Shriners Hospitals for Children-Boston, Massachusetts, USA.
Boston College Lynch School of Education, Chestnut Hill, Massachusetts, USA.
J Burn Care Res. 2022 May 17;43(3):679-684. doi: 10.1093/jbcr/irab172.
Neurodevelopmental symptoms (NS) including attention and behavioral problems, developmental delays, intellectual disabilities, and learning problems are prevalent in children with burn injuries. The presence of NS may predispose children to poorer burn injury recovery outcomes compared to children without these symptoms (non-NS). The Multicenter Benchmarking Study (MCBS) monitored recovery outcomes in children with burn injuries in real time using the Burn Outcomes Questionnaire (BOQ). The objective of this study was to retrospectively assess the long-term burn recovery outcomes in NS patients vs non-NS patients from the MCBS population. This study assessed parent-reported BOQ outcomes in a sample of 563 patients aged 5 to 18 years who were admitted for burn injuries to a pediatric burn center. A subsample of patients had reported NS (n = 181). Analyses compared BOQ outcomes within the NS subsample and the non-NS subsample (n = 382) across three longitudinal points postdischarge. The prevalence rate of NS was 32.1% in the full sample. Findings revealed statistically significant improvement in the recovery curves in all five BOQ subscales for the non-NS group and all subscales except for Compliance for the NS group across all longitudinal points. When compared to non-NS patients, NS patients had significantly poorer burn recovery outcomes on the Satisfaction and Compliance subscales. Although it is important to educate all clinicians, parents, and children on burn prevention efforts, targeted education is necessary for children with NS because they may be at greater risk for burn injury as well as worse recovery outcomes.
神经发育症状（NS）包括注意力和行为问题、发育迟缓、智力残疾和学习问题，在烧伤儿童中很常见。与没有这些症状的儿童（非 NS）相比，NS 的存在可能使儿童的烧伤恢复结果更差。多中心基准研究（MCBS）使用烧伤结果问卷（BOQ）实时监测烧伤儿童的恢复结果。本研究旨在回顾性评估 MCBS 人群中 NS 患者与非 NS 患者的长期烧伤恢复结果。本研究评估了 563 名年龄在 5 至 18 岁之间因烧伤而入住儿科烧伤中心的患者的家长报告的 BOQ 结果。亚组患者报告了 NS（n = 181）。分析比较了出院后三个纵向时间点 NS 亚组和非 NS 亚组（n = 382）的 BOQ 结果。在全样本中，NS 的患病率为 32.1%。研究结果表明，在所有五个 BOQ 子量表中，非 NS 组的恢复曲线在所有纵向时间点都有统计学上的显著改善，而 NS 组除了依从性之外，所有子量表的恢复曲线都有统计学上的显著改善。与非 NS 患者相比，NS 患者在满意度和依从性子量表上的烧伤恢复结果明显较差。尽管向所有临床医生、家长和儿童进行烧伤预防教育很重要，但针对 NS 儿童进行有针对性的教育是必要的，因为他们可能面临更大的烧伤风险以及更差的恢复结果。
