Pruritus in adult burn survivors: postburn prevalence and risk factors associated with increased intensity
| Autor: | James A. Fauerbach, Kara S. McMullen, Nicole S. Gibran, Shelley A. Wiechman, Erin M. Martinez, David N. Herndon, Gretchen J. Carrougher, Radha K. Holavanahalli, Loren H. Engrav |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Prevalence Severity of Illness Index Risk Factors Internal medicine Statistical significance Epidemiology Severity of illness medicine Humans Longitudinal Studies Prospective Studies skin and connective tissue diseases Prospective cohort study Aged business.industry Pruritus Rehabilitation Repeated measures design Middle Aged Surgery Emergency Medicine Disease Progression Linear Models Itching Female medicine.symptom business Burns Cohort study |
| Zdroj: | Journal of burn careresearch : official publication of the American Burn Association. 34(1) |
| ISSN: | 1559-0488 |
| Popis: | Pruritus (itching) is a common and distressing complaint after injury. The purpose of this study was to investigate self-reported postburn pruritus in a large, multisite cohort study of adult burn survivors. Descriptive statistics, general linear regression, and mixed model repeated measures analyses were employed to test statistical significance. Two cohorts of adult burn survivors were studied. Group 1 participants (n = 637) were injured from 2006 to 2010 and were followed up prospectively for 2 years from the time of injury. Prevalence and severity of pruritus were compared across multiple subgroups. Prevalence of pruritus at discharge, 6, 12, and 24 months following injury were 93, 86, 83, and 73%, respectively. Regression results established that %TBSA-burn and %TBSA-grafted were correlated to itch intensity values. Group 2 participants (n = 336) were injured 4 to 10 years before an assessment using the validated 5-D Itch Scale. Many patients (44.4%) reported itching in the area of the burn, graft, or donor site. Within this group, 76% reported itching for6 hours/day, and 52 and 29% considered itch intensity to be mild or moderate, respectively. This study confirms that the prevalence of burn pruritus is high, initially affecting90% and persisting for40% of long-term burn survivors. New predictors for postburn itch were identified to include younger age, dry skin, and raised/thick scars. Characterization of the impact of postburn pruritus on leisure, vocation, and sleep are quantified for those long-term survivors suffering from postburn pruritus. |
| Databáze: | OpenAIRE |
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