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Pruritus in Adult Burn Survivors: Postburn Prevalence and Risk Factors Associated With Increased Intensity.
MedLine Citation:
PMID:  23079565     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Pruritus (itching) is a common and distressing complaint after injury. The purpose of this study was to investigate self-reported postburn pruritus in a large, multisite cohort study of adult burn survivors. Descriptive statistics, general linear regression, and mixed model repeated measures analyses were employed to test statistical significance. Two cohorts of adult burn survivors were studied. Group 1 participants (n = 637) were injured from 2006 to 2010 and were followed up prospectively for 2 years from the time of injury. Prevalence and severity of pruritus were compared across multiple subgroups. Prevalence of pruritus at discharge, 6, 12, and 24 months following injury were 93, 86, 83, and 73%, respectively. Regression results established that %TBSA-burn and %TBSA-grafted were correlated to itch intensity values. Group 2 participants (n = 336) were injured 4 to 10 years before an assessment using the validated 5-D Itch Scale.Many patients (44.4%) reported itching in the area of the burn, graft, or donor site. Within this group, 76% reported itching for <6 hours/day, and 52 and 29% considered itch intensity to be mild or moderate, respectively. This study confirms that the prevalence of burn pruritus is high, initially affecting >90% and persisting for >40% of long-term burn survivors. New predictors for postburn itch were identified to include younger age, dry skin, and raised/thick scars. Characterization of the impact of postburn pruritus on leisure, vocation, and sleep are quantified for those long-term survivors suffering from postburn pruritus.
Authors:
Gretchen J Carrougher; Erin M Martinez; Kara S McMullen; James A Fauerbach; Radha K Holavanahalli; David N Herndon; Shelley A Wiechman; Loren H Engrav; Nicole S Gibran
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-17
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  -     ISSN:  1559-0488     ISO Abbreviation:  J Burn Care Res     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the *Department of Surgery, University of Washington, Seattle, WA; †Colorado School Public Health, University of Colorado, Denver, CO; ‡Johns Hopkins University School of Medicine, Baltimore, MD; §University of Texas Southwestern Medical Center, Dallas, TX; ¶University of Texas Medical Branch, Galveston, TX; and **Department of Rehabilitation Medicine, University of Washington, Seattle, WA.
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