Evidence map›Paper›PMID 40639035›Full record

ArticleBurns : journal of the International Society for Burn Injuries2025

Long-term sleep disturbance following burn injury: Insights from the Burn Model System.

Anika Kim, Paul Won, Kara McMullen, Barclay T Stewart, Jeffrey C Schneider, Collen M Ryan, Haig A Yenikomshian

Abstract read
In one paragraph

Article in Burns : journal of the International Society for Burn Injuries, 2025. 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
–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

1 citing paper in PubMed.

  1. 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.

Anika KimKeck Medicine of USC, Los Angeles, CA, United States.
Paul WonDepartment of Plastic Surgery, University of Texas Health Science Center at Houston, Houston, TX, United States.
Kara McMullenBurn Model Systems National Data and Statistical Center, University of Washington, Seattle, WA, United States.
Barclay T StewartDepartment of Surgery, University of Washington, Seattle, WA, United States.
Jeffrey C SchneiderDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, United States.
Collen M RyanDepartment of Surgery, Massachusetts General Hospital, Shriners Hospitals for Children-Boston, Harvard Medical School, Boston, MA, United States.
Haig A YenikomshianDivision of Plastic Surgery, University of Southern California, Los Angeles, CA, United States. Electronic address: Haig.Yenikomshian@med.usc.edu.

Funding

ACL HHS 90DPBU0007
6 · The paper itself

Abstract

objectiveTo address the limited understanding of sleep disturbance (SD) among adult burn survivors by comprehensively examining its prevalence and related factors on a national scale using the Burn Model System (BMS) National Database. SUMMARY BACKGROUND DATA: SD is a common but underexplored sequela of burn injury, affecting burn survivors' quality of life and functionality well beyond the initial injury. Existing data on SD and its co-morbidities in these patients are limited to select single-institution studies, lacking a comprehensive national perspective.

methodsThe BMS National Database was queried to identify burn patients responding to SD-related questions at 6 months, 12 months, 2 years, and 5 years post-injury. Descriptive statistics, subgroup analyses, and mixed-effects modeling were conducted to evaluate the prevalence, progression, and associated factors of SD at different time points.

results558 adult burn survivors met inclusion criteria. At 6 months post-injury, 34 % of participants reported SD, with 31 % still affected at 5 years. Demographic characteristics (age, gender, ethnicity) and clinical characteristics (body mass index (BMI), total body surface area burned (TBSA)) could not significantly predict the risk of SD. Mixed-effects modeling demonstrated a significant association between higher SD scores and increased depression and anxiety scores.

conclusionsSD is a persistent condition among burn survivors, with prevalence continuing up to 5 years post-injury. Our study highlights the inability to predict SD based on demographic and clinical factors, underscoring the need for universal screening and interventions. In addition, the association between SD, depression, and anxiety calls for an integrated care approach that addresses both psychological and physical recovery in burn patients.

Indexed as

AnxietyBurnsDepressionSleep Wake DisordersAdultAgedBody Surface AreaDatabases, FactualFemaleHumansMaleMiddle AgedPrevalenceQuality of LifeSurvivorsUnited StatesBurn injuryBurn-related morbidityBurn sequelaeLongitudinal burn studyMental health in burn survivorsPost-burn recoveryPROMIS-29Sleep disturbance

Identifiers

PMID40639035
PMCPMC13217423

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.