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This study prospectively examines the incidence and severity of hand contractures after burn injury and determines predictors of contracture development. Data were collected prospectively from 1993 to 2002 for adult burn survivors admitted to a regional burn center. Demographic and medical data were collected on each subject. Primary outcome ...

Reasons for distress after burn injuries have not been codified based on any type of acceptable empirical or statistical technique. The unique design methodology proposed in this study can identify the most common reasons cited for causing distress in burn survivors after discharge. A Q-sort task was developed with ...

Severe burn injury results in a systemic inflammatory response that leads to increased capillary permeability and fluid leak into the interstitium. This global systemic capillary leak can be attributed, at least in part, to inflammatory mediators produced as a result of cellular injury. Plasma exchange has been used in ...

Despite advances in medical and surgical techniques, older adults tend to be at high risk for adverse outcomes following burn injury. The purpose of this study was to examine the relative impacts of age and medical comorbidities on outcome following injury in a cohort of older adults. This was ...

During the past decades there has been minimal improvement in prevention and treatment of hypertrophic scarring. Reasons include the lack of a validated animal model, imprecise techniques to dissect scar into the histologic components, and limited methodology for measurement of gene expression. These problems have been addressed with the ...

A significant proportion of the mortality and morbidity of severe burns is attributable to the ensuing hypermetabolic response that typically lasts for at least 9-12 months post-injury. This is associated with impaired wound healing, increased infection risks, erosion of lean body mass, hampered rehabilitation and delayed reintegration of burn ...

transfusion of blood products in severely burned pediatric patients. Design: Retrospective, cohort study. Setting: Shriners Hospital for Children and University Hospital. Patients: Severely burned pediatric patients with >30% total body surface area (TBSA) burn. Interventions: None. Measurements and Main Results: Two hundred seventy-seven pediatric burn patients over a period ...

Objective: This study investigated the prevalence and the clinical correlates of symptoms of depression among burn reconstruction patients. Method: A sample of 224 burn reconstruction patients completed the Beck Depression Inventory (BDI), the SF-36 Health Survey and the Satisfaction with Appearance Scale. Results: The prevalence of at least mild ...

Objective: To determine the prevalence of major psychiatric illness in a group of young adults who suffered significant burn injury as children. Method: A total of 101 persons (58 males, 43 females), aged 21 2.6 years, 14.0 5.4 years postburn of 54% 20% total body surface area, were assessed for ...

Background: Propranolol, a nonselective 1–2 antagonist, attenuates hypermetabolism and catabolism in severely burned patients. However, recent data suggest that propranolol impairs immune function and enhances inflammation. The purpose of the present study was to determine the effect of propranolol administration on infection, sepsis, and inflammation in severely burned pediatric ...

Abstract not available

The concentration of specialized burn care to relatively few centers within relatively large geographic regions requires an organized system of patient triage, referral, and transport. The purpose of this study was to identify systematic errors in either the initial evaluation or care of burn patients requiring transport more than ...

The purpose of this study was to identify specific premorbid factors and injury characteristics associated with intentional burn injuries and to compare outcomes for individuals injured by assault and those with unintentional injuries. Participants sustaining major burns from May 1994 to August 2005 and consenting to a multisite, prospective, ...

Objective: To determine the frequency and correlates of symptoms of depression experienced by long-term burn survivors. Design: An exploratory study of a cross-sectional, self-selected sample. Participants: 311 burn survivors who were at least 3 years postburn (M 20, SD 15). Main Outcome Measure: The Short Mood and Feelings Questionnaire, ...

Heterotopic ossification (HO) is a well-recognized complication of burn injury that can result in significantly compromised limb function. The etiology and optimal treatment strategy for HO remain elusive. The purpose of this study was to examine the relationship between delay in elbow wound closure and the development of HO. ...

Abstract not available

Abstract not available

For decades, research on long-term adjustment to burn injuries has adopted a deficit model of focusing solely on negative emotions. The presence of positive emotion and the experience of growth in the aftermath of a trauma have been virtually ignored in this field. Researchers and clinicians of other health ...