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Fatigue in children and adolescents after burns: evaluating the problem using longitudinal data
Jessica J J Cramer-Kruit1, Moniek Akkerman2,3, Leonora J Mouton4
1Scientific Institute, Martini Hospital, Groningen, The Netherlands.
Disability and Rehabilitation
|September 19, 2023
Summary
Pediatric burn survivors often experience persistent fatigue for months post-discharge. This fatigue
Area of Science:
- Pediatric rehabilitation
- Burn recovery
- Clinical outcomes
Background:
- Burn injuries in children and adolescents can lead to long-term sequelae.
- Fatigue is a common but often under-recognized symptom following severe illness or injury.
Purpose of the Study:
- To determine the prevalence and severity of fatigue in pediatric burn patients up to six months after hospital discharge.
- To identify factors associated with fatigue and its relationship with exercise capacity.
Main Methods:
- The Pediatric-Quality-of-Life-Inventory-Multidimensional-Fatigue-Scale (PedsQL-MFS) was used to assess fatigue in 22 pediatric burn patients.
- Assessments were conducted at discharge and at six weeks, three months, and six months post-discharge.
Main Results:
- Fatigue prevalence decreased from 65% at discharge to 28% at six months.
- Fatigue severity improved over time, reaching reference values by six weeks.
- Individual fatigue trajectories varied, and severity at six months was not predictable by age, sex, or burn severity.
Conclusions:
- A significant portion of pediatric burn survivors experience fatigue for at least six months post-discharge.
- Fatigue should be routinely monitored in pediatric burn patients, as its severity is unpredictable.
- Burn-related fatigue may not solely stem from reduced exercise capacity.
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