Patterns of recovery over 12 months following a burn injury in Australia

Wasiak, Jason; Paul, Eldho; Lee, Stuart; Mahar, Patrick; Pfitzer, B; Spinks, Anneliese; Cleland, Heather; Gabbe, Belinda

doi:10.1016/j.injury.2014.02.018

Cited by 33 publications

(20 citation statements)

References 25 publications

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“…Mean scores per domain were assessed and high scores refer to a good perceived health status. Of the 47 studies that used the BSHS-B or BSHS-R, 17 could be used to analyze HRQL recovery patterns [ 19 , 26 , 38 , 40 , 49 , 60 , 64 , 67 , 76 , 81 – 83 , 88 , 90 , 91 , 102 , 105 ] ( S1 Fig ).…”

Section: Resultsmentioning

confidence: 99%

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Health related quality of life in adults after burn injuries: A systematic review

et al. 2018

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ObjectivesMeasurement of health-related quality of life (HRQL) is essential to qualify the subjective burden of burns in survivors. We performed a systematic review of HRQL studies in adult burn patients to evaluate study design, instruments used, methodological quality, and recovery patterns.MethodsA systematic review was performed. Relevant databases were searched from the earliest record until October 2016. Studies examining HRQL in adults after burn injuries were included. Risk of bias was scored using the Quality in Prognostic Studies tool.ResultsTwenty different HRQL instruments were used among the 94 included studies. The Burn Specific Health Scale–Brief (BSHS-B) (46%), the Short Form–36 (SF-36) (42%) and the EuroQol questionnaire (EQ-5D) (9%) were most often applied. Most domains, both mentally and physically orientated, were affected shortly after burns but improved over time. The lowest scores were reported for the domains ‘work’ and ‘heat sensitivity’ (BSHS-B), ‘bodily pain’, ‘physical role limitations’ (SF-36), and ‘pain/discomfort’ (EQ-5D) in the short-term and for ‘work’ and ‘heat sensitivity’, ‘emotional functioning’ (SF-36), ‘physical functioning’ and ‘pain/discomfort’ in the long-term. Risk of bias was generally low in outcome measurement and high in study attrition.ConclusionConsensus on preferred validated methodologies of HRQL measurement in burn patients would facilitate comparability across studies, resulting in improved insights in recovery patterns and better estimates of HRQL after burns. We recommend to develop a guideline on the measurement of HRQL in burns. Five domains representing a variety of topics had low scores in the long-term and require special attention in the aftermath of burns.

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Section: Resultsmentioning

confidence: 99%

“…Scores lower than 50 indicate scores below the average. Analyses of recovery patterns of the SF-36 outcome data were based on 17 studies of the 40 studies that assessed HRQL with the SF-36 [ 23 , 26 , 28 , 29 , 32 , 35 , 40 , 44 , 49 , 60 , 64 , 66 , 72 , 73 , 76 , 80 , 99 ] ( S2 Fig ).…”

Section: Resultsmentioning

confidence: 99%

Health related quality of life in adults after burn injuries: A systematic review

et al. 2018

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“…Total body surface area (TBSA) of burn is known as a potential factor that affects the post-burn recovery. An earlier study showed that the most severely burn injured patients experienced poorer recovery in physical and mental health status [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Increased risk of chronic fatigue syndrome following burn injuries

et al. 2018

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BackgroundThe overlapping symptoms and pathophysiological similarities between burn injury and chronic fatigue syndrome (CFS) are noteworthy. Thus, this study explores the possible association between burn injury and the subsequent risk of CFS.MethodWe used data from the Taiwan National Health Insurance system to address the research topic. The exposure cohort comprised of 17,204 patients with new diagnoses of burn injury. Each patient was frequency matched according to age, sex, index year, and comorbidities with four participants from the general population who did not have a history of CFS (control cohort). Cox proportional hazards regression analysis was conducted to estimate the relationship between burn injury and the risk of subsequent CFS.ResultThe incidence of CFS in the exposure and control cohorts was 1.61 and 0.86 per 1000 person-years, respectively. The exposure cohort had a significantly higher overall risk of subsequent CFS than did the control cohort (adjusted hazard ratio [HR] = 1.48, 95% confidence interval [CI] = 1.41–1.56). The risk of CFS in patients with burn injury in whichever stratification (including sex, age, and comorbidity) was also higher than that of the control cohort.ConclusionThe findings from this population-based retrospective cohort study suggest that thermal injury is associated with an increased risk of subsequent CFS and provided a point of view suggesting burn injuries in sun- exposed areas such as the face and limbs had greater impact on subsequent development of CFS compared with trunk areas. In addition, extensively burned areas and visible scars were predictors of greater physiological and psychosocial that are needed to follow-up in the long run.

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“…Even though the majority of workers return to work, there is some evidence that their quality of life post-injury in many cases is lower than pre-injury as long as after 12 months follow-up. 14 Polinder et al . 15 studied costs and productivity losses due to various injuries in Netherlands.…”

Section: Discussionmentioning

confidence: 99%

Burden of Fire Injuries in Finland: Lost Productivity and Benefits

Haikonen

Lillsunde

2016

Journal of Public Health Research

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Background: The aim of this study was to assess the economic burden of fire-related injury from two perspectives: post-injury social security compensations and also productivity losses due to the lost productive time from a societal perspective induced by the injury.Design and methods: A cohort of 1503 inpatients who sustained fire-related injury during the period 2001–2005 was retrospectively followed up for 5-10 years until the end of 2010, using linkages between several administrative registers. The study process was started in 2015 and finalized on March 2016.Results: Annual productivity loss was on average EUR 5.72 million, giving a total for the five-year study period of EUR 28.6 million, with a mean value of EUR 19,070 per person. Mean/median disability time for those who received benefits was 572/63 days, ranging from 3 days to 36.5 years. Total average cost of benefits to the injured annually during the study period was EUR 1.03 million. This equates to EUR 3430 per patient for the whole cohort or EUR 14,860 for those who received benefits.Conclusions: The burden of fire-related injuries in terms of payment transfers and lost productivity due to periods of disability as indirect costs is high; in a population of 5.4 million, the annual loss exceeded EUR 5.7 million. The results could be used in planning preventive measures and therefore yield savings.Significance for public healthThere is little scientific knowledge about fire-related injuries and their consequences. This study addresses this public health problem and yields results potentially useful for designing preventive measures where costs are weighed against the benefits especially when augmented with direct costs.

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Patterns of recovery over 12 months following a burn injury in Australia

Cited by 33 publications

References 25 publications

Health related quality of life in adults after burn injuries: A systematic review

Health related quality of life in adults after burn injuries: A systematic review

Increased risk of chronic fatigue syndrome following burn injuries

Burden of Fire Injuries in Finland: Lost Productivity and Benefits

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