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Burn Publications

Publication Year
2020

The Impact of Burn Size on Community Participation: A Life Impact Burn Recovery Evaluation (LIBRE) Study

Abstract Objective: To assess the association of burn size and community participation as measured by the LIBRE Profile. Summary of background data: Burn size is an established clinical predictor of survival after burn injury. It is often a factor in guiding decisions surrounding early medical interventions, however, literature is inconclusive on its ...
Boston-Harvard Burn Injury Model System
Publication Year
2020

“Living well” after burn injury: Using case reports to illustrate significant contributions from the Burn Model System research program

Introduction: The Burn Model System (BMS) program of research has been funded since 1993 by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). The overarching aim of this program is to improve outcomes and quality of life for people with burns in the areas of health and ...
Northwest Regional Burn Model System
Boston-Harvard Burn Injury Model System
North Texas Burn Rehabilitation Model System
Publication Year
2020

Racial/ethnic disparities in longitudinal trajectories of community integration after burn injury

Objectives: The aim of this study was to examine potential racial/ethnic disparities in community integration for the 2 yrs after burn injury. Design: A sample of 1773 adults with burn injury from the Burn Model Systems database was used with data on community integration collected at discharge (preinjury recall), 6, 12, ...
Northwest Regional Burn Model System
Boston-Harvard Burn Injury Model System
Publication Year
2020

Evaluation of patient-reported outcomes in burn survivors undergoing reconstructive surgery in the rehabilitative period

Background: Health-related quality of life is decreased in burn survivors, with scars implicated as a cause. The authors aim to characterize the use of reconstructive surgery following hospitalization and determine whether patient-reported outcomes change over time. The authors hypothesized improvement in health-related quality of life following reconstructive surgery. Methods: ...
Northwest Regional Burn Model System
Boston-Harvard Burn Injury Model System
Publication Year
2020

Inhalation injury is associated with long-term employment outcomes in the burn population: Findings from a cross-sectional examination of the Burn Model System National Database

Introduction: Inhalation injuries carry significant acute care burden including prolonged ventilator days and length of stay. However, few studies have examined post-acute outcomes of inhalation injury survivors. This study compares the long-term outcomes of burn survivors with and without inhalation injury. Methods: Data collected by the Burn Model System National Database ...
Boston-Harvard Burn Injury Model System
Publication Year
2020

Paucity of clinical practice guidelines for rehabilitation of burn survivors

Clinical practice guidelines (CPGs) provide an efficient route from research to practice because they follow a prescribed, vetted process for evidence collection. CPGs offer underserved fields, such as burn rehabilitation, an accessible approach to reliable treatment. We performed a literature search using terms: "Burns AND Clinical Practice Guidelines AND ...
Northwest Regional Burn Model System
Boston-Harvard Burn Injury Model System
Publication Year
2020

COVID-19 pandemic and the burn survivor community: A call for action

A number of persons with present or past burn injuries will contract COVID-19. Dealing equitably with disability is an important ethical foundation of “crisis standards of care”. Breaking down barriers for burn survivors by empowering them with their providers of care as partners in a process known as “Coproduction” ...
Boston-Harvard Burn Injury Model System
Publication Year
2020

An Examination of Follow-up Services Received by Vulnerable Burn Populations: A Burn Model System National Database Study

While disparities in healthcare outcomes and services for vulnerable populations have been documented, the extent to which vulnerable burn populations demonstrate disparities in long-term care is relatively underexplored. This study's goal was to assess for differences in long-term occupational or physical therapy (OT/PT) and psychological service use after burn ...
Boston-Harvard Burn Injury Model System
North Texas Burn Rehabilitation Model System
Northwest Regional Burn Model System
Pediatric Burn Injury Rehabilitation Model System
Publication Year
2020

Exploring the Burn Model System National Database: Burn injuries, substance misuse, and the CAGE questionnaire

Burn survivors who misuse alcohol and/other substances have been associated with poorer long-term outcomes and clinical complications following injury. The self-reported CAGE questionnaire (Cut down, Annoyed, Guilty, and Eye-opener) is an outcomes assessment tool used to screen for potential substance misuse. Understanding the persistence and emergence of potential substance ...
Boston-Harvard Burn Injury Model System
North Texas Burn Rehabilitation Model System
Northwest Regional Burn Model System
Publication Year
2020

Recognizing the long-term sequelae of burns as a chronic medical condition

As medicine continues to advance, many individuals are living longer with injuries previously considered life threatening. These individuals often face numerous long-term physical and psychological sequelae associated with their injury that persist through the course of their lives. Recently, other injury populations have begun to think of their condition ...
Boston-Harvard Burn Injury Model System
North Texas Burn Rehabilitation Model System
Northwest Regional Burn Model System
Publication Year
2019

Topical antimicrobials in burn care: Part 1 - topical antiseptics

Topical antimicrobials are one component in burn wound care. These agents suppress microbial growth to advantage skin cells and wound healing. Topical antimicrobials can be divided into 2 superclasses: antiseptics and antibiotics. This article reviews the 4 main classes of topical antiseptics (emulsifiers, acids, oxidizers, and heavy metals) and antiseptic-impregnated ...
Publication Year
2019

The presence of scarring and associated morbidity in the burn model system national database

Study examined the frequency of scar-related morbidity for up to 2 years after injury and analyzed the impact of hypertrophic scarring (HTS) on long-term functional, psychosocial, and reintegration outcomes. Analysis was conducted on data collected between January 2006 and May 2014 from 960 patients (2,440 anatomic burn sites) using the ...
Publication Year
2019

The effects of early neuropathic pain control with gabapentin on long-term chronic pain and itch in burn patients

Study investigated the effect of a neuropathic pain control protocol, as well as early gabapentin initiation (within 72 hours of burn injury), on total inpatient opioid use, chronic pain, and itch. The Burn Model System National Database was used to capture information collected from a single institution for patients over ...
Publication Year
2019

Postacute care setting is associated with employment after burn injury

Study examined differences in long-term employment outcomes following burn injury across various postacute care (PAC) settings. A total of 695 adult survivors of burn injury enrolled between May 1994 and June 2016 who required PAC at a Burn Model System center following acute care discharge were included. Participants were divided ...
Publication Year
2019

Utility of functional metrics assessed during acute care on hospital outcomes: A systematic review

Study reviewed the literature examining the association between acute hospital physical function and various hospital outcomes and healthcare utilization. A search of the MEDLINE database was performed using term that included acute functional outcomes and frailty outcomes. Studies up to September 2017 were selected if they were in English and ...
Publication Year
2019

Head and neck burns are associated with long-term patient-reported dissatisfaction with appearance: A burn model system national database study

Study evaluates the effect of head and neck (H&N) burns on long-term patient-reported outcomes compared to patients who sustained burns to other areas. Data from the Burn Model System National Database collected between 1996 and 2015 were used to investigate differences in outcomes between those with and without H&N burns. ...
Publication Year
2019

Distinct behavioral response of primary motor cortex stimulation in itch and pain after burn injury

Study assessed the effects of transcranial direct current stimulation (tDCS) on post-burn neuropathic pain and itch. A randomized controlled clinical trial was conducted comprised of two phases of active or sham primary motor cortex (M1) tDCS. Sixteen patients were assigned to the active group and 15 to the sham group. ...
Publication Year
2019

Cardiovascular effect of varying interval training frequency in rehabilitation of severely burned children

Study compared the cardiovascular effects of an exercise program incorporating a large number of interval training sessions with a traditional exercise program incorporating a small number of interval training sessions in severely burned children. Forty patients who completed a large number of sessions (at least three sessions per week) were ...
Publication Year
2019

Burn patients' perceptions of their care: What can we learn from postdischarge satisfaction surveys?

Study analyzed qualitative data collected using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey at one burn center over two years to identify areas for care improvement. Comments returned with survey may provide important patient perspectives. A total of 610 inpatient HCAHPS surveys (21 percent response rate) ...
Publication Year
2019

A comparison of contracture severity at acute discharge in patients with and without heterotopic ossification: A burn model system national database study

Study assesses the association between heterotopic ossification (HO) and upper-extremity contracture by comparing goniometric-measured active range of motion (ROM) outcomes of burn patients with and without HO. Data were obtained from the Burn Model System National Database for all patients more than 18 years of age with elbow contracture at ...

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Information on this site is not meant to replace the advice of a medical professional. You should consult your health care provider regarding specific medical concerns or treatment. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the federal government.