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June 13, 2026Diseases0 citationsOpen Access

Functional Recovery and Emotional Burden After Burn Injury: A Quality of Life Assessment in Romanian Burn Survivors

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AUAndreea UNGUREANUMMMaria Cristina MarinescuATAdriana-Nicoleta TRANDAFIR

Key Points

  • The aim is to explore quality of life outcomes focused on functional recovery and emotional burden in burn survivors.
  • Included burn survivors treated between January 2022 and December 2023 in a surgical department.
  • Subjects completed the Burn Specific Health Scale-Brief; demographic and clinical data were collected from records.
  • Statistical analyses involved descriptive methods, chi-square tests, and exploratory factor analysis.
  • Thirty-eight patients participated, primarily with thermal burns affecting <10% TBSA.
  • Most reported favorable functional outcomes, but emotional distress and work-related issues were significant.
  • Women exhibited higher loneliness levels (p = 0.015); third-degree burns linked to increased depressive symptoms (p = 0.008).

Abstract

Background: Burn injuries are increasingly being recognized as chronic conditions with long-term physical, emotional, and social consequences. As survival after acute burn trauma improves, greater attention has shifted toward health-related quality of life (QoL) in survivors, particularly in regions where data remain limited. Methods: This study included burn survivors treated between January 2022 and December 2023 in the Department of Plastic Surgery and Reconstructive Microsurgery of the Emergency Clinical Hospital “Bagdasar-Arseni,” Bucharest, Romania. Patients who survived hospitalization and follow-up were invited to complete a Romanian-adapted version of the Burn Specific Health Scale-Brief (BSHS-B). Demographic and clinical data were collected from medical records, including burn type, total body surface area (TBSA), burn depth, burn localization, and access to rehabilitation services. Statistical analysis included descriptive methods, chi-square tests, t-tests, Kendall’s tau-b, Cramer’s V, Cronbach’s alpha, and exploratory factor analysis. Results: Thirty-eight patients were included. Most burns were thermal (94.74%), while burns involving <10% TBSA were most frequent (60.53%). Functional outcomes were generally favorable, with most patients reporting no difficulty in basic daily activities such as bathing, dressing, and writing. However, fine motor activities and return to previous work were more frequently affected. Emotional recovery appeared less complete, with persistent mild-to-moderate loneliness, sadness, and emotional distress reported by many participants. Women reported higher levels of loneliness (p = 0.015), while third-degree burns were associated with more frequent depressive symptoms (p = 0.008). Depressive symptoms were also significantly associated with functional limitations (such as getting dressed, p = 0.002) and work impairment (p < 0.001). The adapted functional and emotional subscales showed excellent internal consistency. Conclusions: Post-burn recovery extends beyond physical healing. Although most patients regained functional independence, emotional distress and occupational difficulties often persisted. These findings support the need for multidisciplinary long-term burn care integrating physical rehabilitation, psychological screening, and psychosocial support.

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Cite This Study

UNGUREANU et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf551faef96ed7f057595https://doi.org/10.3390/diseases14060212
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