Degree of burn, location of burn, and length of hospital stay as predictors of psychosocial status and physical functioning.

The purpose of this study was to identify predictors of psychologic and physical functioning of the victim with burn injuries from initial hospitalization to discharge. Thirty-one patients admitted to a burn center participated in the study and completed the Burn-Specific Health Scale. Most patients were men between 17 and 45 years of age. Length of stay in the hospital was bimodal, i.e., although about half stayed in the hospital for less than 15 days, about one fifth were hospitalized for more than 28 days. The study hypothesized that degree of burn, location of burn, and length of hospital stay would be associated with psychologic and physical functioning at the first-alert stage (stage of first orientation after burn injury) and the predischarge stage (immediately before discharge from the hospital). At the predischarge stage, the degree of the burn strongly predicted the patient's functioning. Patients with first-degree burns reported lower physical and psychologic functioning on every area of the Burn-Specific Health Scale. Conversely, at the first-alert stage, patients with third-degree burns reported higher psychologic functioning in certain areas (mental and social domains). Having a second-degree burn was not associated with reported psychologic or physical functioning. If the burn involved either the patient's hand or head, the location of the burn predicted certain areas of physical functioning at the first-alert and predischarge stage. Length of hospital stay predicted physical functioning; patients who stayed longer in the hospital reported lower mobility and hand function.