Evidence map›Paper›PMID 33092898›Full record

ArticleBurns : journal of the International Society for Burn Injuries2021

Mortality prognostication scores do not predict long-term, health-related quality of life after burn: A burn model system national database study.

Barclay T Stewart, Gretchen J Carrougher, Elleanor Curtis, Jeffrey C Schneider, Colleen M Ryan, Dagmar Amtmann, Nicole S Gibran

Open access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Burns : journal of the International Society for Burn Injuries, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. The Impact of Burn Survivor Preinjury Income and Payer Status on Health-Related Quality of Life.Journal of burn care & research : official publication of the American Burn Association · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Barclay T StewartDepartment of Surgery, University of Washington, Northwest Regional Burn Model System; Northwest Regional Burn Model System. Electronic address: barclays@uw.edu.
Gretchen J CarrougherNorthwest Regional Burn Model System.
Elleanor CurtisDepartment of Surgery, University of California Davis Health, Department of Palliative Care, University of California Davis Health.
Jeffrey C SchneiderDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston-Harvard Burn Injury Model System.
Colleen M RyanDepartment of Surgery, Harvard Medical School, Boston-Harvard Burn Injury Model System.
Dagmar AmtmannDepartment of Rehabilitation Medicine, University of Washington, Burn Model System.
Nicole S GibranDepartment of Surgery, University of Washington, Northwest Regional Burn Model System; Northwest Regional Burn Model System.
University of Washington · USHarvard University · USEducation Northwest · USUniversity of California, Davis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDespite improved mortality rates after burn injury, many patients face significant long-term physical and psychosocial disabilities. We aimed to determine whether commonly used mortality prognostication scores predict long-term, health-related quality of life after burn injury. By doing so, we might add evidence to support goals of care discussions and facilitate shared decision-making efforts in the hours and days after a life-changing injury.

methodsWe used the multicenter National Institute of Disability, Independent Living and Rehabilitation Research Burn Model System database (1994-2019) to analyze SF-12 physical (PCS) and mental component (MCS) scores among survivors one year after major burn injury. Ninety percent of the observations were randomly assigned to a model development dataset. Multilevel, mixed-effects, linear regression models determined the relationship between revised Baux and Ryan Scores and SF-12 measures. Additionally, we tested a model with disaggregated independent and other covariates easily obtained around the time of index admission: age, sex, race, burn size, inhalation injury. Residuals from the remaining 10% of observations in the validation dataset were examined.

resultsThe analysis included 1606 respondents (median age 42 years, IQR 28-53 years; 70% male). Median burn size was 16% TBSA (IQR 6-30) and 13% of respondents sustained inhalation injury. Higher revised Baux and Ryan Scores and age, burn size, and inhalation injury were significantly correlated with lower PCS, but were not correlated with MCS. Female sex, black race, burn size, and inhalation injury correlated with lower MCS. All models poorly explained the variance in SF-12 scores (adjusted r

conclusionHigher revised Baux and Ryan Scores negatively correlated with long-term physical health, but not mental health, after burn injury. Regardless, the models poorly explained the variance in SF-12 scores one year after injury. More accurate models are needed to predict long-term, health-related quality of life and support shared decision-making during acute burn care.

Indexed as

AdolescentAdultAgedBurnsFemaleHealth StatusHumansLong Term Adverse EffectsMaleMiddle AgedModels, BiologicalMortalityPrognosisQuality of LifeRegistriesSurvivorsBurnPatient reported outcome measuresQuality of life

Identifiers

PMID33092898
PMCPMC7533049
OpenAlexW3092557663

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.