Persistent pain outcomes and patient satisfaction with pain management after burn injury.
OBJECTIVE
acute burn pain management has advanced signiﬁcantly, yet little is known about long-term pain outcomes after severe burn injury. Even less is known about patient satisfaction with pain management after burn injury. This study examined the long-term pain and psychological outcomes of burn survivors who were treated at the Burns Service of Western Australia between 1994 and 2005.


METHODS
of 2114 burn survivors who were mailed standardized self-report measures of pain, depressive, and posttraumatic stress symptoms, 492 returned completed questionnaires. Of these, 18%reported persistent burn-related pain, and 27% and 14% reported clinically signiﬁcant depressive and posttraumatic stress symptoms, respectively. Those with persistent pain reported signiﬁcantly more severe depressive and posttraumatic stress symptoms compared with those with no pain. Interestingly, respondents with persistent burn-related pain recalled signiﬁcantly higher levels of procedural and dressing change acute pain than those without pain symptoms. Linear multiple regression analyses revealed that the extent to which pain treatment expectations were met predicted overall satisfaction with pain treatment, beyond the eﬀects of perceived pain improvement, current burn pain intensity, depression and posttraumatic stress symptoms, age, sex, and total burn surface area.


CONCLUSIONS
collectively, these ﬁndings suggest a signiﬁcant proportion of severely injured burn survivors continue to experience persistent pain and point to the need to identify and treat persistent pain more eﬀectively. Moreover, assessing and managing pain treatment expectations during the early phase of recovery postburn may yield improved levels of patient satisfaction with treatment received
Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, University of Western Australia, Perth, Western Australia. allyson.browne@uwa.edu.au
Allyson L
AL
Browne
Rachel
R
Andrews
Stephan A
SA
Schug
Fiona
F
Wood
D000328:Adult; D001315:Australia / Q000453:epidemiology; D002056:Burns / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D002908:Chronic Disease; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis / Q000453:epidemiology*; D059408:Pain Management; D010147:Pain Measurement / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome