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  • Publications

    Inhalation injury in the burned patient

    This review article comprehensively summarizes the diagnoses, treatment options, and current research on inhalation injuries in burned patients. The three major injury classes are the following: supraglottic, subglottic, and systemic. Treatment options for these three subtypes differ based on the pathophysiologic changes that each one elicits. The main pathophysiologic change ...
  • Publications

    Interpreting life impact burn recovery evaluation profile scores for use by clinicians, burn survivors, and researchers

    Study identified numeric score cut-points that define different levels of social participation ability and described each level for the Impact Burn Recovery Evaluation (LIBRE) Profile, a patient-reported outcome measure developed to assess social participation in adult burn survivors. An expert panel identified numeric score cut-points that distinguish different levels of ...
  • Erika Gosai

    Dr. Erika Gosai is the attending physician of the SCI/D inpatient rehabilitation program at MedStar NRH. She completed her PM&R residency and SCI fellowship at University of Texas Southwestern. She is board certified in PM&R with a ...
  • Publications

    Item pool development for the school-aged life impact burn recovery evaluation (SA- LIBRE5-12) profile computerized adaptive test (CAT): An observer-reported outcome assessment measuring the impact of burn injuries in school-aged children

    Study developed item pools that will be used to create a computerized adaptive test (CAT) assessing post-burn recovery in school-aged children. Item pool development was guided by the previously developed School-Aged Life Impact Burn Recovery Evaluation (SA-LIBRE5-12) Conceptual Framework. The item pool development process involved a systematic literature review, extraction ...
  • Publications

    Long-term effect of critical illness after severe paediatric burn injury on cardiac function in adolescent survivors: An observational study

    Study assessed long-term systolic and diastolic function, myocardial fibrosis, and exercise tolerance in adolescent survivors of severe pediatric burn injury. Sixty-five participants (40 post-burn and 25 healthy controls) were enrolled in the study. At study initiation, post-burn participants were an average age of 19 years, were at 12 years post-burn, ...
  • Publications

    Measuring the impact of burn injury on the parent-reported health outcomes of children 1 to 5 years: A conceptual framework for development of the preschool life impact burn recovery evaluation profile CAT

    Expanding upon the Shriners Hospitals for Children/American Burn Association Burn Outcome Questionnaire 0 to 5 (BOQ0–5), this study developed a conceptual framework describing domains important in assessing recovery from burn injury among preschool-aged children (1–5 years). This framework was iteratively refined based on a literature review, focus groups, interviews, and ...
  • Publications

    Measuring the impact of burn injury on the parent-reported health outcomes of children 1-to-5 years: Item pool development for the preschool1-5 life impact burn recovery evaluation (LIBRE) profile

    Study developed item pools for a parent-reported, burn-specific patient-reported outcomes measure comprised of questions appropriate for children aged 1 to 5 years with burn injuries. Item development was based on a framework provided by previous work to develop the Preschool Life Impact Burn Recovery Evaluation (LIBRE) Conceptual Model. The Preschool ...
  • Publications

    Mortality prognostication scores do not predict long-term, health-related quality of life after burn: A burn model system national database study

    Study investigated whether commonly used mortality prognostication scores (i.e., revised Baux and Ryan scores) predict long-term, health-related quality of life (HRQOL) after burn injury using data obtained from the Burn Model System database (1994-2019). The revised Baux and Ryan scores use patient age, burn size, and presence of inhalation injury ...
  • Publications

    Narrative review of clinical practice guidelines for rehabilitation of people with spinal cord injury: 2010–2020

    This review examined the quality and applicability of clinical practice guidelines (CPGs) for spinal cord injury (SCI) rehabilitation to assess whether the guideline development has followed a prescribed and recognized vetting process and the CPG content specifically includes function. A key word search of the PubMed, Cochrane, Embase, CINHAL, and ...
  • Publications

    Narrative review of clinical practice guidelines for treating people with moderate or severe traumatic brain injury

    Study reviewed the quality of clinical practice guidelines (CPGs) that address rehabilitation for people with moderate/severe traumatic brain injury (TBI). CPGs are statements that provide recommendations which are informed by a systematic review of evidence about diagnosis or treatment and include an assessment of the benefits and harms of alternative ...
  • Publications

    One-year comparison of a community-based exercise program versus a day hospital-based exercise program on quality of life and mental health in severely burned children

    Study compared the effects of long-term psychosocial functioning and mental health of a day hospital-based exercise program (DAYEX) versus a community-based exercise program (COMBEX) in severely burned children. Eighteen patients randomized to DAYEX or COMBEX were assessed at intensive care unit discharge and up to 1 year postburn. The Child ...
  • Publications

    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 ...
  • Publications

    Paucity of clinical practice guidelines for the rehabilitation of burn survivors

    Study reviewed clinical practice guidelines (CPGs) for burn injury to assess the extent to which they encourage practices that result in optimal care at all phases of treatment. CPGs provide an efficient route from research to practice because they follow a prescribed, vetted process for evidence collection. A literature search ...
  • Inger Ljungberg

    Inger Ljungberg is the program manager for the SCI research program at MedStar NRH. Inger has extensive experience in data management, regulatory issues, and research administration. She is responsible for oversight of the data collection, quality control ...
  • Publications

    Physical, psychological, and social outcomes in pediatric burn survivors ages 5 to 18 years: A systematic review

    Study identified the published literature that focuses on the impact of burn injuries on physical, psychological, or social functioning, and summarized the characteristics of the studies and their outcomes. The authors included literature published after 1980, focusing on burn outcomes in children aged 5 to 18 years. Each eligible study ...
  • Publications

    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 ...
  • Publications

    Predicting and managing sepsis in burn patients: Current perspectives

    Article reviews current perspectives in the diagnosis and treatment of sepsis and septic shock in burn patients. Modern burn care has led to unprecedented survival rates in burn patients whose injuries were fatal a few decades ago. Along with improved survival, new challenges have emerged in the management of burn ...
  • Publications

    Predicting depression and posttraumatic stress symptoms following burn injury: A risk scoring system

    Study developed an admission scoring system that assesses the risk of development of depression or posttraumatic stress (DPTS)symptoms in the burn population. This study is a retrospective review of the prospectively collected Burn Model System National Database that included 486 adult burn survivors enrolled from 2014 to 2018. The primary ...
  • Publications

    Propranolol and oxandrolone therapy accelerated muscle recovery in burned children

    Study examined the effects of oxandrolone and propranolol (Oxprop) treatment during a 6-week rehabilitative exercise training (RET) program in severely burned children. In this placebo-controlled randomized trial, it was hypothesize that RET combined with oxandrolone and Oxprop will improve muscle mass and function and protein turnover in severely burned children ...
  • Publications

    Quantification of an exercise rehabilitation program for severely burned children: The standard of care at Shriners hospitals for children® - Galveston

    Study quantified the training logs for exercise intensity, frequency, and duration of a 6-week rehabilitative exercise training (RET) program to develop specific guidelines for outpatient RET in children recovering from severe burns. Thirty-three children with severe burns completed the 6-week resistance and aerobic exercise training program at Shriners Hospital for ...

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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.