• Dagmar Amtmann, Fraser D Bocell, Kara McMullen, Alyssa M Bamer, Kurt L Johnson, Shelley A Wiechman, and Jeffrey C Schneider.
• Department of Rehabilitation Medicine, University of Washington, Seattle, WA. Electronic address: dagmara@uw.edu.
• Arch Phys Med Rehabil. 2020 Jan 1; 101 (1S): S63-S70.

ObjectiveTo examine trajectories of satisfaction with life (SWL) of burn survivors over time and their clinical, demographic, and other predictors.DesignLongitudinal survey.SettingNot applicable.ParticipantsIndividuals ≥18 years of age who underwent burn-related surgery and met one of the following criteria: (1) >10% total body surface area (TBSA) burn and ≥65 years of age; (2) >20% TBSA burn and 18 to 64 years of age; (3) electrical high voltage/lightning injury; or (4) burn injury to the hands, face, or feet. The participants (N=378) had data on all variables of interest and were included in the analyses.InterventionsNot applicable.Main Outcome MeasureSatisfaction With Life Scale.ResultsGrowth mixture modeling identified 2 classes with different trajectories of SWL. The mean SWL of the unchanged class (n=224, 60%) was flat over 2 years with high initial SWL scores. The SWL of the dissatisfied class (n=154, 40%) was at the low end of average and got progressively worse over time.ConclusionsSWL after burn injury can be described by 2 different trajectories with substantially different outcomes. Older age, worse mental health, and unemployment prior to injury predicted membership in the dissatisfied class. Additional services could be provided to those at high risk for low SWL to achieve better outcomes.Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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