The long-term health-related quality of life in children treated for burns as infants 5–9 years earlier

Laitakari, Elina; Koljonen, Virve; Pyörälä, Sari; Rintala, Risto; Roine, Risto P.; Sintonen, Harri

doi:10.1016/j.burns.2015.02.005

Cited by 15 publications

(7 citation statements)

References 42 publications

(61 reference statements)

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Section: Resultsmentioning

confidence: 99%

“…Four studies examined Quality of Life (QoL) [ 58 , 63 – 65 ]. Laitakari et al [ 63 ] found that QoL was comparable for children who had experienced a burn injury when compared to control groups of non-burned children. Maskell et al [ 58 ] and Weedon and Potterton [ 65 ] both found that QoL was lower for children or adolescents who had experienced a burn injury, with the latter study showing that children who were burned with hot water scored the poorest in terms of QoL.…”

Section: Resultsmentioning

confidence: 99%

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The psychological impact of paediatric burn injuries: a systematic review

et al. 2021

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Objective To review and synthesise qualitative literature regarding the psychological outcomes following paediatric burn injuries, and to determine if children and adolescents who experience a burn injury have elevated risk of psychopathology following the injury. Design Systematic review of quantitative and qualitative studies. Data sources Informit health, Medline, Embase, and PsycINFO were searched from January 2010 to December 2020. Data extraction and synthesis Two reviewers screened articles, and one reviewer extracted data (with cross-checking from another reviewer) from the included studies and assessed quality using an established tool. Narrative synthesis was used to synthesise the findings from the quantitative studies, and thematic synthesis was used to synthesise the findings of included qualitative studies. Results Searches yielded 1240 unique titles, with 130 retained for full-text screening. Forty-five studies from 17 countries were included. The psychological outcomes included in the studies were mental health diagnoses, medication for mental illness, depression, anxiety, stress, fear, post-traumatic stress, post-traumatic growth, emotional issues, self-harm, self-esteem, self-concept, stigmatisation, quality of life, level of disability, resilience, coping, and suicidality. Conclusions Our findings highlight paediatric burn patients as a particularly vulnerable population following a burn injury. Studies suggest elevated anxiety and traumatic stress symptoms, and higher rates of psychopathology in the long-term. Further research is recommended to determine the psychological outcomes in the other mental health domains highlighted in this review, as findings were mixed. Clinical care teams responsible for the aftercare of burn patients should involve psychological support for the children and families to improve outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The psychological impact of paediatric burn injuries: a systematic review

et al. 2021

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“…Any form of burn injury may prevent regular school attendance, a critical contributor to school performance 5. In turn, poor academic outcomes increase the risk of poor adult functioning, physical health, psychological dysfunction and social maladjustment 5–7.…”

Section: Introductionmentioning

confidence: 99%

Influence of early childhood burns on school performance: an Australian population study

et al. 2017

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“…We do not know whether male patients did not report their sleep disturbances or if female patients experience more or worse sleep disturbances following trauma. When compared to quality of life reported in the literature, the perceived health-related quality of life of pediatric burn survivors, with a mean age of 7 years and median follow-up time of 6.3 years post trauma, was better in terms of sleeping, learning, breathing, and appearance than that of the studied control population [11]. However, sex-specificity was not taken into account in this study.…”

Section: Discussionmentioning

confidence: 70%

“…Determining whether our findings at the 2-year follow-up represent age predicted values is important as further reduction may not be possible. Furthermore, it is necessary to point out that the populations studied by Laitakari et al [11] as well as van Baar et al [3] included children with small burn sizes, with the majority of burns covering under 10% of TBSA, whereas our current research focused on burns covering an average of more than 50% of TBSA. Larger burns are associated with multiple surgeries during both the acute hospitalization and rehabilitation period; thus further psychological stress may contribute toward sleep disturbances.…”

Section: Discussionmentioning

confidence: 99%

Two-year follow-up of outcomes related to scarring and distress in children with severe burns

Wurzer

Forbes

Hundeshagen

et al. 2016

Disability and Rehabilitation

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Purpose We assessed the perception of scarring and distress by pediatric burn survivors with burns covering more than one-third of total body surface area (TBSA) for up to 2 years post-burn. Methods Children with severe burns were admitted to our hospital between 2004 and 2012, and consented to this IRB-approved-study. Subjects completed at least one Scars Problems and/or Distress questionnaire between discharge and 24 months post burn. Outcomes were modeled with generalized estimating equations or using mixed linear models. Significance was accepted at p<0.01. Results Responses of 167 children with a mean age of 7±5 years and burns covering an average 54±14% of TBSA were analyzed. Significant improvements over the 2-year period were seen in reduction of pain, itching, sleeping disturbance, tightness, range of motion, and strength (p<0.01). There was a significantly increased persistent desire to hide the scarred body areas over time (p<0.01). The perception of mouth scarring, inability to portray accurate facial expressions, and skin coloration did not improve over the follow-up period. Conclusions According to self-assessment questionnaires, severely burned children exhibit significant improvements in their overall perception of scarring and distress. However, these patients remain self-conscious with respect to their body image even 2 years after burn injury.

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The long-term health-related quality of life in children treated for burns as infants 5–9 years earlier

Cited by 15 publications

References 42 publications

The psychological impact of paediatric burn injuries: a systematic review

The psychological impact of paediatric burn injuries: a systematic review

Influence of early childhood burns on school performance: an Australian population study

Two-year follow-up of outcomes related to scarring and distress in children with severe burns

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