Self-reported health measures in burn survivors undergoing burn surgery following acute hospitalization: A burn model system national database investigation

Model System:

Burn

Reference Type:

Journal article

Accession No.:

J89824

Journal:

Burns

Year, Volume, Issue, Page(s):

2022 , , ,

Publication Website:

Abstract:

Study explored how reconstructive surgery, socio-demographics, and burn severity impacts health-related quality of life (HRQoL) after burn injury and identified patient and injury characteristics associated with the likelihood of undergoing reconstructive surgery within 24-months of burn injury. Patient and PROMIS-29 Profile v2.0 (HRQoL) data were extracted from the Burn Model System at 6-, 12-, and 24-months after burn. PROMIS-29 measures 7 health-related domains: physical function, ability to participate in social roles and activities, fatigue, pain interference, depressive symptoms, anxiety, and sleep disturbance. Linear regression was performed to identify associations between independent burn patient variables (e.g., scar-related surgery) and PROMIS-29 scores. Socio-demographic and injury variables were analyzed using logistic regression to determine the likelihood of undergoing burn-related surgery. Of 727 participants, 201 (27.6 percent) underwent at least 1 scar revision/contracture release operation within 24 months of injury. Number of operations at index hospital admission and range of motion deficit at discharge were correlated with an increased likelihood of undergoing subsequent scar/contracture surgery. Participants undergoing scar/contracture surgery and those that were Medicaid insured reported significantly worse HRQoL for PROMIS anxiety, depression, and fatigue domains .

Author(s):