Long-term risk factors for impaired burn-specific health and unemployment in patients with thermal injury

Abstract

The success of acute burn therapy has led to an increased demand for high-quality rehabilitation. When optimizing burn care programs, knowledge of long-term risk factors associated with impaired health and unemployment of the patient may be significant. The health and work status of 95 patients (82.1% males; mean age 43.7 (S.D.: 14.5) years; mean total body surface burn 18.5 (S.D.: 14.2) % were assessed 47.0 (S.D.: 23.8) months after injury, using the Norwegian version of the abbreviated burn-specific health scale (BSHS-N) and a questionnaire asking for socio-demographic and medical characteristics. A regression model demonstrated that the BSHS-N total score was significantly reduced by chronic pain ( P < 0.001), psychological illness ( P < 0.001), and living alone ( P = 0.030), as well as full-thickness facial ( P = 0.011) and foot ( P = 0.013) burns. Unemployment was significantly associated with housing and economic problems ( P = 0.001), chronic pain ( P = 0.001), the extent of full-thickness injury ( P = 0.005), the presence of deformities ( P = 0.037), the number of operations ( P = 0.001) and the length of hospital stay ( P = 0.016). Thus, socio-demographic factors, non-burn-related morbidity and the injury itself significantly impaired long-term physical and psychosocial health and work status.