Cailin A Abouzeid1, 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. 1. From the Department of Physical Medicine and Rehabilitation (C.A.A., A.E.W., R.Z., L.E.K., J.C.S.), Spaulding Rehabilitation Hospital, Boston, Massachusetts; Department of Surgery (G.J.C., N.S.G., B.T.S.), University of Washington, Seattle, Washington; Department of Rehabilitation Medicine (K.A.M), University of Washington, Seattle, Washington; Harborview Injury Prevention and Research Center (B.T.S.), University of Washington, Seattle, Washington; Department of Physical Medicine and Rehabilitation (R.H.), University of Texas South Western Medical Center, Dallas, Texas; Department of Psychiatry (K.R.), University of Texas South Western Medical Center, Dallas, Texas; Department of Physical Medicine and Rehabilitation (F.M.H.), Indiana University School of Medicine, Indianapolis, Indiana; Rehabilitation Hospital of Indiana (F.M.H.), Indianapolis, Indiana; Department of Health Law, Policy, and Management (P.N., L.E.K.), Boston University School of Public Health, Boston, Massachusetts; Department of Surgery (O.S., S.W.), University of Texas Medical Branch, Galveston, Texas; Department of Surgery (O.S., S.W.), Shriners Hospitals for Children Galveston, Galveston, Texas; Department of Physical Medicine and Rehabilitation (R.Z.), Massachusetts General Hospital, Boston, Massachusetts; Department of Surgery (C.M.R.), Massachusetts General Hospital, Boston, Massachusetts; Department of Surgery (C.M.R.), Shriners Hospitals for Children Boston, Boston, Massachusetts; Harvard Medical School (R.Z., L.E.K., C.M.R., J.C.S.), Boston, Massachusetts; and Department of Physical Medicine and Rehabilitation (R.Z., L.E.K., J.C.S.), Spaulding Research Institute, Boston, Massachusetts.
Abstract
BACKGROUND: People living with burn injury often face long-term physical and psychological sequelae associated with their injuries. Few studies have examined the impacts of burn injuries on long-term health and function, life satisfaction, and community integration beyond 5 years postinjury. The purpose of this study was to examine these outcomes up to 20 years after burn injury. METHODS: Data from the Burn Model System National Longitudinal Database (1993-2020) were analyzed. Patient-reported outcome measures were collected at discharge (preinjury status recall) and 5 years, 10 years, 15 years, and 20 years after injury. Outcomes examined were the SF-12/VR-12 Physical Component Summary and Mental Component Summary, Satisfaction with Life Scale, and Community Integration Questionnaire. Trajectories were developed using linear mixed models with repeated measures of outcome scores over time, controlling for demographic and clinical variables. RESULTS: The study population included 421 adult burn survivors with a mean age of 42.4 years. Lower Physical Component Summary scores (worse health) were associated with longer length of hospital stay, older age at injury and greater time since injury. Similarly, lower Mental Component Summary scores were associated with longer length of hospital stay, female sex, and greater time since injury. Satisfaction with Life Scale scores decrease negatively over time. Lower Community Integration Questionnaire scores were associated with burn size and Hispanic/Latino ethnicity. CONCLUSION: Burn survivors' physical and mental health and satisfaction with life worsened over time up to 20 years after injury. Results strongly suggest that future studies should focus on long-term follow-up where clinical interventions may be necessary. LEVEL OF EVIDENCE: Prognostic and Epidemiologic; Level III.
BACKGROUND: People living with burn injury often face long-term physical and psychological sequelae associated with their injuries. Few studies have examined the impacts of burn injuries on long-term health and function, life satisfaction, and community integration beyond 5 years postinjury. The purpose of this study was to examine these outcomes up to 20 years after burn injury. METHODS: Data from the Burn Model System National Longitudinal Database (1993-2020) were analyzed. Patient-reported outcome measures were collected at discharge (preinjury status recall) and 5 years, 10 years, 15 years, and 20 years after injury. Outcomes examined were the SF-12/VR-12 Physical Component Summary and Mental Component Summary, Satisfaction with Life Scale, and Community Integration Questionnaire. Trajectories were developed using linear mixed models with repeated measures of outcome scores over time, controlling for demographic and clinical variables. RESULTS: The study population included 421 adult burn survivors with a mean age of 42.4 years. Lower Physical Component Summary scores (worse health) were associated with longer length of hospital stay, older age at injury and greater time since injury. Similarly, lower Mental Component Summary scores were associated with longer length of hospital stay, female sex, and greater time since injury. Satisfaction with Life Scale scores decrease negatively over time. Lower Community Integration Questionnaire scores were associated with burn size and Hispanic/Latino ethnicity. CONCLUSION: Burn survivors' physical and mental health and satisfaction with life worsened over time up to 20 years after injury. Results strongly suggest that future studies should focus on long-term follow-up where clinical interventions may be necessary. LEVEL OF EVIDENCE: Prognostic and Epidemiologic; Level III.
Authors: Shelley A Wiechman; Kara McMullen; Gretchen J Carrougher; Jame A Fauerbach; Colleen M Ryan; David N Herndon; Radha Holavanahalli; Nicole S Gibran; Kimberly Roaten Journal: Arch Phys Med Rehabil Date: 2017-12-16 Impact factor: 3.966
Authors: Colleen M Ryan; Austin F Lee; Lewis E Kazis; Gabriel D Shapiro; Jeffrey C Schneider; Jeremy Goverman; Shawn P Fagan; Chao Wang; Julia Kim; Robert L Sheridan; Ronald G Tompkins Journal: J Burn Care Res Date: 2016 Jan-Feb Impact factor: 1.845
Authors: Gretchen J Carrougher; Erin M Martinez; Kara S McMullen; James A Fauerbach; Radha K Holavanahalli; David N Herndon; Shelley A Wiechman; Loren H Engrav; Nicole S Gibran Journal: J Burn Care Res Date: 2013 Jan-Feb Impact factor: 1.845
Authors: Jeffrey C Schneider; Deborah L Nadler; David N Herndon; Karen Kowalske; Katie Matthews; Shelley A Wiechman; Gretchen J Carrougher; Nicole S Gibran; Walter J Meyer; Robert L Sheridan; Colleen M Ryan Journal: J Burn Care Res Date: 2015 Jan-Feb 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
Authors: Juanita A Haagsma; Inge Spronk; Mariska A C de Jongh; Gouke J Bonsel; Suzanne Polinder Journal: Health Qual Life Outcomes Date: 2020-05-27 Impact factor: 3.186