Predictors at 6 and 12 Months for Social Participation Outcome at 24 Months in the Adult Burn Injury Population: A Burn Model System National Database Study

Huan Deng; Lauren J Shepler; Kaitlyn L Chacon; Diana Tenney; Pengsheng Ni; Barclay T Stewart; Gretchen J Carrougher; Karen Kowalske; Steven E Wolf; Mary D Slavin; Lewis E Kazis; Colleen M Ryan; Jeffrey C Schneider

doi:10.1016/j.apmr.2023.06.011

Predictors at 6 and 12 Months for Social Participation Outcome at 24 Months in the Adult Burn Injury Population: A Burn Model System National Database Study

Arch Phys Med Rehabil. 2024 Feb;105(2):235-242. doi: 10.1016/j.apmr.2023.06.011. Epub 2023 Jun 30.

Authors

Affiliations

¹ Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA.
² Burn Survivors of New England, Boston, MA.
³ Boston University School of Public Health, Boston, MA.
⁴ The University of Washington, Seattle, WA; Harborview Injury Prevention and Research Center, Seattle, WA.
⁵ The University of Washington, Seattle, WA.
⁶ The University of Texas Southwestern Medical Center, Dallas, TX.
⁷ University of Texas Medical Branch, Galveston, TX.
⁸ Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA; Boston University School of Public Health, Boston, MA; Rehabilitation Outcomes Center at Spaulding, Boston, MA.
⁹ Massachusetts General Hospital, Harvard Medical School, Boston, MA; Shriners Hospitals for Children-Boston, Boston, MA.
¹⁰ Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA; Rehabilitation Outcomes Center at Spaulding, Boston, MA; Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address: jcschneider@mgh.harvard.edu.

PMID: 37392780
PMCID: PMC10756920 (available on 2025-02-01)
DOI: 10.1016/j.apmr.2023.06.011

Abstract

Objective: To identify clinical factors (physical and psychological symptoms and post-traumatic growth) that predict social participation outcome at 24-month after burn injury.

Design: A prospective cohort study based on Burn Model System National Database.

Setting: Burn Model System centers.

Participants: 181 adult participants less than 2 years after burn injury (N=181).

Interventions: Not applicable.

Main outcome measures: Demographic and injury variables were collected at discharge. Predictor variables were assessed at 6 and 12 months: Post-Traumatic Growth Inventory Short Form (PTGI-SF), Post-Traumatic Stress Disorder Checklist Civilian Version (PCL-C), Patient-Reported Outcomes Measurement Information System (PROMIS-29) Depression, Anxiety, Sleep Disturbance, Fatigue, and Pain Interference short forms, and self-reported Heat Intolerance. Social participation was measured at 24 months using the Life Impact Burn Recovery Evaluation (LIBRE) Social Interactions and Social Activities short forms.

Results: Linear and multivariable regression models were used to examine predictor variables for social participation outcomes, controlling for demographic and injury variables. For LIBRE Social Interactions, significant predictors included the PCL-C total score at 6 months (β=-0.27, P<.001) and 12 months (β=-0.39, P<.001), and PROMIS-29 Pain Interference at 6 months (β=-0.20, P<.01). For LIBRE Social Activities, significant predictors consisted of the PROMIS-29 Depression at 6 months (β=-0.37, P<.001) and 12 months (β=-0.37, P<.001), PROMIS-29 Pain Interference at 6 months (β=-0.40, P<.001) and 12 months (β=-0.37, P<.001), and Heat Intolerance at 12 months (β=-4.55, P<.01).

Conclusions: Post-traumatic stress and pain predicted social interactions outcomes, while depression, pain and heat intolerance predicted social activities outcomes in people with burn injury.

Keywords: Burns; Rehabilitation; Social participation.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Burns* / psychology
Humans
Pain
Prospective Studies
Quality of Life / psychology
Social Participation*

Abstract

Publication types

MeSH terms

Grants and funding