The effect of family characteristics on the recovery of burn injuries in children.

Robert L. Sheridan, Austin F. Lee, Lewis E. Kazis, Matthew H. Liang, Nien Chen Li, Michelle I. Hinson, Helena Bauk, Walter Meyer, Teresa K. Stubbs, Tina L. Palmieri, Ronald G. Tompkins, Benchmarking Study Working Group Multi-Center Benchmarking Study Working Group

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Interactions between family members and characteristics of family life and function may affect a child's recovery from burn injury. We prospectively examined the relationship between family characteristics and physical and psychosocial recovery from burns. The families of 399 burned children aged 5 years to 18 years admitted to one of four Shriners Hospitals for Children for management of acute burns completed the Family Environment Scale within 7 days of admission and then the American Burn Association/Shriners Hospitals for Children Burn Outcome Questionnaire (BOQ) at baseline, 3, 6, 12, 18, 24, 36, and 48 months. Generalized estimating equations with random effects for the time since burn were used to track recovery of the BOQ patient-centered domains associated with baseline family characteristics during the course of the study. The children had a mean age of 11 years and burn size of 32% total body surface area burned. Higher Family Environment Scale scores in cohesion, independence, organization, and active recreational orientation were associated with significantly better rates of recovery in multiple BOQ domains of health-related quality of life. Higher scores in conflict and achievement orientation predicted statistically significant impaired recovery. Higher expressiveness predicted greater difficulty with school reentry. Family characteristics affect the recovery of children after serious burns. Some of these may be amenable to focused anticipatory family interventions to help optimize outcomes. In particular, those characteristics that impair school reentry should be targeted.

Original languageEnglish (US)
JournalThe journal of trauma and acute care surgery
Volume73
Issue number3 Suppl 2
StatePublished - Sep 2012
Externally publishedYes

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Wounds and Injuries
Burns
Body Surface Area
Quality of Life
Organizations
Surveys and Questionnaires

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sheridan, R. L., Lee, A. F., Kazis, L. E., Liang, M. H., Li, N. C., Hinson, M. I., ... Multi-Center Benchmarking Study Working Group, B. S. W. G. (2012). The effect of family characteristics on the recovery of burn injuries in children. The journal of trauma and acute care surgery, 73(3 Suppl 2).

The effect of family characteristics on the recovery of burn injuries in children. / Sheridan, Robert L.; Lee, Austin F.; Kazis, Lewis E.; Liang, Matthew H.; Li, Nien Chen; Hinson, Michelle I.; Bauk, Helena; Meyer, Walter; Stubbs, Teresa K.; Palmieri, Tina L.; Tompkins, Ronald G.; Multi-Center Benchmarking Study Working Group, Benchmarking Study Working Group.

In: The journal of trauma and acute care surgery, Vol. 73, No. 3 Suppl 2, 09.2012.

Research output: Contribution to journalArticle

Sheridan, RL, Lee, AF, Kazis, LE, Liang, MH, Li, NC, Hinson, MI, Bauk, H, Meyer, W, Stubbs, TK, Palmieri, TL, Tompkins, RG & Multi-Center Benchmarking Study Working Group, BSWG 2012, 'The effect of family characteristics on the recovery of burn injuries in children.', The journal of trauma and acute care surgery, vol. 73, no. 3 Suppl 2.
Sheridan RL, Lee AF, Kazis LE, Liang MH, Li NC, Hinson MI et al. The effect of family characteristics on the recovery of burn injuries in children. The journal of trauma and acute care surgery. 2012 Sep;73(3 Suppl 2).
Sheridan, Robert L. ; Lee, Austin F. ; Kazis, Lewis E. ; Liang, Matthew H. ; Li, Nien Chen ; Hinson, Michelle I. ; Bauk, Helena ; Meyer, Walter ; Stubbs, Teresa K. ; Palmieri, Tina L. ; Tompkins, Ronald G. ; Multi-Center Benchmarking Study Working Group, Benchmarking Study Working Group. / The effect of family characteristics on the recovery of burn injuries in children. In: The journal of trauma and acute care surgery. 2012 ; Vol. 73, No. 3 Suppl 2.
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