Model System:

Burn

Reference Type:

Journal

Accession No.:

J74972

Journal:


Journal of Burn Care And Research (formerly Journal of Burn Care & Rehabilitation)

Year, Volume, Issue, Page(s):

, 38, 1, e328-e336

Publication Website:

Abstract:

Study examined the incidence and severity of contractures in a large, multicenter, burn population and determined the associated risk factors for the development of contractures. Data from the National Institute on Disability and Rehabilitation Research Burn Model System database, for adult burn survivors from 1994 to 2003, were analyzed. Demographic and medical data were collected on each subject. The primary outcome measures included the presence of contractures, number of contractures per patient, and severity of contractures at each of nine locations (shoulder, elbow, hip, knee, ankle, wrist, neck, lumbar spine, and thoracic spine) at time of hospital discharge. Regression analysis was performed to determine predictors of the presence, severity, and numbers of contractures. Of the 1,865 study patients, 620 (33 percent) developed at least 1 contracture at hospital discharge. Among those with at least one contracture, the mean was 3 contractures per person. The shoulder was the most frequently contracted joint (23.0 percent), followed by the elbow (19.9 percent), wrist (17.3 percent), ankle (13.6 percent), and knee (13.4 percent). Most contractures were mild (47.2 percent) or moderate (32.9 percent) in severity. Statistically significant predictors of contracture development were male sex, black race, Hispanic ethnicity, medical problems, neuropathy, total body surface area (TBSA) grafted, and TBSA burned. Predictors of the severity of contracture included male sex, black race, medical problems, neuropathy, TBSA grafted, and TBSA burned. Predictors of the number of contractures included male sex, medical problems, flash burn, neuropathy, TBSA burned, and TBSA grafted.

Author(s):


Goverman, Jeremy, Mathews, Katie, Goldstein, Richard, Holavanahalli, Radha, Kowalske, Karen, Esselman, Peter, Gibran, Nicole, Suman, Oscar, Herndon, David, Ryan, Colleen M., Schneider, Jeffrey C.

Participating Centers: