Recovery trajectories after burn injury in young adults: Does burn size matter?

Colleen M. Ryan, Austin Lee, Lewis E. Kazis, Jeffrey C. Schneider, Gabriel D. Shapiro, Robert L. Sheridan, Walter J. Meyer, Tina Palmieri, Frank S. Pidcock, Debra Reilly, Ronald G. Tompkins

Research output: Research - peer-reviewArticle

Abstract

The impact of burn size on mortality is well known, but the association of burn size with the trajectories of long-term functional outcomes remains poorly studied. This prospective multi-center study included burned adults ages 19 to 30 years who completed the Young Adult Burn Outcome Questionnaire at initial baseline contact, 2 weeks, and at 6 and 12 months after initial questionnaire administration. Non-burned adults of comparable ages also completed the questionnaire as a reference group. The association between functional recovery and TBSA burned was analyzed longitudinally using generalized linear models with the generalized estimation equation technique. Functional status was characterized in 15 domains: physical function, fine motor function, pain, itch, social function limited by physical function, perceived appearance, social function limited by appearance, sexual function, emotion, family function, family concern, satisfaction with symptom relief, satisfaction with role, work reintegration, and religion. Scores were standardized to a mean of 50 and a SD of 10 based on non-burned controls. There were 153 burned and 112 non-burned subjects with a total of 620 questionnaires. TBSA burned was 11 ± 14% (mean ± SD); 31% had face involvement and 57% had hand involvement. The lag time from burn injury to questionnaire administration was on average 7 ± 7.7 months, with a maximum of 36 months. Lower recovery levels were associated with increasing burn size for physical function, pain, itch, work reintegration, emotion, satisfaction with symptom relief, satisfaction with role, family function, and family concern (P value ranged from .04-

LanguageEnglish (US)
Pages118-129
Number of pages12
JournalJournal of Burn Care and Research
Volume36
Issue number1
DOIs
StatePublished - Jan 21 2015

Fingerprint

Young Adult
Wounds and Injuries
Surveys and Questionnaires
Emotions
Pain
Religion
Linear Models
Hand
Mortality

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery
  • Medicine(all)

Cite this

Ryan, C. M., Lee, A., Kazis, L. E., Schneider, J. C., Shapiro, G. D., Sheridan, R. L., ... Tompkins, R. G. (2015). Recovery trajectories after burn injury in young adults: Does burn size matter? Journal of Burn Care and Research, 36(1), 118-129. DOI: 10.1097/BCR.0000000000000214

Recovery trajectories after burn injury in young adults : Does burn size matter? / Ryan, Colleen M.; Lee, Austin; Kazis, Lewis E.; Schneider, Jeffrey C.; Shapiro, Gabriel D.; Sheridan, Robert L.; Meyer, Walter J.; Palmieri, Tina; Pidcock, Frank S.; Reilly, Debra; Tompkins, Ronald G.

In: Journal of Burn Care and Research, Vol. 36, No. 1, 21.01.2015, p. 118-129.

Research output: Research - peer-reviewArticle

Ryan, CM, Lee, A, Kazis, LE, Schneider, JC, Shapiro, GD, Sheridan, RL, Meyer, WJ, Palmieri, T, Pidcock, FS, Reilly, D & Tompkins, RG 2015, 'Recovery trajectories after burn injury in young adults: Does burn size matter?' Journal of Burn Care and Research, vol 36, no. 1, pp. 118-129. DOI: 10.1097/BCR.0000000000000214
Ryan CM, Lee A, Kazis LE, Schneider JC, Shapiro GD, Sheridan RL et al. Recovery trajectories after burn injury in young adults: Does burn size matter? Journal of Burn Care and Research. 2015 Jan 21;36(1):118-129. Available from, DOI: 10.1097/BCR.0000000000000214
Ryan, Colleen M. ; Lee, Austin ; Kazis, Lewis E. ; Schneider, Jeffrey C. ; Shapiro, Gabriel D. ; Sheridan, Robert L. ; Meyer, Walter J. ; Palmieri, Tina ; Pidcock, Frank S. ; Reilly, Debra ; Tompkins, Ronald G./ Recovery trajectories after burn injury in young adults : Does burn size matter?. In: Journal of Burn Care and Research. 2015 ; Vol. 36, No. 1. pp. 118-129
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