worse satisfaction with appearance at 12-months after injury. Future research should examine interventions to help improve body image and coping for adolescent burn survivors with head and neck burns.
INTRODUCTION: Facial burns account for persistent differences in psychosocial functioning in adult burn survivors. Although adolescent burn survivors experience myriad chronic sequelae, little is known about the effect of facial injuries. This study examines differences in long-term outcomes with and without head and neck involvement. METHODS: Data collected for 392 burn survivors between 14-17.9 years of age from the Burn Model System National Database (2006-2015) were analyzed. Comparisons were made between two groups based on presence of a head and neck burn (H&N) using the following patient reported outcome measures: Satisfaction with Appearance Scale, Satisfaction with Life Scale, Community Integration Questionnaire, and Short Form-12 Health Survey at 6, 12, and 24 months after injury. Regression analyses were used to assess association between outcome measures and H&N group at 12-months. RESULTS: The H&N group had more extensive burns, had longer hospital stays, were more likely to be burned by fire/flame and were more likely to be Hispanic compared to the non-H&N group. Regression analysis found that H&N burn status was associated with worse SWAP scores. No significant associations were found between H&N burn status and other outcome measures. CONCLUSIONS: Adolescents with H&N burn status showed significantly worse satisfaction with appearance at 12-months after injury. Future research should examine interventions to help improve body image and coping for adolescent burn survivors with head and neck burns.
Authors: Anouk M Oosterwijk; Leonora J Mouton; Hennie Schouten; Laurien M Disseldorp; Cees P van der Schans; Marianne K Nieuwenhuis Journal: Burns Date: 2016-09-14 Impact factor: 2.744
Authors: Frederick J Stoddard; Heidi Ronfeldt; Jerome Kagan; Jennifer E Drake; Nancy Snidman; J Michael Murphy; Glenn Saxe; Jennifer Burns; Robert L Sheridan Journal: Am J Psychiatry Date: 2006-06 Impact factor: 18.112
Authors: Lewis E Kazis; Austin F Lee; Mary Rose; Matthew H Liang; Nien-Chen Li; Xinhua S Ren; Robert Sheridan; Janet Gilroy-Lewis; Fred Stoddard; Michelle Hinson; Glenn Warden; Kim Stubbs; Patricia Blakeney; Walter Meyer; Robert McCauley; David Herndon; Tina Palmieri; Kate Mooney; David Wood; Frank Pidcock; Debra Reilly; Marc Cullen; Catherine Calvert; Colleen M Ryan; Jeffrey C Schneider; Marina Soley-Bori; Ronald G Tompkins Journal: JAMA Pediatr Date: 2016-06-01 Impact factor: 16.193
Authors: Kristine M Bombaro; Loren H Engrav; Gretchen J Carrougher; Shelly A Wiechman; Lee Faucher; Beth A Costa; David M Heimbach; Frederick P Rivara; Shari Honari Journal: Burns Date: 2003-06 Impact factor: 2.744
Authors: William Russell; Rhonda S Robert; Christopher R Thomas; Charles E Holzer; Patricia Blakeney; Walter J Meyer Journal: J Burn Care Res Date: 2013 Jul-Aug Impact factor: 1.845
Authors: Bradford S Pierce; Paul B Perrin; Mickeal Pugh; Annahir N Cariello; Richard S Henry; Megan E Sutter; Shelley A Wiechman; Jeffrey C Schneider Journal: Am J Phys Med Rehabil Date: 2020-07 Impact factor: 3.412