The effects of facial burns on health outcomes in children aged 5 to 18 years.

Petra Warner, Teresa K. Stubbs, Richard J. Kagan, David Herndon, Tina L. Palmieri, Lewis E. Kazis, Nien Chen Li, Austin F. Lee, Walter Meyer, Ronald G. Tompkins, Benchmarking Study Working Group Multi-Center Benchmarking Study Working Group

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

There are many potential long-term effects of facial burns in children and young adults. We evaluated the outcomes of children and young adults with and without facial burns with respect to physical, psychological, and social domains of health-related quality of life (HRQoL). In addition, we examined the role of sex and socioeconomic status on HRQoL in these patients. Parents of children aged from 5 to 18 years with burn injury completed the American Burn Association/Shriners Hospitals for Children Burn Outcomes Questionnaire when survival was ensured at their original burn center admission and at regular 6-month intervals during the first 2 years and annually up to 4 years after their acute care discharge. Generalized estimating equations with mixed models were used to evaluate the course of recovery with risk adjustments for time since burn, presence of facial burns, and clinical and other sociodemographic characteristics. Patients with facial burns paralleled the recovery of patients without facial burns, but their mean scores remained lower during the 4 years, with the lowest scores in the domains of appearance, emotional health, and parental concern. Teenagers had improved recovery rates when compared with younger children. Males scored lower with respect to family disruption but recovered at faster rates than females over time, and parents with higher education scored lower for parental concern during the 4 years of follow-up. Psychosocial concerns predominate in the recovery of children who sustain facial burns and are significantly greater than those observed in children in whom the face is not involved by burn injury.

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

Fingerprint

Burns
Health
Young Adult
Parents
Quality of Life
Risk Adjustment
Burn Units
Wounds and Injuries
Social Class
Psychology
Education
Survival

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Warner, P., Stubbs, T. K., Kagan, R. J., Herndon, D., Palmieri, T. L., Kazis, L. E., ... Multi-Center Benchmarking Study Working Group, B. S. W. G. (2012). The effects of facial burns on health outcomes in children aged 5 to 18 years. The journal of trauma and acute care surgery, 73(3 Suppl 2).

The effects of facial burns on health outcomes in children aged 5 to 18 years. / Warner, Petra; Stubbs, Teresa K.; Kagan, Richard J.; Herndon, David; Palmieri, Tina L.; Kazis, Lewis E.; Li, Nien Chen; Lee, Austin F.; Meyer, Walter; 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

Warner, P, Stubbs, TK, Kagan, RJ, Herndon, D, Palmieri, TL, Kazis, LE, Li, NC, Lee, AF, Meyer, W, Tompkins, RG & Multi-Center Benchmarking Study Working Group, BSWG 2012, 'The effects of facial burns on health outcomes in children aged 5 to 18 years.', The journal of trauma and acute care surgery, vol. 73, no. 3 Suppl 2.
Warner P, Stubbs TK, Kagan RJ, Herndon D, Palmieri TL, Kazis LE et al. The effects of facial burns on health outcomes in children aged 5 to 18 years. The journal of trauma and acute care surgery. 2012 Sep;73(3 Suppl 2).
Warner, Petra ; Stubbs, Teresa K. ; Kagan, Richard J. ; Herndon, David ; Palmieri, Tina L. ; Kazis, Lewis E. ; Li, Nien Chen ; Lee, Austin F. ; Meyer, Walter ; Tompkins, Ronald G. ; Multi-Center Benchmarking Study Working Group, Benchmarking Study Working Group. / The effects of facial burns on health outcomes in children aged 5 to 18 years. In: The journal of trauma and acute care surgery. 2012 ; Vol. 73, No. 3 Suppl 2.
@article{3dc2c9f3c5d14d9fb98cd46334577fed,
title = "The effects of facial burns on health outcomes in children aged 5 to 18 years.",
abstract = "There are many potential long-term effects of facial burns in children and young adults. We evaluated the outcomes of children and young adults with and without facial burns with respect to physical, psychological, and social domains of health-related quality of life (HRQoL). In addition, we examined the role of sex and socioeconomic status on HRQoL in these patients. Parents of children aged from 5 to 18 years with burn injury completed the American Burn Association/Shriners Hospitals for Children Burn Outcomes Questionnaire when survival was ensured at their original burn center admission and at regular 6-month intervals during the first 2 years and annually up to 4 years after their acute care discharge. Generalized estimating equations with mixed models were used to evaluate the course of recovery with risk adjustments for time since burn, presence of facial burns, and clinical and other sociodemographic characteristics. Patients with facial burns paralleled the recovery of patients without facial burns, but their mean scores remained lower during the 4 years, with the lowest scores in the domains of appearance, emotional health, and parental concern. Teenagers had improved recovery rates when compared with younger children. Males scored lower with respect to family disruption but recovered at faster rates than females over time, and parents with higher education scored lower for parental concern during the 4 years of follow-up. Psychosocial concerns predominate in the recovery of children who sustain facial burns and are significantly greater than those observed in children in whom the face is not involved by burn injury.",
author = "Petra Warner and Stubbs, {Teresa K.} and Kagan, {Richard J.} and David Herndon and Palmieri, {Tina L.} and Kazis, {Lewis E.} and Li, {Nien Chen} and Lee, {Austin F.} and Walter Meyer and Tompkins, {Ronald G.} and {Multi-Center Benchmarking Study Working Group}, {Benchmarking Study Working Group}",
year = "2012",
month = "9",
language = "English (US)",
volume = "73",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "3 Suppl 2",

}

TY - JOUR

T1 - The effects of facial burns on health outcomes in children aged 5 to 18 years.

AU - Warner, Petra

AU - Stubbs, Teresa K.

AU - Kagan, Richard J.

AU - Herndon, David

AU - Palmieri, Tina L.

AU - Kazis, Lewis E.

AU - Li, Nien Chen

AU - Lee, Austin F.

AU - Meyer, Walter

AU - Tompkins, Ronald G.

AU - Multi-Center Benchmarking Study Working Group, Benchmarking Study Working Group

PY - 2012/9

Y1 - 2012/9

N2 - There are many potential long-term effects of facial burns in children and young adults. We evaluated the outcomes of children and young adults with and without facial burns with respect to physical, psychological, and social domains of health-related quality of life (HRQoL). In addition, we examined the role of sex and socioeconomic status on HRQoL in these patients. Parents of children aged from 5 to 18 years with burn injury completed the American Burn Association/Shriners Hospitals for Children Burn Outcomes Questionnaire when survival was ensured at their original burn center admission and at regular 6-month intervals during the first 2 years and annually up to 4 years after their acute care discharge. Generalized estimating equations with mixed models were used to evaluate the course of recovery with risk adjustments for time since burn, presence of facial burns, and clinical and other sociodemographic characteristics. Patients with facial burns paralleled the recovery of patients without facial burns, but their mean scores remained lower during the 4 years, with the lowest scores in the domains of appearance, emotional health, and parental concern. Teenagers had improved recovery rates when compared with younger children. Males scored lower with respect to family disruption but recovered at faster rates than females over time, and parents with higher education scored lower for parental concern during the 4 years of follow-up. Psychosocial concerns predominate in the recovery of children who sustain facial burns and are significantly greater than those observed in children in whom the face is not involved by burn injury.

AB - There are many potential long-term effects of facial burns in children and young adults. We evaluated the outcomes of children and young adults with and without facial burns with respect to physical, psychological, and social domains of health-related quality of life (HRQoL). In addition, we examined the role of sex and socioeconomic status on HRQoL in these patients. Parents of children aged from 5 to 18 years with burn injury completed the American Burn Association/Shriners Hospitals for Children Burn Outcomes Questionnaire when survival was ensured at their original burn center admission and at regular 6-month intervals during the first 2 years and annually up to 4 years after their acute care discharge. Generalized estimating equations with mixed models were used to evaluate the course of recovery with risk adjustments for time since burn, presence of facial burns, and clinical and other sociodemographic characteristics. Patients with facial burns paralleled the recovery of patients without facial burns, but their mean scores remained lower during the 4 years, with the lowest scores in the domains of appearance, emotional health, and parental concern. Teenagers had improved recovery rates when compared with younger children. Males scored lower with respect to family disruption but recovered at faster rates than females over time, and parents with higher education scored lower for parental concern during the 4 years of follow-up. Psychosocial concerns predominate in the recovery of children who sustain facial burns and are significantly greater than those observed in children in whom the face is not involved by burn injury.

UR - http://www.scopus.com/inward/record.url?scp=84868224571&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84868224571&partnerID=8YFLogxK

M3 - Article

C2 - 22929546

AN - SCOPUS:84868224571

VL - 73

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 3 Suppl 2

ER -