TY - JOUR
T1 - Predictors at 6 and 12 Months for Social Participation Outcome at 24 Months in the Adult Burn Injury Population
T2 - A Burn Model System National Database Study
AU - Deng, Huan
AU - Shepler, Lauren J.
AU - Chacon, Kaitlyn L.
AU - Tenney, Diana
AU - Ni, Pengsheng
AU - Stewart, Barclay T.
AU - Carrougher, Gretchen J.
AU - Kowalske, Karen
AU - Wolf, Steven E.
AU - Slavin, Mary D.
AU - Kazis, Lewis E.
AU - Ryan, Colleen M.
AU - Schneider, Jeffrey C.
N1 - Publisher Copyright:
© 2023 American Congress of Rehabilitation Medicine
PY - 2024/2
Y1 - 2024/2
N2 - Objective: To identify clinical factors (physical and psychological symptoms and post-traumatic growth) that predict social participation outcome at 24-month after burn injury. Design: A prospective cohort study based on Burn Model System National Database. Setting: Burn Model System centers. Participants: 181 adult participants less than 2 years after burn injury (N=181). Interventions: Not applicable. Main Outcome Measures: Demographic and injury variables were collected at discharge. Predictor variables were assessed at 6 and 12 months: Post-Traumatic Growth Inventory Short Form (PTGI-SF), Post-Traumatic Stress Disorder Checklist Civilian Version (PCL-C), Patient-Reported Outcomes Measurement Information System (PROMIS-29) Depression, Anxiety, Sleep Disturbance, Fatigue, and Pain Interference short forms, and self-reported Heat Intolerance. Social participation was measured at 24 months using the Life Impact Burn Recovery Evaluation (LIBRE) Social Interactions and Social Activities short forms. Results: Linear and multivariable regression models were used to examine predictor variables for social participation outcomes, controlling for demographic and injury variables. For LIBRE Social Interactions, significant predictors included the PCL-C total score at 6 months (β=-0.27, P<.001) and 12 months (β=-0.39, P<.001), and PROMIS-29 Pain Interference at 6 months (β=-0.20, P<.01). For LIBRE Social Activities, significant predictors consisted of the PROMIS-29 Depression at 6 months (β=-0.37, P<.001) and 12 months (β=-0.37, P<.001), PROMIS-29 Pain Interference at 6 months (β=-0.40, P<.001) and 12 months (β=-0.37, P<.001), and Heat Intolerance at 12 months (β=-4.55, P<.01). Conclusions: Post-traumatic stress and pain predicted social interactions outcomes, while depression, pain and heat intolerance predicted social activities outcomes in people with burn injury.
AB - Objective: To identify clinical factors (physical and psychological symptoms and post-traumatic growth) that predict social participation outcome at 24-month after burn injury. Design: A prospective cohort study based on Burn Model System National Database. Setting: Burn Model System centers. Participants: 181 adult participants less than 2 years after burn injury (N=181). Interventions: Not applicable. Main Outcome Measures: Demographic and injury variables were collected at discharge. Predictor variables were assessed at 6 and 12 months: Post-Traumatic Growth Inventory Short Form (PTGI-SF), Post-Traumatic Stress Disorder Checklist Civilian Version (PCL-C), Patient-Reported Outcomes Measurement Information System (PROMIS-29) Depression, Anxiety, Sleep Disturbance, Fatigue, and Pain Interference short forms, and self-reported Heat Intolerance. Social participation was measured at 24 months using the Life Impact Burn Recovery Evaluation (LIBRE) Social Interactions and Social Activities short forms. Results: Linear and multivariable regression models were used to examine predictor variables for social participation outcomes, controlling for demographic and injury variables. For LIBRE Social Interactions, significant predictors included the PCL-C total score at 6 months (β=-0.27, P<.001) and 12 months (β=-0.39, P<.001), and PROMIS-29 Pain Interference at 6 months (β=-0.20, P<.01). For LIBRE Social Activities, significant predictors consisted of the PROMIS-29 Depression at 6 months (β=-0.37, P<.001) and 12 months (β=-0.37, P<.001), PROMIS-29 Pain Interference at 6 months (β=-0.40, P<.001) and 12 months (β=-0.37, P<.001), and Heat Intolerance at 12 months (β=-4.55, P<.01). Conclusions: Post-traumatic stress and pain predicted social interactions outcomes, while depression, pain and heat intolerance predicted social activities outcomes in people with burn injury.
KW - Burns
KW - Rehabilitation
KW - Social participation
UR - https://www.scopus.com/pages/publications/85166941480
UR - https://www.scopus.com/pages/publications/85166941480#tab=citedBy
U2 - 10.1016/j.apmr.2023.06.011
DO - 10.1016/j.apmr.2023.06.011
M3 - Article
C2 - 37392780
AN - SCOPUS:85166941480
SN - 0003-9993
VL - 105
SP - 235
EP - 242
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 2
ER -