Model System:

Burn

Reference Type:

Journal

Accession No.:

J73947

Journal:


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

Year, Volume, Issue, Page(s):

, , ,

Publication Website:

Abstract:

This 5-year prospective multicenter study included 152 adults with burn injuries, ages 19 to 30 years, who completed the Young Adult Burn Outcome Questionnaire (YABOQ) up to 36 months after injury. The YABOQ measures 15 patient-reported outcomes including physical, psychological, and social statuses and symptoms such as itch and pain. Scores of these YABOQ outcome domains were standardized to a mean of 50 and a standard deviation of 10 based on an age-matched non-burned reference group of young adults. Sleep quality was assessed using the item "How satisfied are you now with your sleep," rated by a 5-point Likert scale. Patients responding with very and somewhat dissatisfied were classified as having sleep dissatisfaction and the remaining as less or not dissatisfied. The associations between sleep dissatisfaction and YABOQ outcome domains were analyzed longitudinally using mixed-effect generalized linear models, adjusted for burn size, age, gender, and race. Generalized estimating equations were used to take into account correlated error resulting from repeated surveys on each patient over time. Among the burn survivors, sleep dissatisfaction was twice as prevalent (76 of 152; 50 percent) when compared with the non-burned reference group (29 of 112; 26 percent). The likelihood of a burn survivor being dissatisfied with sleep was reduced over time after the burn injury. Sleep dissatisfaction following burns was significantly associated, in a dose-dependent manner, with increasing burn size. Better sleep was associated with better outcomes in all domains except Fine Motor Function; this association was significantly more apparent in the longer term

Author(s):


Lee, Austin F., Ryan, Collen M., Schneider, Jeffrey C., Kazis, Lewis E., Li, Nien C., Rose, Mary'Liang, Matthew H., Wang, Chao, Palmieri, Tina, Meyer III, Walter J., Pidcock, Frank S., Reilly, Debra, Sheridan, Robert L., Tompkins, Ronald G.

Participating Centers: