Evidence map›Paper›PMID 37347905›Full record

ArticleRehabilitation psychology2023

Trajectories of physical health-related quality of life among adults living with burn injuries: A burn model system national database investigation to improve early intervention and rehabilitation service delivery.

Shelley A Wiechman, Dagmar Amtmann, Fraser D Bocell, Kara A McMullen, Jeffrey C Schneider, Laura Rosenberg, Marta Rosenberg, Gretchen J Carrougher, Karen Kowalske, Colleen M Ryan and 2 more

Abstract read
In one paragraph

Article in Rehabilitation psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

12 authors.

Shelley A WiechmanDepartment of Rehabilitation Medicine, University of Washington.ORCID 0000-0002-0373-972X
Dagmar AmtmannDepartment of Rehabilitation Medicine, Burn Model System National Data and Statistical Center, University of Washington.
Fraser D BocellDepartment of Rehabilitation Medicine, Burn Model System National Data and Statistical Center, University of Washington.ORCID 0000-0002-2943-2662
Kara A McMullenDepartment of Rehabilitation Medicine, Burn Model System National Data and Statistical Center, University of Washington.
Jeffrey C SchneiderDepartment of Rehabilitation Medicine, Spaulding Rehabilitation Hospital, Harvard Medical School.
Laura RosenbergShriners Children's Texas, University of Texas Medical Branch.
Marta RosenbergShriners Children's Texas, University of Texas Medical Branch.
Gretchen J CarrougherDepartment of Surgery, Harborview Medical Center, University of Washington.
Karen KowalskeDepartment of Rehabilitation Medicine, UT Southwestern.
Colleen M RyanDepartment of Surgery, Mass General Surgery, Harvard Medical School.
Barclay T StewartDepartment of Surgery, Harborview Medical Center, University of Washington.
Nicole S GibranDepartment of Surgery, Harborview Medical Center, University of Washington.

Funding

ACL HHS 90DP0029ACL HHS 90DPBU0001ACL HHS 90DPBU0004
6 · The paper itself

Abstract

introductionUnderstanding trajectories of recovery in key domains can be used to guide patients, families, and caregivers. The purpose of this study was to describe common trajectories of physical health over time and to examine predictors of these trajectories.

methodAdults with burn injuries completed self-reported assessments of their health-related quality of life (HRQOL) as measured by the SF-12® Physical Component Summary (PCS) score at distinct time points (preinjury via recall, index hospital discharge, and at 6-, 12-, and 24 months after injury). Growth mixture modeling (GMM) was used to model PCS scores over time. Covariables included burn size, participant characteristics, and scores from the Community Integration Questionnaire (CIQ)/Social Integration portion, Satisfaction With Life Scale (SWLS), and Satisfaction With Appearance Scale (SWAP).

resultsData from 939 participants were used for complete-case analysis. Participants were 72% male, 64% non-Hispanic White, with an average age of 44 years and an average burn size of 20% of total body surface area (TBSA). The best fitting model suggested three distinct trajectories (Class 1 through 3) for HRQOL. We titled each Class according to the characteristics of their trajectory. Class 1 (recovering;

conclusionsThese findings emphasize the importance of early universal screening and sustained intervention for those most at risk for low HRQOL following injury. For Class 2 (static), lower than average HRQOL before their injury is a warning. For Class 3 (weakened), if the scores at 6 months show a large decline, then the person is at risk for not regaining their HRQOL by 24 months and thus needs all available interventions to optimize their outcomes. Results of this study provide guidance for how to identify people with burn injury who would benefit from more intensive rehabilitation to help them achieve or regain better HRQOL. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

BurnsQuality of LifeAdultFemaleHumansMalePersonal Satisfaction

Identifiers

PMID37347905
PMCPMC10527858

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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.