TY - JOUR PY - 2015// TI - Immediate and long-term psychological problems for survivors of severe pediatric electrical injury JO - Burns: journal of the International Society for Burn Injuries A1 - Rosenberg, Marta A1 - Mehta, Neha A1 - Rosenberg, Laura A1 - Ramirez, Maribel A1 - Meyer, Walter J. A1 - Herndon, David N. A1 - Andersen, Clark R. A1 - Thomas, Christopher SP - 1823 EP - 1830 VL - 41 IS - 8 N2 - OBJECTIVE: To compare psychological difficulties experienced during the initial acute hospitalization and the last follow up visit for children with electrical injuries (EI) and children without electrical injuries (non-EI). We hypothesized that children with electrical burns would have different psychological outcomes.

METHODS: This retrospective study compared emotional and cognitive functioning of EI patients and a matched group of survivors of other burns.

RESULTS: Medical records of 67 patients with and without EI were reviewed. For the EI group, the mean age at injury was 12.6±3.9 years, the mean age at follow up was 15.5±4.6 years, and mean TBSA 32±21%. For the Non-EI group, the mean age at injury was 12.4±3.9 years, the mean age at follow up was 14.5±4.7 years, and mean TBSA 32±21.5%. During the acute hospitalization, a significant difference was found between the groups in the area of neuropathic pain (Chi-square tests p<0.011). Individuals with EI were more likely to have acute stress disorder/post-traumatic stress disorder as well as amnesia of the accident than the controls; however, this did not reach statistical significance. No differences were found between the groups in other psychological areas. Follow up information from the last documented psychology/psychiatric visit revealed an equal number of patients experienced anxiety disorders, depression, grief, behavioral problems, and cognitive difficulties.

CONCLUSIONS: Some differences were evident between the groups immediately after injury; however, long term outcomes were similar.

Language: en

LA - en SN - 0305-4179 UR - http://dx.doi.org/10.1016/j.burns.2015.06.006 ID - ref1 ER -