The Impact of Burn Size on Community Participation

Autor: Jeffrey C. Schneider, Jeremy Goverman, Cornelia L. Griggs, William L. Hickerson, James C. Jeng, Camerin A Rencken, Lewis E. Kazis, Gabriel D. Shapiro, Molly Marino, Colleen M. Ryan
Rok vydání: 2020
Předmět:
Zdroj: Ann Surg
ISSN: 0003-4932
DOI: 10.1097/sla.0000000000004703
Popis: OBJECTIVE: To assess the association of burn size and community participation as measured by the LIBRE Profile. SUMMARY BACKGROUND DATA: Burn size is an established clinical predictor of survival following burn injury. It is often a factor in guiding decisions surrounding early medical interventions, however, literature is inconclusive on its relationship to quality of life outcomes. METHODS: This is a secondary data analysis of a cross-sectional survey of adult burn survivors. Self-reported data were collected between October 2014 and December 2015 from 601 burn survivors aged ≥18 years with ≥5% total body surface area (TBSA) or burns to critical areas. Sociodemographic characteristics were compared between participants with small burns (≤40% TBSA burned) and large burns (>40% TBSA burned). Ordinary least squares regression models examined associations between burn size and LIBRE Profile scale scores with adjustments for gender, current work status, burns to critical areas, and time since burn injury. RESULTS: The analytic sample comprised 562 participants with data available for burn size. 42% of respondents had large burns (>40% TBSA burned) and 58% reported smaller burns (TBSA ≤40%). In adjusted regression models, patients with large burns tended to score lower on the Social Activities and Work & Employment scales (p40% TBSA scored lower for several individual items in the Social Activities scale and one item in the Work & Employment scale (p
Databáze: OpenAIRE