Table 3.
Publications utilizing NIDRR burn model system database organized by topic area with manuscript conclusions
| Topic | Title (Author) | Journal (Year) | Conclusion of Study |
|---|---|---|---|
| Psychological outcomes | Acute pain at discharge from hospitalization is a prospective predictor of long-term suicidal ideation after burn injury (Edwards et al.) | Archives of Physical Medicine and Rehabilitation (2007) | First findings to suggest an association between acute pain severity and the development and maintenance of suicidal ideation in burn patients23 |
| Symptoms of depression and anxiety as unique predictors of pain-related outcomes following burn injury (Edwards et al.) | Annals of Behavioral Medicine (2007) | Suggest potentially distinct effects of depression and anxiety and imply that assessment and early treatment of both depressive and anxiety symptoms may help improve a broad range of long-term pain-related outcomes following burn injury24 | |
| Psychological distress after major burn injury (Fauerbach et al.) | Psychosomatic Medicine (2007) | Clinically significant psychological distress during hospitalization for major burn injury is common and usually persistent. Thus, it is important that acute distress be understood as a marker for poor overall functional outcome post burn injuries25 | |
| Growth curve trajectories of distress in burn patients (Mason et al.) | Journal of Burn Care & Research (2010) | Psychological distress symptoms remain largely stable over time and highlight the psychological vulnerability of this patient population26 | |
| Quality-of-life loss of people admitted to burn centers, United States (Miller et al.) | Quality of Life Research (2012) | Burns cause substantial losses in quality of life, with long-term losses comparable to traumatic brain injury27 | |
| The 2000 Clinical Research Award. Describing and predicting distress and satisfaction with life for burn survivors (Patterson et al.) | Journal of Burn Care & Research (2000) | Results show the utility of biosocial models in which psychological and physical variables interact to influence adjustment and quality of life28 | |
| Rates, trends, and severity of depression after burn injuries (Wiechman et al.) | Journal of Burn Care & Research (2001) | Routine outpatient screening for depression is warranted29 | |
| Pruritus in adult burn survivors: postburn prevalence and risk factors associated with increased intensity (Carrougher et al.) | Journal of Burn Care & Research (2013) | Prevalence of burn pruritus is high, initially affecting >90% and persisting for >40% of long-term burn survivors. New predictors for postburn itch were identified to include younger age, dry skin, and raised/thick scars30 | |
| Sleep onset insomnia symptoms during hospitalization for major burn injury predict chronic pain (Smith et al.) | Pain (2008) | Highlight several risk factors for chronic pain and insomnia beyond acute injury severity, ie, sleep onset insomnia, pain severity, anxiety and depressive symptoms, which are all highly modifiable31 | |
| Pruritus in pediatric burn survivors: defining the clinical course (Schneider et al.) | Journal of Burn Care & Research (2015) | Pruritus is a frequent complication that lasts for at least 2 years after injury in a majority of pediatric burn survivors. Demonstrated a correlation between itch intensity and pain32 | |
| Burn demographics | The NIDRR burn model system database: a tool for the multicenter study of the outcome of burn injury (Klein et al.) | Journal of Burn Care & Research (2007) | The database was designed to focus on patient outcome and, therefore, provides a core of data that can be utilized in the analysis of the functional and psychosocial impact of burn injury and for the design of interventions to enhance the quality of life of burn survivors3 |
| Profile of patients lost to follow-up in the burn injury rehabilitation model systems’ longitudinal database (Holavanahalli et al.) | Journal of Burn Care & Research (2006) | Individuals who were younger, not employed at time of burn, with less than a high school level education, a history of drug abuse, circumstances of injury involving suspected assault, and having no insurance for care were lost to follow-up41 | |
| Burns as a result of assault: associated risk factors, injury characteristics, and outcomes (Kaufman et al.) | Journal of Burn Care & Research (2007) | Women and members of certain economic groups are at greater risk of being burned as a result of assault than to have nonintentional burn injuries. In addition, patients with intentional injuries have worse psychological outcomes than patients with burn injuries related to unintentional causes42 | |
| Assets and liabilities of the burn model system data model: a comparison with the National Burn Registry (Lezotte et al.) | Archives of Physical Medicine and Rehabilitation (2007) | Cohort studies examining long-term outcomes have the potential flaw of using a nonrepresentative study population. The BMS population was found to be sufficiently representative, but future analyses will require cautious and purposeful application of statistical adjustment strategies43 | |
| Assault and substance abuse characterize burn injuries in homeless patients (Kramer et al.) | Journal of Burn Care & Research (2008) | Homeless patients admitted to our burn center had a higher rate of substance abuse, mental illness, incidence of assault by burning, and longer lengths of hospital stay44 | |
| Functional outcomes | Impairment after burns: a two-center, prospective report (Costa et al.) | Burns (2003) | Recommend using the skin categories described in the fifth edition (or the most recently published version of the AMA Guide for Permanent Impairment) and including healed burn and graft sensory impairment in the skin rating32 |
| The WeeFIM Instrument - a pediatric measure of functional independence to predict longitudinal recovery of pediatric burn patients (Serghiou et al.) | Developmental Neurorehabilitation (2008) | WeeFIM can be utilized by burn centers to describe diminished functional capacity at discharge from acute care for severely burnt children. The tool can be used to track return to baseline independence after a major burn injury in a pediatric population34 | |
| Community reintegration | Time off work and return to work rates after burns: systematic review of the literature and a large two-center series (Brych et al.) | Journal of Burn Care & Research (2001) | Employment disruption after burns is significant35 |
| Community integration after burn injuries (Esselman et al.) | Journal of Burn Care & Research (2001) | Individuals with burn injuries have significant difficulties with community integration due to burn and nonburn-related factors36 | |
| Barriers to return to work after burn injuries (Esselman et al.) | Archives of Physical Medicine and Rehabilitation (2007) | Majority of patients return to work after a burn injury. Although physical and work conditions are important barriers, psychosocial issues need to be evaluated and treated to optimize return to work37 | |
| Barriers to employment among working-aged patients with major burn injury (Fauerbach et al.) | Journal of Burn Care & Research (2001) | Greater prevalence of preexisting impairments among survivors who were unemployed before the injury helps explain why preburn employment status is such a powerful determinant of postburn work outcomes, and suggests the need to include psychosocial services in a program of comprehensive rehabilitation38 | |
| Validation of the community integration questionnaire in the adult burn injury population (Gerrard et al.) | Quality of Life Research (2015) | Psychometric properties of the community integration questionnaire were examined and demonstrated validity and reliability in the adult burn survivor population39 | |
| Time to school re-entry after burn injury is quite short (Christiansen et al.) | Journal of Burn Care & Research (2007) | The time to school re-entry after discharge from the burn center is quite short. Length of hospital stay, age, and sex appear to be the most significant factors associated with time to return to school40 | |
| Multiple categories: psychological outcomes; functional outcomes | Functional and psychosocial outcomes of older adults after burn injury: results from a multicenter database of severe burn injury (Klein et al.) | Journal of Burn Care & Research (2011) | Severe burn injury significantly impacts both functional outcome and psychosocial quality of life in older adults. However, the impact seems to be age related as are recovery trajectories21 |
| The 2004 clinical research award. Burden of burn: a norm-based inquiry into the influence of burn size and distress on recovery of physical and psychosocial function (Fauerbach et al.) | Journal of Burn Care & Research (2005) | Complementing wound closure and resuscitation efforts with early interventions designed to reduce initial psychological distress may accelerate both physical and psychosocial recovery22 |
NIDRR, National Institute on Disability and Rehabilitation Research.