Year, Volume, Issue, Page(s):15, 41, 4, 721-726
Study examined the long-term quality of life (QOL) of pediatric burn survivors with and without inhalation injuries. It was hypothesized that patients with inhalation injury would report more disability and lower QOL. Participants included 51 patients with inhalation injury and 72 without inhalation injury who had burns covering at least 10 percent of total body surface area (TBSA), were age 16 years or older at time of interview, and were greater than 5 years from injury. Subjects completed the World Health Organization Disability Assessment Scale II (WHODAS II), a measure of health and disability, and the Burn Specific Health Scale-Brief (BSHS-B), a measure of QOL. Multiple regression analyses were used to measure the effects of inhalation injury while controlling for age at burn and TBSA. The mean age of burn of participants with inhalation injury was 11.7 years, mean TBSA 55 percent, and mean ventilator days 8.4. The mean age of burn of participants without inhalation injury was 10.3 years, mean TBSA 45 percent, and mean ventilator days 1.3. Inhalation injury did not appear to significantly impact participants’ scores on the majority of the domains. The WHODAS II domain of household activities showed a significant relation with TBSA; increased size of burn was associated with difficulty completing tasks for both groups. The BSHS-B domain of treatment regimen showed a relation with age at burn; increased age was associated difficulty in this area for both groups. Overall, the groups were comparable in their reports of disability and QOL. Inhalation injury did not affect long-term QOL.