TBSA and length of stay impact quality of life following burn injury. Issue 3 (May 2020)

• Record Type: Journal Article
• Authors: Kishawi, Deena; Wozniak, Amy W.; Mosier, Michael J.
• Is Part Of: Burns. Volume 46:Issue 3(2020)
• Page Start: 616
• Page End: 620
• Publication Date: 2020-05
• Subjects: Burns and scalds -- Periodicals; 617.11
• DOI: 10.1016/j.burns.2019.09.007
• Languages: English
• ISSNs: 0305-4179

Abstract

Highlights: Quality of life is impacted by the total body surface area burned. Length of stay is correlated with the total body surface area burned. Length of stay is more strongly correlated with quality of life. Returning to work improves the reported quality of life for burn patients. Attention to body image should be given to help patients reintegrate post-injury. Abstract: Introduction: Burn injuries create physiologic, physical, and emotional effects acutely and long-lasting. Recovery is extensive and requires long-term care. Impaired function related to pain, deconditioning, weakness, and contracture formation are common. We sought to determine factors that impact quality of life (QOL) post recovery. Specifically, to assess whether Health Related QOL (HRQOL) decreases with increasing percent total body surface area (TBSA) and length of stay (LOS). We also explored QOL as a function of burn mechanism. Methods: Patients >18 years of age with >9.5% TBSA between 1 and 6 years post-burn injury were contacted by mail and asked if they were willing to participate. Those who agreed responded by returning their completed Burn Specific Health Scale-Brief (BSHS-B). Medical records were accessed to determine demographic and treatment information. Results: Statistical analysis revealed a strong correlation between total QOL (total score of BSHS-B) and LOS and TBSA. All domains were negatively correlated with increasing LOS and TBSA. LOS was most strongly correlated with decreasing work function and social function. There were no differences in QOL between burn mechanism. Conclusions: QOL is greatly impacted by TBSA and LOS.More attention to body image and returning to work should be given, regardless of the type of burn mechanism.