Comparison of long-term quality of life of pediatric burn survivors with and without inhalation injury

Marta Rosenberg, Maribel Ramirez, Kathy Epperson, Lisa Richardson, Charles Holzer, Clark R. Andersen, David Herndon, Walter Meyer, Oscar Suman, Ronald Mlcak

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective To examine the long-term quality of life of pediatric burn survivors with and without inhalation injuries. We hypothesized that patients with inhalation injury would report more disability and lower quality of life. Methods We examined 51 patients with inhalation injury and 72 without inhalation injury who had burns of ≥10% total body surface area, were age ≥16 years at time of the interview, and were greater than 5 years from injury. Subjects completed the World Health Organization Disability Assessment Scale II (WHODAS II) and the Burn Specific Health Scale-Brief (BSHS-B). Multiple regression analyses were used to measure the effects of inhalation injury while controlling for age at burn and TBSA. Results The mean age of burn of participants with inhalation injury was 11.7 ± 3.6 years, mean TBSA 55% ± 18, and mean ventilator days 8.4 ± 9. The mean age of burn of participants without inhalation injury was 10.3 ± 34.1 years, mean TBSA 45% ± 20, and mean ventilator days 1.3 ± 5.2. Inhalation injury did not appear to significantly impact participants' scores on the majority of the domains. The WHODAS II domain of household activities showed a significant relation with TBSA (p = 0.01). Increased size of burn was associated with difficulty completing tasks for both groups. The BSHS-B domain of treatment regimen showed a relation with age at burn (p = 0.02). Increased age was associated difficulty in this area for both groups. Conclusions Overall the groups were comparable in their reports of disability and quality of life. Inhalation injury did not affect long-term quality of life.

Original languageEnglish (US)
Pages (from-to)721-726
Number of pages6
JournalBurns
Volume41
Issue number4
DOIs
StatePublished - Jun 1 2015

Fingerprint

Inhalation
Survivors
Quality of Life
Pediatrics
Wounds and Injuries
Mechanical Ventilators
Body Surface Area
Health
Burns
Regression Analysis
Interviews

Keywords

  • Inhalation injury
  • Long term
  • Outcome adolescents
  • Psychosocial
  • Quality of life

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine
  • Surgery

Cite this

Rosenberg, M., Ramirez, M., Epperson, K., Richardson, L., Holzer, C., Andersen, C. R., ... Mlcak, R. (2015). Comparison of long-term quality of life of pediatric burn survivors with and without inhalation injury. Burns, 41(4), 721-726. https://doi.org/10.1016/j.burns.2015.01.013

Comparison of long-term quality of life of pediatric burn survivors with and without inhalation injury. / Rosenberg, Marta; Ramirez, Maribel; Epperson, Kathy; Richardson, Lisa; Holzer, Charles; Andersen, Clark R.; Herndon, David; Meyer, Walter; Suman, Oscar; Mlcak, Ronald.

In: Burns, Vol. 41, No. 4, 01.06.2015, p. 721-726.

Research output: Contribution to journalArticle

Rosenberg, M, Ramirez, M, Epperson, K, Richardson, L, Holzer, C, Andersen, CR, Herndon, D, Meyer, W, Suman, O & Mlcak, R 2015, 'Comparison of long-term quality of life of pediatric burn survivors with and without inhalation injury', Burns, vol. 41, no. 4, pp. 721-726. https://doi.org/10.1016/j.burns.2015.01.013
Rosenberg M, Ramirez M, Epperson K, Richardson L, Holzer C, Andersen CR et al. Comparison of long-term quality of life of pediatric burn survivors with and without inhalation injury. Burns. 2015 Jun 1;41(4):721-726. https://doi.org/10.1016/j.burns.2015.01.013
Rosenberg, Marta ; Ramirez, Maribel ; Epperson, Kathy ; Richardson, Lisa ; Holzer, Charles ; Andersen, Clark R. ; Herndon, David ; Meyer, Walter ; Suman, Oscar ; Mlcak, Ronald. / Comparison of long-term quality of life of pediatric burn survivors with and without inhalation injury. In: Burns. 2015 ; Vol. 41, No. 4. pp. 721-726.
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abstract = "Objective To examine the long-term quality of life of pediatric burn survivors with and without inhalation injuries. We hypothesized that patients with inhalation injury would report more disability and lower quality of life. Methods We examined 51 patients with inhalation injury and 72 without inhalation injury who had burns of ≥10{\%} total body surface area, were age ≥16 years at time of the interview, and were greater than 5 years from injury. Subjects completed the World Health Organization Disability Assessment Scale II (WHODAS II) and the Burn Specific Health Scale-Brief (BSHS-B). Multiple regression analyses were used to measure the effects of inhalation injury while controlling for age at burn and TBSA. Results The mean age of burn of participants with inhalation injury was 11.7 ± 3.6 years, mean TBSA 55{\%} ± 18, and mean ventilator days 8.4 ± 9. The mean age of burn of participants without inhalation injury was 10.3 ± 34.1 years, mean TBSA 45{\%} ± 20, and mean ventilator days 1.3 ± 5.2. Inhalation injury did not appear to significantly impact participants' scores on the majority of the domains. The WHODAS II domain of household activities showed a significant relation with TBSA (p = 0.01). Increased size of burn was associated with difficulty completing tasks for both groups. The BSHS-B domain of treatment regimen showed a relation with age at burn (p = 0.02). Increased age was associated difficulty in this area for both groups. Conclusions Overall the groups were comparable in their reports of disability and quality of life. Inhalation injury did not affect long-term quality of life.",
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