Adolescent survivors of burn injuries and their parents' perceptions of recovery outcomes: do they agree or disagree?

Walter J. Meyer, Austin F. Lee, Lewis E. Kazis, Nien Chen Li, Robert L. Sheridan, David N. Herndon, Michelle I. Hinson, Theresa K. Stubbs, Richard J. Kagan, Tina L. Palmieri, Ronald G. Tompkins, Benchmarking Study Working Group Multi-Center Benchmarking Study Working Group

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21 Scopus citations

Abstract

This study analyzed the concordance of parent and child in assessing the progress of child and adolescent survivors of burn injuries using health outcomes. The American Burn Association/Shriners Hospitals for Children Burn Outcomes Questionnaire (BOQ) was completed by 355 pairs of parents and their 11- to 18-year-old adolescents who experienced a burn injury. These patients completed BOQ child/parent questionnaire pairs at four regional pediatric burn care centers nationally during the first 4 years postburn. The BOQ includes 12 scales that range from physical to emotional health. Predicted recovery curves for each scale (dependent variable) were obtained from generalized linear models, with the independent variables the logarithmic transformation of the time since burn and parent/child as the principal indicator. Covariates included sociodemographics and clinical severity. Mean differences between the parent and adolescent scale scores were small, with few insignificant exceptions. Most of the recovery curves over time for the parent and the adolescent were undifferentiated, except for the outcome of appearance where the adolescent rating was better than that of the parent (p < 0.01) and itch was judged as worse than that of the parent (p < 0.01). School reentry was rated higher by the adolescent initially (p < 0.001), but after 18 months, it was rated higher by the parent (p = 0.012). Analysis of the BOQ completed by adolescents and their parents reveal similar estimates of recovery following the burn injury. These results suggest that the adolescent's reported outcomes can be used interchangeably with the parent's assessments, with the exception of appearance, itch, and school reentry, where there are some differences.

Original languageEnglish (US)
JournalThe journal of trauma and acute care surgery
Volume73
Issue number3 Suppl 2
StatePublished - Sep 2012

ASJC Scopus subject areas

  • Medicine(all)

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    Meyer, W. J., Lee, A. F., Kazis, L. E., Li, N. C., Sheridan, R. L., Herndon, D. N., Hinson, M. I., Stubbs, T. K., Kagan, R. J., Palmieri, T. L., Tompkins, R. G., & Multi-Center Benchmarking Study Working Group, B. S. W. G. (2012). Adolescent survivors of burn injuries and their parents' perceptions of recovery outcomes: do they agree or disagree? The journal of trauma and acute care surgery, 73(3 Suppl 2).