Are burns a chronic condition? Examining patient reported outcomes up to 20 years after burn injury - A Burn Model System National Database investigation

Cailin A. Abouzeid, Audrey E. Wolfe, Pengsheng Ni, Gretchen J. Carrougher, Nicole S. Gibran, Flora M. Hammond, Radha Holavanahalli, Kara A. McMullen, Kimberly D Roaten, Oscar Suman, Barclay T. Stewart, Steven E Wolf, Ross Zafonte, Lewis E. Kazis, Colleen M. Ryan, Jeffrey C. Schneider

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)1066-1074
Number of pages9
JournalJournal of Trauma and Acute Care Surgery
Volume92
Issue number6
DOIs
StatePublished - Jun 1 2022

Keywords

  • Burn injuries
  • chronic conditions
  • long-term outcomes
  • patient reported outcomes

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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