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Quality of life after burns in childhood (5-15 years): children experience substantial problems

M E van Baar1, S Polinder, M L Essink-Bot

  • 1Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, The Netherlands. Baarm@Maasstadziekenhuis.nl

Burns : Journal of the International Society for Burn Injuries
|July 5, 2011
PubMed

Insights

Pediatric burn survivors often face long-term challenges with appearance, itch, and emotional health. More extensive burns correlate with poorer outcomes, impacting quality of life.

Area of Science:

  • Pediatric Burn Care
  • Quality of Life Research
  • Rehabilitation Medicine

Background:

  • Pediatric burn injuries can lead to significant long-term functional and psychosocial deficits.
  • Understanding the prevalence and correlates of suboptimal outcomes is crucial for improving care.

Purpose of the Study:

  • To assess the prevalence and correlates of suboptimal outcomes in pediatric burn survivors.
  • To compare quality of life (QOL) in pediatric burn survivors with children experiencing other injuries.

Main Methods:

  • Cross-sectional study involving 138 children (5-15 years) admitted to a burn center.
  • Quality of life assessed using the Burn Outcomes Questionnaire (BOQ) and EuroQol-5D.
  • Comparison group: children with non-burn injuries.

Main Results:

  • Over half of pediatric burn survivors reported long-term limitations.
  • Frequent issues included appearance, parental concern, itch, emotional health, and satisfaction.
  • Higher total burned surface area (TBSA) correlated with worse outcomes in specific functional and psychosocial domains.
  • At 9 months post-injury, burn victims showed poorer health dimensions; by 24 months, QOL was comparable to other pediatric injuries.

Conclusions:

  • Pediatric burn survivors experience substantial, often burn-specific, problems affecting itch, appearance, and psychosocial well-being.
  • The extent of the burn is a significant factor influencing long-term functional outcomes.
  • Generic QOL measures may not fully capture the unique challenges faced by pediatric burn survivors.

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