71 Underweight Adult Burn Survivors Report Significantly Worse Physical Function and Social Participation
Deborah Choe, Ayumi Saito, Andrew Humbert, Karen Kowalske, Jamie Oh, Kristine Winnek, Jeffrey Schneider, Colleen Ryan, Haig Yenikomshian

TL;DR
Underweight adult burn survivors experience worse physical function and social participation long-term compared to normal weight survivors.
Contribution
This study identifies underweight status as a significant risk factor for poor long-term recovery in burn survivors.
Findings
Underweight burn survivors reported significantly worse physical function compared to normal weight survivors.
Underweight participants also showed significantly worse social participation over time.
No significant differences were found between normal weight and obese survivors in most outcomes.
Abstract
Burns can cause serious physical injury and psychosocial distress. Extremes of body weight can also result in impaired physical recovery and emotional distress. However, the impact of BMI on long-term self-reported outcomes is not well understood. We aimed to compare long-term, self-reported psychosocial and functional outcomes among adult burn survivors who were obese, normal weight, and underweight at discharge. Adult burn survivors participating in a national longitudinal, multicenter patient-reported outcomes database between 2015-2023 were included. Participants were divided into three groups: those who were obese (BMI ≥ 30), normal weight (BMI 18.5–29.9), and underweight (BMI < 18.5) at discharge. Survey responses using the PROMIS scales (Pain, Anxiety, Depression, Fatigue, Ability to Participate in Social Roles, and Physical Function); PTSD (PCL-5); Satisfaction with Life (SWL)…
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Taxonomy
TopicsBurn Injury Management and Outcomes
