611 Measuring Health Outcomes in Pediatric Burn Survivors: A Systematic Review
| Autor: | Camerin A Rencken, Keri J S Brady, Khushbu F Patel, Carina N Hou, Amelia Austen, Lewis E. Kazis, Erin M Kinney, Colleen M. Ryan, Silvanys L Rodríguez-Mercedes, Jeffrey C. Schneider, Gabrielle G Grant |
|---|---|
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Burn Care & Research. 42:S158-S159 |
| ISSN: | 1559-0488 1559-047X |
| DOI: | 10.1093/jbcr/irab032.261 |
| Popis: | Introduction Acute burn injuries often result in chronic sequelae that affect functional and psychosocial outcomes. Few prior reviews on pediatric populations report on outcomes across multiple domains. The aim of this systematic review was to identify study characteristics and design of published burn literature that focus on the impact of burns on physical and psychosocial outcomes. Methods We included literature published after 1980, focusing on multifunctional burn outcomes in children aged 5–18 years. PubMed and Web of Science were searched with keywords covering broad and domain specific terms (e.g., “pediatric burns”, “outcomes”, “psychosocial recovery”) along with a manual reference check. After screening 751 potential abstracts, each eligible study was systematically reviewed using the McMaster Critical Review Form and assigned a score by two coordinators. Dyad discussions resolved inconsistencies. Extracted data elements included study designs, participant types, measurements, outcomes, clinical and demographic information, and main findings of each study. Results Sixty-two studies met inclusion criteria, and outcomes were classified into physical (n=31), psychological (n=53), and social (n=38) domains. The majority of studies were cross-sectional designs (n=33) and received a complete critical review score on all applicable categories (n=42). Study population ranged from six to 678 patients. Half of the studies did not have a comparison group. Patient- and parent-report measures were used in 43 and 41 studies respectively, with 25 studies using both types of measures. Across 62 studies, 85 different measures used, with only nine used in more than three studies. Parents and children generally reported better functioning in social and physical domains compared to age-matched groups, and worse psychological outcomes compared to non-burned population. Physical disabilities were associated with psychosocial functioning in 16 studies. Physical and social functioning improved where follow-up data was reported in six studies. Examples of selected factors that significantly impacted physical and psychosocial outcomes across domains included burn size, pain and itch, visible scars, body image satisfaction, athletic competence, peer relations, and adjustment skills. Conclusions This review demonstrated important associations with physical health and psychosocial status as outcomes. Additionally, there is a need for a standardized burn-specific measurement tool. These findings are relevant to burn clinicians and researchers to understand pathways and outcomes that affect quality of life in pediatrics post-burns. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|