Temperature sensitivity after burn injury: A Burn Model System National Database Hot Topic

2021 ◽  
Author(s):  
Jamie Oh ◽  
Christopher Madison ◽  
Grace Flott ◽  
Elisha G Brownson ◽  
Stephen Sibbett ◽  
...  
Keyword(s):  
Temperature Sensitivity ◽  
Satisfaction With Life ◽  
Burn Injury ◽  
Model System ◽  
Satisfaction With Life Scale ◽  
National Database ◽  
Linear Regression Models ◽  
Chi Square ◽  
Related Quality ◽  
Over Time

Abstract Background People living with burn injury often report temperature sensitivity. However, its epidemiology and associations with health-related quality of life (HRQOL) are unknown. We aimed to characterize temperature sensitivity and determine its impact on HRQOL to inform patient education after recovery from burn injury. Methods We used the multicenter, longitudinal Burn Model System National Database to assess temperature sensitivity at 6, 12 and 24 months after burn injury. Chi-square and Kruskal-Wallis tests determined differences in patient and injury characteristics. Multivariable, multi-level generalized linear regression models determined the association of temperature sensitivity with Satisfaction with Life Scale (SWL) scores and Veterans RAND 12 (VR-12) physical (PCS) and mental health summary (MCS) component scores. Results The cohort comprised 637 participants. Two thirds (66%) experienced temperature sensitivity. They had larger burns (12% TBSA, IQR 4-30 vs 5% TBSA, IQR 2-15; p<0.0001), required more grafting (5% TBSA, IQR 1-19 vs 2% TBSA, IQR 0-6; p<0.0001), and had higher intensity of pruritus at discharge (11% severe vs 5% severe; p=0.002). After adjusting for confounding variables, temperature sensitivity was strongly associated with lower SWL (OR -3.2, 95% CI -5.2, -1.1) and MCS (OR -4.0, 95% CI -6.9, -1.2) at 6-months. Temperature sensitivity decreased over time (43% at discharge, 4% at 24-months) and was not associated with poorer HRQOL at 12 and 24 months. Conclusion Temperature sensitivity is common after burn injury and associated with worse SWL and MCS during the first year after injury. However, temperature sensitivity seems to improve and be less intrusive over time.

119 Satisfaction with Life and Community Integration Outcomes up to 20 Years after Burn Injury

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S79-S80
Author(s):  
Callie Abouzeid ◽  
Audrey E Wolfe ◽  
Gretchen J Carrougher ◽  
Nicole S Gibran ◽  
Radha K Holavanahalli ◽  
...  
Keyword(s):  
Satisfaction With Life ◽  
Burn Injury ◽  
Community Integration ◽  
Satisfaction With Life Scale ◽  
National Database ◽  
Patient Reported ◽  
Burn Survivors ◽  
The Impact ◽  
Over Time

Abstract Introduction Among the many challenges burn survivors face, community integration is often difficult and might affect overall satisfaction with life long-term. The purpose of this study is to examine quality of life, based on life satisfaction and community integration, at long-term follow-ups in the burn population. Methods Data from the Burn Model System National Database (1997–2020) were analyzed. Patient-reported outcome measures were collected at discharge with a recall of preinjury status, and at 5, 10, 15, and 20 years after injury. The Satisfaction with Life Scale (SWLS) was used to measure participants’ satisfaction with life and the Community Integration Questionnaire (CIQ) measured level of community integration. A random intercept model was used to fit the data and generate a score trajectory with 95% confidence intervals to demonstrate the changes in scores over time and the impact of the demographic and clinical covariates on the model. SWLS trajectory is depicted in the Figure. Results The study population included 214 adult burn survivors with a mean age of 45.2 years. The population was mainly male (65.9%) and white (77.1%) with a mean burn size of 22.5% and average length of hospital stay of 34.7 days. This study found that SWLS scores decrease over time, but CIQ scores were relatively stable. The CIQ model with additional covariates were not statistically significant and did not improve the fit of the model. Conclusions Satisfaction with life was significantly worse over time. Community integration showed little or no change over the long term.

64 Temperature Sensitivity Is Associated with Lower Satisfaction with Life After Burns

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S45-S46
Author(s):  
Jamie Oh ◽  
Carolina Seek ◽  
Stephen H Sibbett ◽  
Gretchen J Carrougher ◽  
Colleen M Ryan ◽  
...  
Keyword(s):  
Mental Health ◽  
Temperature Sensitivity ◽  
Satisfaction With Life ◽  
Burn Injury ◽  
Independent Predictor ◽  
Satisfaction With Life Scale ◽  
Discharge Temperature ◽  
Patient Reported ◽  
The Impact

Abstract Introduction Temperature sensitivity is a common problem after burn injury. However, the impact of temperature sensitivity on health-related quality of life (QoL) is unknown. We aimed to describe characteristics associated with temperature sensitivity and determine its association with patient reported QoL. We hypothesized that temperature sensitivity negatively impacts both mental and physical health. Methods We reviewed a multicenter burn database for participants who had been asked about hot or cold temperature sensitivity 6, 12 and 24 months after injury. Outcomes of interest included the Satisfaction with Life Scale (SWLS) score and Veterans RAND 12 (VR-12) physical (PCS) & mental health summary (MCS) scores. Chi square and Kruskal-Wallis tests determined differences in patient and injury characteristics. Generalized linear regression models included burn size (%TBSA), graft size (%TBSA), location of burn, pruritis intensity, amputation status, study site, and review of systems questions at each follow-up visit as covariates to determine the impact of temperature sensitivity on QoL. Results The cohort was comprised of 637 participants. Prevalence of temperature sensitivity at each follow-up period ranged from 48%-54%. Those who experienced temperature sensitivity had larger burns, required more grafting, and had higher intensity of pruritus at discharge. Temperature sensitivity was associated with lower SWLS scores and lower VR-12 PCS and MCS at each follow-up period. After controlling for confounding variables, temperature sensitivity remained a significant independent predictor of lower SWLS scores (OR -3.2, 95% CI -5.4, -1.1) and VR-12 MCS (OR -4.4, 95% CI -7.4, -1.4) at 6 months follow-up. Conclusions Temperature sensitivity is a highly prevalent symptom after burn injury and an independent predictor of worse satisfaction with life and worse mental health recovery.

58 CAGE Substance use Scores and Trajectories Over Time Following Burn Injury: A Burn Model System National Database Study

2019 ◽  
Vol 40 (Supplement_1) ◽  
pp. S41-S42
Author(s):  
G G Grant ◽  
A E Wolfe ◽  
C R Thorpe ◽  
N S Gibran ◽  
G J Carrougher ◽  
...  
Keyword(s):  
Substance Use ◽  
Burn Injury ◽  
Model System ◽  
National Database ◽  
Database Study ◽  
Over Time

Measurement Invariance of the Serbian Version of the Satisfaction With Life Scale Across Age, Gender, and Time

2019 ◽  
Vol 35 (4) ◽  
pp. 555-563 ◽  
Author(s):  
Veljko Jovanović
Keyword(s):  
Life Satisfaction ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Satisfaction With Life ◽  
Satisfaction With Life Scale ◽  
Confirmatory Factor ◽  
Life Scale ◽  
Serbian Version ◽  
Age Range ◽  
Over Time

Abstract. The present research aimed at examining measurement invariance of the Serbian version of the Satisfaction with Life Scale (SWLS) across age, gender, and time. A total sample in Study 1 consisted of 2,595 participants from Serbia, with a mean age of 23.79 years (age range: 14–55 years). The final sample in Study 2 included 333 Serbian undergraduate students ( Mage = 20.81; age range: 20–27 years), who completed the SWLS over periods of 6 and 18 months after the initial assessment. Confirmatory factor analysis (CFA) supported the modified unidimensional model of the SWLS, with correlated residuals of items 4 and 5 tapping past satisfaction. The results of the multigroup confirmatory factor analysis supported the full scalar invariance across gender and over time and partial scalar invariance across age. Latent mean comparisons revealed that women reported higher life satisfaction than men. Additionally, adolescents reported higher life satisfaction than students and adults, with adults showing the lowest life satisfaction. Our findings indicate that the SWLS allows meaningful comparisons in life satisfaction across age, gender, and over time.

The Satisfaction with Life Scale adapted for Children: Measurement invariance across gender and over time.

2018 ◽  
Vol 30 (9) ◽  
pp. 1261-1266 ◽  
Author(s):  
Martin Guhn ◽  
Tavinder K. Ark ◽  
Scott D. Emerson ◽  
Kimberly A. Schonert-Reichl ◽  
Anne M. Gadermann
Keyword(s):  
Measurement Invariance ◽  
Satisfaction With Life ◽  
Satisfaction With Life Scale ◽  
Life Scale ◽  
Over Time

scholarly journals Life satisfaction among a clinical eating disorder population

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Elizabeth A. Claydon ◽  
Caterina DeFazio ◽  
Christa L. Lilly ◽  
Keith J. Zullig
Keyword(s):  
Life Satisfaction ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Satisfaction With Life ◽  
Private Insurance ◽  
Severity Index ◽  
Eating Pathology ◽  
Primary Objective ◽  
Satisfaction With Life Scale ◽  
Linear Regression Models

Abstract Background The primary objective was to understand life satisfaction (LS) of patients with eating disorders (EDs) in relation to eating pathology severity, personal/familial ED history, and key demographic and anthropometric variables. Methods Participants (N = 60) completed the Satisfaction with Life Scale (SWLS), the Eating Pathology Severity Index (EPSI), and demographic questionnaires. Bivariate associations via correlations and multiple linear regression models were used to explore these relationships. Results The SWLS mean score was 3.7 out of 7, suggesting it is below the population-based norm. LS was positively statistically significantly associated with private insurance, past ED, EPSI muscle building, EPSI restricted eating, and EPSI negative attitudes. When included in multiple linear regression, the model explained 33% of the variability of LS [F (7, 56) = 3.4, p = 0.0054, R2 = 0.33]. EPSI muscle building remained the strongest predictor (β = 0.13, p = 0.04). Conclusions Based on the data, individuals who have/have had EDs scored lower on the SWLS than the general population. Individuals scoring within this range typically experience significant issues in several areas of life or a substantial issue in one area.

scholarly journals Could the disclosure of individual health results hamper biobanking? Findings from a survey on potential donors screened for depression

2019 ◽  
Author(s):  
Virgilia Toccaceli ◽  
Corrado Fagnani ◽  
Antonella Gigantesco ◽  
Picardi Angelo ◽  
Maria Antonietta Stazi
Keyword(s):  
Satisfaction With Life ◽  
Perceived Health ◽  
Postal Survey ◽  
Satisfaction With Life Scale ◽  
Personal Factors ◽  
Chi Square ◽  
Individual Health ◽  
Validated Questionnaire ◽  
Willingness To Donate ◽  
Chi Square Test

Abstract Background: Research based on the use of biological material stored in biobanks together with health information and clinical data may produce new strategies for prevention, early detection, accurate diagnoses, and tailored treatments. A postal survey on the knowledge and attitude towards research biobanking was conducted among a sample of individuals previously recruited in urban primary care services in Rome (Italy), and screened for major depressive disorder (MDD) (SET-DEP project). The present study aims at exploring the attitude of these participants towards the potential future disclosure of individual health results when participating in research biobanking. Methods: The survey was conducted with a validated questionnaire on the knowledge and preferences about donation for research biobanks; self-perceived health was collected and The Satisfaction With Life Scale was administered. Means and percentages were compared across groups by using t test or ANOVA and chi-square test respectively. Results: Out of 416 subjects who underwent the screening for MDD, 51 (12.2%) subjects responded to the mail questionnaire. The large majority of respondents (42 subjects, >82%) declared they would agree to the potential use of their biological samples for biomedical research purposes only if no feedback results regarding health or predisposition to diseases would be given to them. The agreement towards research biobanking was not associated with satisfaction with life (ANOVA: p=0.82) or self-perceived health (chi-square test: p=0.98). Conclusions: It is widely recognized that willingness to donate diminishes when the research scenario raises moral, religious or political concerns. Nevertheless, other emerging concerns, more deeply linked to an individual psychosocial sphere, may also affect research biobanking. Our findings show a prevailing preference opposing the disclosure of individual health results not only among MDD positive screened but also – and even more – among MDD negative screened participants. This suggests that there might be relevant personal factors influencing people’s preferences with respect to the feedback of individual results in the case of psychiatric disorders such as depression. Moreover, these preferences do not seem to depend on the perceived heath status or subjective wellbeing of respondents.

scholarly journals Linking scores on the 4- and 5-item versions of the Satisfaction with Life Scale in people with traumatic brain, spinal cord, or burn injury: a National Institute on Disability, Independent Living, and Rehabilitation Research Model System study

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Alyssa M. Bamer ◽  
Kara McMullen ◽  
Anne Deutsch ◽  
Mitch Sevigny ◽  
Tracy Mroz ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Independent Living ◽  
Satisfaction With Life ◽  
Burn Injury ◽  
Traumatic Injury ◽  
Well Being ◽  
Model Systems ◽  
Satisfaction With Life Scale ◽  
Rehabilitation Research ◽  
Life Scale

Abstract Background The Satisfaction with Life Scale (SWLS) is a widely used measure of subjective well-being. Recent evidence indicates the fifth item of the scale reduces the reliability of the scale and is inappropriate for use in traumatic injury populations. The purpose of this study was to develop a linking procedure between the five-item version of the SWLS and a modified four-item version, which removes the problematic item, for use in Spinal Cord (SCI), Traumatic Brain (TBI), and Burn Injury populations. Methods Proration (i.e. adding the mean of the four items to their total) was identified as a potential linking solution that could be easily implemented in clinical or research settings. The validity of the proration approach was evaluated by examining mean differences, cross group classification by SWLS category, score correlations, the intraclass correlation coefficient, and visual inspection of Bland-Altman plots in a large sample of SCI, TBI, and Burn Injury survivors who were participants in the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) Model Systems’ National Databases. Results A total of 17,897 (SCI n = 8566, TBI n = 7941, and Burn n = 1390) participants were included in this study. SWLS scores ranged from 5 to 35, and the average score difference between directly derived and prorated scores was 0.39 points. A large majority of the sample (93%) had score differences of < 4 points (i.e. approximately 0.5 SD). The correlation between the prorated and directly derived scores was very high (r = 0.97) and the ICC value indicated excellent reliability (ICC = 0.97). Conclusions This study provides a valid scoring approach for researchers or clinicians who don’t want to lose continuity with previously collected data but prefer to switch to the modified four-item version of the SWLS. Clear guidance is provided for traumatic injury researchers or clinicians on how to implement the proration scoring approach.

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