Burn Publications

Study examined long-term psychological distress and quality of life (QOL) in young adult survivors of pediatric burns using the World Health Organization Disability Assessment Scale II (WHODAS) and the Burn Specific Health Scale-Brief (BSHS-B). The WHODAS measures health and disability and the BSHS-B measures psychosocial and physical difficulties. Fifty ...

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 ...

Study investigated the fractional synthesis rate (FSR) and fractional breakdown rate (FBR) in the skeletal muscle of 42 severely burned pediatric patients for up to 1 year after injury. Skeletal muscle protein kinetics were measured in the postprandial state following bolus injections of phenylalanine stable isotopes. Plasma and muscle ...

Study assessed how lower-body burn locations affected strength and cardiopulmonary function. Children who participated in an exercise study between 2003 and 2013, were 7-18 years of age, and burned ≥30 percent of their total body surface area were included. Analysis of variance was used to model the relationship of ...

Article reviews the evidence for the utility of rehabilitative exercise training (RET) in restoring physiological function in burn survivors. Severe burn trauma results in persistent skeletal muscle catabolism and prolonged immobilization. The authors hypothesize that structured RET is a safe and effective strategy to restore lean body mass and ...

Study assessed the psychometric properties of the full-version Community Integration Questionnaire (CIQ-15) in the adult burn population. Data were obtained from a multicenter longitudinal data set of 492 burn survivors. The questionnaire items were evaluated for clinical and substantive relevance; validation procedures were conducted on different samples of the ...

Study analyzed the variation in rehabilitation utilization by state of hospitalization for patients hospitalized with burn injury. This retrospective cohort study used nationally collected data over a 10-year period (2001 to 2010), from the Healthcare Cost and Utilization Project State Inpatient Databases. A total of 57,968 patients hospitalized for ...

Study investigated whether the Vancouver Scar Scale (VSS) can be used to define hypertrophic scarring (HTS) in an objective, reliable manner. An online survey sent to 1,000 burn care providers asked respondents what VSS score indicates HTS and asked them to score scar photos using the VSS. Receiver operating ...

Study evaluated the efficacy of utilizing an expanded care coordinator (ECC) to supplement existing outpatient burn rehabilitation services. In this between-group, single-blind, randomized controlled trial, the 41 patients in the control group received standard outpatient care and the 40 experimental group patients received additional services provided by the ECC, ...

Study identified predictors for discharge to independent versus non-independent living status in older patients hospitalized for burns. Patient, injury, and treatment outcomes data were collected from 591 patients aged ≥55 years who were treated and discharged alive from three burn centers participating in the Burn Model Systems project from ...

Study identified and analyzed clinical factors that predict heterotopic ossification (HO), the ectopic formation of lamellar bone, in adults with burn injuries. Data were collected from six high-volume burn centers in the Burn Injury Model Systems (BMS) database. The BMS, funded by the National Institute on Disability, Independent Living ...

Study investigated whether systemic glucose levels over 150 milligrams per deciliter (mg/dl) in severely burned pediatric patients lead to an overwhelming growth of bacteria in the bronchopulmonary system, subsequently resulting in an increased risk of pulmonary infections. One-hundred six severely burned pediatric patients were enrolled in the study. Patients ...

Article briefly reviews some studies that have used the Uniform Data System for Medical Rehabilitation (UDSMR) to develop a better understanding of burn rehabilitation outcomes. The UDSMR maintains the largest inpatient rehabilitation database in the world, which includes information on approximately 80 percent of all inpatient rehabilitation facilities nationally. ...

Study identified factors associated with chronic pain among survivors of The Station nightclub fire, including those with and without burn injury. The primary outcome measure was the presence and severity of pain. Univariate and stepwise multiple regression analyses were used to examine relationships among variables. Variables considered included age, ...

Study investigated whether patients with burn injury have differences in their cognition compared with other inpatient rehabilitation populations. Data were obtained from the Uniform Data System for Medical Rehabilitation from 2002 through 2011. A total of 5,347 rehabilitation patients with burn injury were compared with 668,816 patients from the ...

Study examined the effects of early outpatient exercise on muscle mass, function, and fractional synthetic rate in severely burned children. Forty-seven children with burns covering at least 40 percent of their total body surface area performed 12-weeks standard of care rehabilitation (SOC) or rehabilitative exercise training (RET) immediately following hospital ...

Study examined the prevalence of hypoglycemia after burn injury and investigated whether hypoglycemia is associated with increased post-burn morbidity and mortality. The analysis included 760 pediatric burn patients, who were stratified according the number of hypoglycemic episodes (blood glucose less than 60 milligrams per deciliter) they experienced while in ...

Study examined the impact of insulin control on outcomes in 243 pediatric patients with massive burns covering 30 percent or more of their total body surface area. Participants were randomized into 2 groups: (1) 145 patients receiving sliding scale insulin to lower blood glucose levels to

Study examined the effect of inhalation injury on burn-induced resting energy expenditure (REE) measurements in children with severe burns. REE, as measured by indirect calorimetry, was used to determine the metabolism levels of patients and to guide their nutrition. Eighty-six children (1–18 years) with 40 percent or more of ...

Study examined the incidence of single- or multiple-organ failure and its resultant clinical outcomes during acute hospitalization in pediatric burn patients. Patient outcomes are inherently dependent on intact organ function; however, burn injury affects the structure and function of almost every organ, but especially lung, liver, kidney, and heart. ...