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
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...
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| creator | Stockly, Olivia R Wolfe, Audrey E Carrougher, Gretchen J Stewart, Barclay T Gibran, Nicole S Wolf, Steven E McMullen, Kara Bamer, Alyssa M Kowalske, Karen Cioffi, William G Zafonte, Ross Schneider, Jeffrey C Ryan, Colleen M |
| description | 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 |
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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0239556</identifier><identifier>PMID: 32966317</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Age ; Biology and Life Sciences ; Burns ; Data collection ; Demographics ; Distribution ; Employment ; Engineering and Technology ; Hospitals ; Inhalation ; Injuries ; Injury analysis ; Medical records ; Medicine ; Medicine and Health Sciences ; Morbidity ; Mortality ; Occupational safety and health ; Patient outcomes ; Quality of life ; Regression analysis ; Regression models ; Rehabilitation ; Resource allocation ; Respiration ; Smoke inhalation ; Social Sciences ; Supervision ; Surgery ; Survival ; Ventilators</subject><ispartof>PloS one, 2020-09, Vol.15 (9), p.e0239556</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Stockly et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Stockly et al 2020 Stockly et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c636t-676f9f3e263b8076c8d9eea7c8a6edaa0befd82c011de4584cedf97c418901a73</citedby><cites>FETCH-LOGICAL-c636t-676f9f3e263b8076c8d9eea7c8a6edaa0befd82c011de4584cedf97c418901a73</cites><orcidid>0000-0002-6455-936X ; 0000-0003-2972-3440 ; 0000-0002-8099-9218 ; 0000-0001-6652-7700</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7511001/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7511001/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids></links><search><creatorcontrib>Stockly, Olivia R</creatorcontrib><creatorcontrib>Wolfe, Audrey E</creatorcontrib><creatorcontrib>Carrougher, Gretchen J</creatorcontrib><creatorcontrib>Stewart, Barclay T</creatorcontrib><creatorcontrib>Gibran, Nicole S</creatorcontrib><creatorcontrib>Wolf, Steven E</creatorcontrib><creatorcontrib>McMullen, Kara</creatorcontrib><creatorcontrib>Bamer, Alyssa M</creatorcontrib><creatorcontrib>Kowalske, Karen</creatorcontrib><creatorcontrib>Cioffi, William G</creatorcontrib><creatorcontrib>Zafonte, Ross</creatorcontrib><creatorcontrib>Schneider, Jeffrey C</creatorcontrib><creatorcontrib>Ryan, Colleen M</creatorcontrib><title>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</title><title>PloS one</title><description>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.</description><subject>Age</subject><subject>Biology and Life Sciences</subject><subject>Burns</subject><subject>Data collection</subject><subject>Demographics</subject><subject>Distribution</subject><subject>Employment</subject><subject>Engineering and Technology</subject><subject>Hospitals</subject><subject>Inhalation</subject><subject>Injuries</subject><subject>Injury analysis</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Occupational safety and health</subject><subject>Patient outcomes</subject><subject>Quality of life</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Rehabilitation</subject><subject>Resource 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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</title><author>Stockly, Olivia R ; Wolfe, Audrey E ; Carrougher, Gretchen J ; Stewart, Barclay T ; Gibran, Nicole S ; Wolf, Steven E ; McMullen, Kara ; Bamer, Alyssa M ; Kowalske, Karen ; Cioffi, William G ; Zafonte, Ross ; Schneider, Jeffrey C ; Ryan, Colleen M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c636t-676f9f3e263b8076c8d9eea7c8a6edaa0befd82c011de4584cedf97c418901a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age</topic><topic>Biology and Life Sciences</topic><topic>Burns</topic><topic>Data collection</topic><topic>Demographics</topic><topic>Distribution</topic><topic>Employment</topic><topic>Engineering and Technology</topic><topic>Hospitals</topic><topic>Inhalation</topic><topic>Injuries</topic><topic>Injury analysis</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Occupational safety and health</topic><topic>Patient outcomes</topic><topic>Quality of life</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Rehabilitation</topic><topic>Resource allocation</topic><topic>Respiration</topic><topic>Smoke inhalation</topic><topic>Social Sciences</topic><topic>Supervision</topic><topic>Surgery</topic><topic>Survival</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stockly, Olivia R</creatorcontrib><creatorcontrib>Wolfe, Audrey E</creatorcontrib><creatorcontrib>Carrougher, Gretchen J</creatorcontrib><creatorcontrib>Stewart, Barclay T</creatorcontrib><creatorcontrib>Gibran, Nicole 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stockly, Olivia R</au><au>Wolfe, Audrey E</au><au>Carrougher, Gretchen J</au><au>Stewart, Barclay T</au><au>Gibran, Nicole S</au><au>Wolf, Steven E</au><au>McMullen, Kara</au><au>Bamer, Alyssa M</au><au>Kowalske, Karen</au><au>Cioffi, William G</au><au>Zafonte, Ross</au><au>Schneider, Jeffrey C</au><au>Ryan, Colleen M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>PloS one</jtitle><date>2020-09-23</date><risdate>2020</risdate><volume>15</volume><issue>9</issue><spage>e0239556</spage><pages>e0239556-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32966317</pmid><doi>10.1371/journal.pone.0239556</doi><tpages>e0239556</tpages><orcidid>https://orcid.org/0000-0002-6455-936X</orcidid><orcidid>https://orcid.org/0000-0003-2972-3440</orcidid><orcidid>https://orcid.org/0000-0002-8099-9218</orcidid><orcidid>https://orcid.org/0000-0001-6652-7700</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Age Biology and Life Sciences Burns Data collection Demographics Distribution Employment Engineering and Technology Hospitals Inhalation Injuries Injury analysis Medical records Medicine Medicine and Health Sciences Morbidity Mortality Occupational safety and health Patient outcomes Quality of life Regression analysis Regression models Rehabilitation Resource allocation Respiration Smoke inhalation Social Sciences Supervision Surgery Survival Ventilators |
| title | 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 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T23%3A35%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Inhalation%20injury%20is%20associated%20with%20long-term%20employment%20outcomes%20in%20the%20burn%20population:%20Findings%20from%20a%20cross-sectional%20examination%20of%20the%20Burn%20Model%20System%20National%20Database&rft.jtitle=PloS%20one&rft.au=Stockly,%20Olivia%20R&rft.date=2020-09-23&rft.volume=15&rft.issue=9&rft.spage=e0239556&rft.pages=e0239556-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0239556&rft_dat=%3Cgale_plos_%3EA636294795%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2445351028&rft_id=info:pmid/32966317&rft_galeid=A636294795&rft_doaj_id=oai_doaj_org_article_c5be994fa2134e5b88c85c9bb2273cb9&rfr_iscdi=true |