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Area of Science:

  • Medical research
  • Burn care
  • Speech-language pathology

Background:

  • Voice is crucial for communication and social interaction.
  • Acute burn care frequently involves intubation, mechanical ventilation, and tracheostomy.
  • Long-term voice changes (dysphonia) after burn injury are not well understood.

Purpose of the Study:

  • To investigate long-term self-reported voice changes in individuals with burn injuries.
  • To identify the impact of acute burn care interventions on voice quality.
  • To analyze the persistence of vocal changes over time.

Main Methods:

  • Analysis of a multicenter longitudinal database (2015-2023).
  • Examination of self-reported vocal changes at discharge and 6, 12, 24, and 60 months post-injury.
  • Statistical analysis including regression to identify associated factors.

Main Results:

  • 16.4% reported voice changes at discharge, persisting up to 60 months (11.6-12.7%).
  • Factors associated with voice changes included flame burns, inhalation injury, tracheostomy, and mechanical ventilation duration.
  • Individuals on ventilators >21 days or with tracheostomies were more likely to report voice changes at 12 months.

Conclusions:

  • Acute burn care interventions like intubation and tracheostomy significantly impact long-term voice quality.
  • Vocal changes are prevalent and persistent in burn survivors.
  • Further research is needed to address the long-term voice effects of burn care.