The Effect of Facial Burns on Long-Term Outcomes in Young Adults: A 5-Year Study

Colleen M. Ryan, Austin Lee, Frederick J. Stoddard, Nien Chen Li, Jeffrey C. Schneider, Gabriel D. Shapiro, Cornelia L. Griggs, Chao Wang, Tina Palmieri, Walter Meyer, Frank S. Pidcock, Debra Reilly, Robert L. Sheridan, Lewis E. Kazis, Ronald G. Tompkins

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Long-term functional outcomes in young adults with facial burns remain poorly studied. This 5-year (2003-2008) prospective multicenter study includes burn survivors (age 19-30 years) who completed the Young Adult Burn Outcome Questionnaire (YABOQ) from 0 to 36 months after baseline survey administration. A composite canonical score was developed from 15 YABOQ domains using discriminant analysis, maximizing the difference at the baseline between burn-injured patients with face involved and not involved. A generalized linear model with the generalized estimation equation technique was used to track the changing pattern of the composite score over time. Individual domain scores with high correlation to the canonical score were used to evaluate recovery patterns in facial burns. A total of 153 burned (31% with face burns) and 112 nonburned subjects completed 620 questionnaires. Canonical analysis showed that early postburn, facial burns were associated with a difference in outcome, but this overall difference diminished over time. Regression analysis showed that for survivors with facial injury, Emotion and Sexual Function scores were persistently lower (worse), while Religion scores were persistently higher. Satisfaction with Role was initially better than the nonface burned group, but over time got worse, while Perceived Appearance was initially worse in the face burned group but this difference diminished over time. Social Function Limited by Appearance was initially similar between the groups, but over time the group with face burns scored lower. The overall difference in recovery between survivors with and without facial burns diminished over time while the individual domains had various patterns of recovery.

Original languageEnglish (US)
Pages (from-to)497-506
Number of pages10
JournalJournal of Burn Care and Research
Volume39
Issue number4
DOIs
StatePublished - Jun 13 2018
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

Cite this

Ryan, C. M., Lee, A., Stoddard, F. J., Li, N. C., Schneider, J. C., Shapiro, G. D., Griggs, C. L., Wang, C., Palmieri, T., Meyer, W., Pidcock, F. S., Reilly, D., Sheridan, R. L., Kazis, L. E., & Tompkins, R. G. (2018). The Effect of Facial Burns on Long-Term Outcomes in Young Adults: A 5-Year Study. Journal of Burn Care and Research, 39(4), 497-506. https://doi.org/10.1093/jbcr/irx006