TY - JOUR
PY - 2023//
TI - Evaluating effects of burn injury characteristics on quality of life in pediatric burn patients and caregivers
JO - Burns: journal of the International Society for Burn Injuries
A1 - Patterson, Kelli N.
A1 - Beyene, Tariku J.
A1 - Lehman, Katherine
A1 - Verlee, Sarah N.
A1 - Schwartz, Dana
A1 - Fabia, Renata
A1 - Thakkar, Rajan K.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVES: The purpose of this study was to evaluate pediatric burn patients' and caregivers' quality of life (QoL), while identifying clinical characteristics correlated with psychological stress.
METHODS: Pediatric burn patients at an ABA-verified institution from November 2019-January 2021 were included. Caregivers of patients 0-4 years completed the Infant's Dermatology QoL Index (IDQOL). Patients> 4-16 years completed the Children's Dermatology Life Quality Index (CDLQI). The Short Post-Traumatic Stress Disorder Rating Interview (SPRINT) measured caregivers' stress. Generalized linear mixed models evaluated associations between assessment scores and burn characteristics.
RESULTS: Overall, 27.3% (39/143) of IDQOL and 53.1.% (41/96) of CDLQI scores indicated that patients' burns caused moderate to extremely large effects on QoL. In caregivers, 4.5% (7/159) scored> 14 on the SPRINT, warranting further PTSD evaluation. For the IDQOL, each additional 1% TBSA burn was associated with a 2.75-point increase (p = 0.05), and patients sustaining 2nd degree deep partial thickness burns scored an average of 3.3 points higher compared to 2nd degree superficial partial thickness burns (P < 0.01). CLDQI and SPRINT scores demonstrated a similar pattern.
CONCLUSIONS: QoL is impacted in a substantial proportion of pediatric burn patients. Larger TBSA and increased burn depths cause significantly more psychological stress in children, and caregivers may require more extensive psychological evaluation. Language: en
LA - en
SN - 0305-4179
UR - http://dx.doi.org/10.1016/j.burns.2023.01.010
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