Examining the Impact of Psychological Factors on Hospital Length of Stay for Burn Survivors: A Systematic Review

O’Brien, Kyle; Лушин, Виктор

doi:10.1093/jbcr/iry040

Cited by 22 publications

(12 citation statements)

References 32 publications

(84 reference statements)

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“…We found that longer hospitalization is independently associated with higher stress, anxiety, and depression. The association of psychological outcome with length of hospital stay has been described in numerous studies (23,24). However, this factor is not mentioned as a risk factor for psychological problems in COVID-19 survivors.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Depression, Anxiety, Stress, and Predictors of Psychological Morbidity Among COVID-19 Survivors in Mashhad, Iran

Salimi

Najafi

Khalesi

et al. 2021

Iran J Psychiatry Behav Sci

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Background: The outbreak of coronavirus disease 2019 (COVID-19) pandemic has led to public panic and psychological problems. In this regard, few studies have reported the post-discharge mental health status of COVID-19 survivors. Objectives: This study aimed to evaluate the mental health status of COVID-19 survivors and determine the risk factors of adverse psychological outcomes. Methods: This cross-sectional study consisted of 188 COVID-19 survivors discharged from hospital. Data were recorded using social media applications. To evaluate the mental health status, Hospital Anxiety and Depression Scale (HADS) and Depressive Anxiety and Stress Scale 42 (DASS-42) were used. Ordinal regression with a logit link was used to assess the simultaneous effect of variables. Results: The mean age of participants was 56.4 ± 9.6 years, and the majority of patients were male (62.2%). According to HADS, 81 (43.1%) and 24 (12.8%) patients suffered from anxiety and depression, respectively. Using DASS-42, we reported at least a mild degree of depression [23 (12.2%)], anxiety [20 (10.6%)], and stress [74 (39.4%)] among the discharged patients. Depression, anxiety, and stress were significantly associated with length of hospital stay (P < 0.05). In addition, there was a direct association between stress and patients’ number of children (β = 0.38, P = 0.02). Conclusions: Depression, anxiety, and stress are relatively high among COVID-19 survivors. Length of hospital stay and number of children were identified as the predisposing factors for adverse psychological outcomes.

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Section: Discussionmentioning

confidence: 99%

Evaluating the Depression, Anxiety, Stress, and Predictors of Psychological Morbidity Among COVID-19 Survivors in Mashhad, Iran

Salimi

Najafi

Khalesi

et al. 2021

Iran J Psychiatry Behav Sci

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“…We realized the importance of psychosocial support for patients treated for burn victims to help them cope and adapt to burn injury [16][17]. A psychologist must be an integral part of the burn care team to help address psychological issues related to the burn trauma.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, deep burn injury results in more conspicuous scars which are not only disfiguring but also functionally limiting and rehabilitation can be demanding and prolonged compared to superficial burns. We realized the importance of psychosocial support for patients treated for burn victims to help them cope and adapt to burn injury [ 16 - 17 ]. A psychologist must be an integral part of the burn care team to help address psychological issues related to the burn trauma.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Depression Among Non-Facial Burn Patients at a Tertiary Care Center in Pakistan

Bhatti¹,

Ain²,

Zulkiffal³

et al. 2020

Cureus

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Introduction: A patient who suffers from burn injuries can be subjected to various mental and psychological conditions that can adversely affect their health and wellbeing. Material and methods: A cross-sectional study was conducted between 1st September 2019 and 30th March 2020 in a tertiary care hospital in Pakistan. Patients were selected in the outpatient department and followup was done at two and four weeks following definitive. Some 225 patients in our study fulfilled the inclusion criteria. Patients were assessed using Urdu translated scales. Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D) were used. Data were analyzed with the help of SSPS software version 13.0. Result: Out of 119 (52.8 %) male patients, the highest percentage was of accidental injuries 106 (89%) followed by suicidal burns 9 (7.5%). A similar trend was seen in females; out of n=106 females, 92 (86%) presented with accidental burn injuries and only 11 (10%) patients have a history of suicidal burns. A fraction of the sample had a history of homicidal burn injuries, with 4 (3%) male and 3 (2%) female patients. The variation of anxiety level and depth of burn varied considerably. Among patients who suffered superficial thickness burns (n=105, 47%), 69.5% of patients experienced mild anxiety symptoms. Only 28 (26.6%) patients had moderate anxiety and severe anxiety was the lowest, at only 3.8% (n=4). A similar trend was observed in deep burn patients, but the level of severe anxiety was significantly higher at 26%. This was statistically significant (p < 0.05). Deep burn patients had the highest percentage (n=54, 45.3%) of very severe depression compared to only 10% in superficial burns. The variation between the two categories was statistically significant (p < 0.05). The majority of (35.2%) patients experienced mild symptoms of depression and this correlated with superficial burn injuries. Conclusion: A burn injury can seriously affect the mental wellbeing of patients. With the severity of burn injury we saw that severe depression was prevalent. This aspect must be taken into consideration when treating such patients and it warrants a multidisciplinary team (MDT) strategy.

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“…In burn care, there is growing evidence of the adverse effect of mental health factors on burn injury [36]- [40], both in terms of incidence and recovery. Patients with pre-existing psychiatric illness may suffer more severe burn injuries, which occurs due to several reasons including confusion, carelessness, alcohol or drug intoxication or deliberate self-harm and attempted suicide [38].…”

Section: How Adverse Mental Health Could Impede Recoverymentioning

confidence: 99%

Surviving Burn Injury: Drivers of Length of Hospital Stay

Onah¹,

Allmendinger²,

Handl³

et al. 2020

Preprint

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With a reduction in the mortality rate of burn patients, patient length of stay (LOS) is increasingly adopted as an outcome measure. Some studies have attempted to identify factors that explain a burn patient's expected LOS. However, few have investigated the association between LOS and a patient's mental and socioeconomic status. There is anecdotal evidence for links between these factors and uncovering these will aid in better addressing the specific physical and emotional needs of burn patients, and facilitate the planning of scarce hospital resources. Here, we employ machine learning (clustering) and statistical models (regression) to investigate whether a segmentation by socioeconomic/mental status can improve the performance and interpretability of an upstream predictive model, relative to a unitary model derived for the full adult population of patients. Although we found no significant difference in the performance of the unitary model and segment-specific models, the interpretation of the segment-specific models reveals a reduced impact of burn severity in LOS prediction with increasing adverse socioeconomic and mental status. Furthermore, the models for the socioeconomic segments highlight an increased influence of living circumstances and source of injury on LOS. These findings suggest that, in addition to ensuring that the physical needs of patients are met, management of their mental status is crucial for delivering an effective care plan.

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Examining the Impact of Psychological Factors on Hospital Length of Stay for Burn Survivors: A Systematic Review

Cited by 22 publications

References 32 publications

Evaluating the Depression, Anxiety, Stress, and Predictors of Psychological Morbidity Among COVID-19 Survivors in Mashhad, Iran

Evaluating the Depression, Anxiety, Stress, and Predictors of Psychological Morbidity Among COVID-19 Survivors in Mashhad, Iran

Anxiety and Depression Among Non-Facial Burn Patients at a Tertiary Care Center in Pakistan

Surviving Burn Injury: Drivers of Length of Hospital Stay

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