科研之友
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摘要
Objective: To examine the long-term quality of life of pediatric burn survivors with and without inhalation injuries. We hypothesized that patients with inhalation injury would report more disability and lower quality of life. Methods: We examined 51 patients with inhalation injury and 72 without inhalation injury who had burns of >= 10% total body surface area, were age >= 16 years at time of the interview, and were greater than 5 years from injury. Subjects completed the World Health Organization Disability Assessment Scale II (WHODAS II) and the Burn Specific Health Scale-Brief (BSHS-B). Multiple regression analyses were used to measure the effects of inhalation injury while controlling for age at burn and TBSA. Results: The mean age of burn of participants with inhalation injury was 11.7 +/- 3.6 years, mean TBSA 55% +/- 18, and mean ventilator days 8.4 +/- 9. The mean age of burn of participants without inhalation injury was 10.3 +/- 34.1 years, mean TBSA 45% +/- 20, and mean ventilator days 1.3 +/- 5.2. Inhalation injury did not appear to significantly impact participants' scores on the majority of the domains. The WHODAS II domain of household activities showed a significant relation with TBSA (p = 0.01). Increased size of burn was associated with difficulty completing tasks for both groups. The BSHS-B domain of treatment regimen showed a relation with age at burn (p = 0.02). Increased age was associated difficulty in this area for both groups. Conclusions: Overall the groups were comparable in their reports of disability and quality of life. Inhalation injury did not affect long-term quality of life.
- 出版日期2015-6
