Document Detail

Health-related quality of life after burns: a prospective multicenter cohort study with 18 months follow-up.
MedLine Citation:
PMID:  22439227     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Health-related quality of life (HRQOL) is an important parameter after medical treatments. Knowledge of (predictors of) diminished quality of life can help improve medical outcome. The aim of this study was to quantify health loss in patients with burns and to assess the contribution of injury extent, age, gender, and psychologic factors to HRQOL and speed of recovery. A multicenter prospective cohort design was used to address these aims.
METHODS: Data were obtained from 260 adults with burns. Patients completed the EQ-5D at 3 weeks, 3, 6, 9, and 18 months after burn and psychologic questionnaires during hospitalization. Patients' scores were compared with an age- and gender-weighted normpopulation.
RESULTS: Patients suffered from substantial health losses at short term, but after 18 months the majority reached a HRQOL comparable with the norm population with the exception of patients requiring two or more surgeries. The best predictor of long-term HRQOL and the speed of recovery was the number of surgeries, followed by psychologic problems. Both predicted baseline and trajectories of improvement. Symptoms of traumatic stress were most debilitating over time.
CONCLUSIONS: Both injury severity and psychologic problems play a pivotal role in reduced HRQOL and the speed of recovery. The number of surgeries seems to give a practically useful indication of the expected recovery speed that could aid in decision making and provides adequate information for patients in the aftermath of their initial surgical treatment. Screening for traumatic stress is recommended.
Nancy E van Loey; Ed F van Beeck; Bertus W Faber; Rens van de Schoot; Marco Bremer
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  The journal of trauma and acute care surgery     Volume:  72     ISSN:  2163-0763     ISO Abbreviation:  J Trauma Acute Care Surg     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-03-22     Completed Date:  2012-05-04     Revised Date:  2013-09-25    
Medline Journal Info:
Nlm Unique ID:  101570622     Medline TA:  J Trauma Acute Care Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  513-20     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 by Lippincott Williams & Wilkins
Department of Psychosocial and Behavioural Research, Association of Dutch Burns Centres, Beverwijk, The Netherlands.
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MeSH Terms
Burns / physiopathology*,  psychology*,  surgery
Chi-Square Distribution
Follow-Up Studies
Injury Severity Score
Length of Stay / statistics & numerical data
Prospective Studies
Quality of Life*
Survivors / psychology*

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