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OBJECTIVE: To determine the extent to which pain contributes to risk for suicidal ideation after burn injury. DESIGN: This longitudinal cohort study evaluated participants at discharge, 6 months, and 1 year after burn injury. SETTING: Inpatient rehabilitation units of multiple regional burn centers. PARTICIPANTS: Survivors of major burns (N=128). ...

This study investigated the prevalence of symptoms of depression in patients hospitalized with severe burns and the association of symptoms of depression in the hospital with physical health 2 months after discharge, controlling for pre-burn physical health as measured by the SF-36 physical composite score. Survivors of acute burns ...

We investigated ratings of emotional distress and satisfaction with life at discharge from the hospital and at a 6-month follow-up in a multisite sample of 295 adults hospitalized for the care of a major burn injury. Several psychosocial variables (history of alcohol abuse, marital status, and previous mental health) ...

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This study investigated the prevalence of symptoms of depression in patients hospitalized with severe burns and the association of symptoms of depression in the hospital with physical health 2 months after discharge, controlling for pre-burn physical health as measured by the SF-36 physical composite score. Survivors of acute burns ...

Objective: To track the prevalence and stability of clinically significant psychological distress and to identify potentially modifiable inhospital symptoms predictive of long-term distress (physical, psychological, and social impairment). Method: We obtained data from the Burn Model Systems project, a prospective, multisite, cohort study of major burn injury survivors. The ...

Pressure garment therapy is standard of care for prevention and treatment of hypertrophic scarring after burn injury. Nevertheless there is little objective data that confirms effectiveness. The purpose of this study was to determine the effectiveness of pressure garment therapy with objective data obtained with a randomized within-wound comparison. ...

Context: The acute hypermetabolic response post-burn is associated with insulin resistance and hyperglycemia, significantly contributing to adverse outcome of these patients. Objective: The aim of the study was to examine the persistence of abnormalities of various clinical parameters commonly utilized to assess the degree of insulin resistance in severely ...

This study examines potential for suicide risk among young adults burned as children and examines characteristics associated with potential risk. Eighty-five young adults were administered the Suicide Probability Scale, which contains four clinical subscales: suicide ideation, hopelessness, negative self-evaluation, and hostility; the 16 Personality Factor Questionnaire; and the Family ...

BACKGROUND: The aim of the study was to compare a low fat/high-carbohydrate diet and a high-fat diet on clinical outcomes by a retrospective cohort study. METHODS: Nine hundred forty-four children with burns = 40% of their total body surface area (TBSA) were divided into two groups: patients receiving Vivonex ...

OBJECTIVE: To study the efficacy of growth hormone given to severely burned children from discharge to 12 months after burn and for 12 months after the drug was discontinued. SUMMARY BACKGROUND DATA: We have previously shown that low-dose recombinant human growth hormone (rhGH), given to children after a severe ...

Background: Major trauma and burns are associated with whole body catabolism which can persist for 1 or more years after injury. This study investigates body composition in massively burned children for up to 2 years. Methods: Twenty-five pediatric patients with greater than 40% total body surface area burns were ...

PURPOSE OF REVIEW: The hypermetabolic response in critically ill patients is characterized by hyperdynamic circulatory, physiologic, catabolic and immune system responses. Failure to satisfy overwhelming energy and protein requirements after, and during critical illness, results in multiorgan dysfunction, increased susceptibility to infection, and death. Attenuation of the hypermetabolic response ...

Cardiac stress, mediated by increased catecholamines, is the hallmark of severe burn injury typified by marked tachycardia, increased myocardial oxygen consumption, and increased cardiac output (CO). It remains one of the main determinants of survival in large burns. Currently, it is unknown for how long cardiac stress persists after ...

INTRODUCTION: The standard technique for assessing pulmonary diffusing capacity of the lungs (DL) for carbon monoxide (CO) is the single breath (SB) technique. SB_DLco in children can be problematic because it requires a vital capacity >1.5 L. We have developed an open-circuit technique (OC), which uses the wash-in of ...

Article describes the content and development of an active control condition for an evidence-based intensive lifestyle intervention (ILI) for weight-loss after traumatic brain injury (TBI) – the Group Lifestyle Balance intervention. Intervention studies should incorporate strong scientific designs and active control conditions to assess effectiveness and aid in replication. Despite ...

Study developed a Rasch-based crosswalk between 2 postconcussive symptom measures, the Neurobehavioral Symptom Inventory (NSI) and the Rivermead Postconcussive Symptom Questionnaire (RPQ), and utilized Rasch analysis to formulate a new proposed scale containing the best theoretical and psychometric items. NSI and RPQ data were analyzed for 497 community-dwelling adults who ...

Study aimed to develop a more precise measure of irritability and aggression after traumatic brain injury (TBI) from the perspectives of both the individual with TBI and an observer using all behavioral item ratings for the Neuropsychiatric Inventory (NPI) Irritability and Aggression subscales. Baseline NPI data were obtained from 3 ...

Article offers recommendations intended to reduce the rate of opioid misuse and overdose for a particularly high-risk group of people with traumatic brain injury (TBI). A consensus process conducted with TBI researchers and expert practitioners developed practical recommendations to inform prescribing of opioids for people with TBI. After determining key ...

Study identified rehabilitation needs and factors associated with unmet needs at 5 years after traumatic brain injury (TBI) among 283 participants enrolled in Veterans Affairs (VA) TBI Model Systems polytrauma rehabilitation centers. Participants completed the Rehabilitation Needs Survey (21-item survey measuring cognitive, emotional, social, and functional needs) and the Craig ...