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Tytuł pozycji:

Inhalation injury is associated with long-term employment outcomes in the burn population: Findings from a cross-sectional examination of the Burn Model System National Database.

Tytuł:
Inhalation injury is associated with long-term employment outcomes in the burn population: Findings from a cross-sectional examination of the Burn Model System National Database.
Autorzy:
Stockly OR; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States of America.
Wolfe AE; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States of America.
Carrougher GJ; Department of Surgery, University of Washington, Seattle, WA, United States of America.
Stewart BT; Department of Surgery, University of Washington, Seattle, WA, United States of America.; Harborview Injury Prevention and Research Center, Seattle, WA, United States of America.
Gibran NS; Department of Surgery, University of Washington, Seattle, WA, United States of America.
Wolf SE; Department of Surgery, University of Texas Medical Branch, Galveston, TX, United States of America.
McMullen K; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States of America.
Bamer AM; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, United States of America.
Kowalske K; Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, United States of America.
Cioffi WG; Department of Surgery, Brown University, Rhode Island Hospital, Providence, RI, United States of America.
Zafonte R; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States of America.
Schneider JC; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States of America.
Ryan CM; Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America.; Shriners Hospitals for Children-Boston, Boston, MA, United States of America.
Źródło:
PloS one [PLoS One] 2020 Sep 23; Vol. 15 (9), pp. e0239556. Date of Electronic Publication: 2020 Sep 23 (Print Publication: 2020).
Typ publikacji:
Journal Article; Research Support, U.S. Gov't, Non-P.H.S.
Język:
English
Imprint Name(s):
Original Publication: San Francisco, CA : Public Library of Science
MeSH Terms:
Employment*
Burns, Inhalation/*economics
Adult ; Aged ; Burns/economics ; Burns/physiopathology ; Burns/therapy ; Burns, Inhalation/physiopathology ; Burns, Inhalation/therapy ; Cross-Sectional Studies ; Databases, Factual ; Female ; Health Status ; Humans ; Length of Stay ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Quality of Life ; Regression Analysis ; Retrospective Studies ; United States
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Entry Date(s):
Date Created: 20200923 Date Completed: 20201109 Latest Revision: 20201109
Update Code:
20240105
PubMed Central ID:
PMC7511001
DOI:
10.1371/journal.pone.0239556
PMID:
32966317
Czasopismo naukowe
Introduction: Inhalation injuries carry significant acute care burden including prolonged ventilator days and length of stay. However, few studies have examined post-acute outcomes of inhalation injury survivors. This study compares the long-term outcomes of burn survivors with and without inhalation injury.
Methods: Data collected by the Burn Model System National Database from 1993 to 2019 were analyzed. Demographic and clinical characteristics for adult burn survivors with and without inhalation injury were examined. Outcomes included employment status, Short Form-12/Veterans Rand-12 Physical Composite Score (SF-12/VR-12 PCS), Short Form-12/Veterans Rand-12 Mental Composite Score (SF-12/VR-12 MCS), and Satisfaction With Life Scale (SWLS) at 24 months post-injury. Regression models were used to assess the impacts of sociodemographic and clinical covariates on long-term outcome measures. All models controlled for demographic and clinical characteristics.
Results: Data from 1,871 individuals were analyzed (208 with inhalation injury; 1,663 without inhalation injury). The inhalation injury population had a median age of 40.1 years, 68.8% were male, and 69% were White, non-Hispanic. Individuals that sustained an inhalation injury had larger burn size, more operations, and longer lengths of hospital stay (p<0.001). Individuals with inhalation injury were less likely to be employed at 24 months post-injury compared to survivors without inhalation injury (OR = 0.63, p = 0.028). There were no significant differences in PCS, MCS, or SWLS scores between groups in adjusted regression analyses.
Conclusions: Burn survivors with inhalation injury were significantly less likely to be employed at 24 months post-injury compared to survivors without inhalation injury. However, other health-related quality of life outcomes were similar between groups. This study suggests distinct long-term outcomes in adult burn survivors with inhalation injury which may inform future resource allocation and treatment paradigms.
Competing Interests: The authors have declared that no competing interests exist.
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