Display options
Cite
Wang BB, Patel KF, Wolfe AE, et al. Adolescents with and without head and neck burns: comparison of long-term outcomes in the burn model system national database. Burns. 2021;48(1):40-50doi: 10.1016/j.burns.2021.04.015.
Wang, B. B., Patel, K. F., Wolfe, A. E., Wiechman, S., McMullen, K., Gibran, N. S., Kowalske, K., Meyer, W. J., Kazis, L. E., Ryan, C. M., & Schneider, J. C. (2022). Adolescents with and without head and neck burns: comparison of long-term outcomes in the burn model system national database. Burns : journal of the International Society for Burn Injuries, 48(1), 40-50. https://doi.org/10.1016/j.burns.2021.04.015
Wang, Benjamin B, et al. "Adolescents with and without head and neck burns: comparison of long-term outcomes in the burn model system national database." Burns : journal of the International Society for Burn Injuries vol. 48,1 (2022): 40-50. doi: https://doi.org/10.1016/j.burns.2021.04.015
Wang BB, Patel KF, Wolfe AE, Wiechman S, McMullen K, Gibran NS, Kowalske K, Meyer WJ, Kazis LE, Ryan CM, Schneider JC. Adolescents with and without head and neck burns: comparison of long-term outcomes in the burn model system national database. Burns. 2022 Feb;48(1):40-50. doi: 10.1016/j.burns.2021.04.015. Epub 2021 Apr 20. PMID: 33975762; PMCID: PMC8526620.
Copy Download .nbib Format: NLM
Share it on

Burns. 2022 Feb;48(1):40-50. doi: 10.1016/j.burns.2021.04.015. Epub 2021 Apr 20.

Adolescents with and without head and neck burns: comparison of long-term outcomes in the burn model system national database.

Burns : journal of the International Society for Burn Injuries

Benjamin B Wang, Khushbu F Patel, Audrey E Wolfe, Shelley Wiechman, Kara McMullen, Nicole S Gibran, Karen Kowalske, Walter J Meyer, Lewis E Kazis, Colleen M Ryan, Jeffrey C Schneider

Affiliations

  1. Tufts University School of Medicine, Boston, MA, United States.
  2. Shriners Hospitals for Children - Boston, Boston, MA United States; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
  3. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Charlestown, MA, United States.
  4. Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States.
  5. Department of Surgery, University of Washington Harborview, Seattle, WA, United States.
  6. Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, United States.
  7. Department of Psychiatry, University of Texas Medical Branch, Galveston, TX, United States.
  8. Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, United States.
  9. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Charlestown, MA, United States. Electronic address: [email protected].

PMID: 33975762 PMCID: PMC8526620 DOI: 10.1016/j.burns.2021.04.015

Abstract

INTRODUCTION: Facial burns account for persistent differences in psychosocial functioning in adult burn survivors. Although adolescent burn survivors experience myriad chronic sequelae, little is known about the effect of facial injuries. This study examines differences in long-term outcomes with and without head and neck involvement.

METHODS: Data collected for 392 burn survivors between 14-17.9 years of age from the Burn Model System National Database (2006-2015) were analyzed. Comparisons were made between two groups based on presence of a head and neck burn (H&N) using the following patient reported outcome measures: Satisfaction with Appearance Scale, Satisfaction with Life Scale, Community Integration Questionnaire, and Short Form-12 Health Survey at 6, 12, and 24 months after injury. Regression analyses were used to assess association between outcome measures and H&N group at 12-months.

RESULTS: The H&N group had more extensive burns, had longer hospital stays, were more likely to be burned by fire/flame and were more likely to be Hispanic compared to the non-H&N group. Regression analysis found that H&N burn status was associated with worse SWAP scores. No significant associations were found between H&N burn status and other outcome measures.

CONCLUSIONS: Adolescents with H&N burn status showed significantly worse satisfaction with appearance at 12-months after injury. Future research should examine interventions to help improve body image and coping for adolescent burn survivors with head and neck burns.

Copyright © 2021 Elsevier Ltd and ISBI. All rights reserved.

Keywords: Appearance; Burn injury; Burn model system; Community integration; Quality of life; Satisfaction

References

  1. Med Care. 1996 Mar;34(3):220-33 - PubMed
  2. Burns. 2007 Sep;33(6):747-55 - PubMed
  3. Burns. 2014 Aug;40(5):987-94 - PubMed
  4. J Burn Care Rehabil. 2000 Jan-Feb;21(1 Pt 1):29-39 - PubMed
  5. Qual Life Res. 2015 Nov;24(11):2651-5 - PubMed
  6. Burns. 2011 May;37(3):387-94 - PubMed
  7. J Burn Care Res. 2015 Jan-Feb;36(1):118-29 - PubMed
  8. J Burn Care Res. 2013 Jul-Aug;34(4):465-76 - PubMed
  9. J Burn Care Rehabil. 2005 Nov-Dec;26(6):546-55 - PubMed
  10. Burns. 2011 Sep;37(6):930-8 - PubMed
  11. Arch Phys Med Rehabil. 2020 Jan;101(1S):S92-S98 - PubMed
  12. Am J Phys Med Rehabil. 2006 Apr;85(4):383-413 - PubMed

Publication Types

Grant support