| Health-related quality of life after burns: a prospective multicenter cohort study with 18 months follow-up. | |
| | |
MedLine Citation:
|
PMID: 22439227 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Nancy E van Loey; Ed F van Beeck; Bertus W Faber; Rens van de Schoot; Marco Bremer |
Related Documents
:
|
22770867 - Nasal gel and olfactory cleft. 22644357 - Buprenorphine added to levobupivacaine enhances postoperative analgesia of middle inter... 22294957 - Anterior cruciate ligament reconstruction using achilles tendon allograft: an assessmen... 22357097 - Incidence, risk factors and natural course of proximal junctional kyphosis: surgical ou... 6354007 - Terbutaline sulfate and isoproterenol sulfate (metered dose aerosols) in the treatment ... 20672957 - Autologous growth factors versus autogenous graft for anterior cervical interbody fusio... |
Publication Detail:
|
Type: Journal Article |
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: - Revised Date: - |
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 |
Affiliation:
|
Department of Psychosocial and Behavioural Research, Association of Dutch Burns Centres, Beverwijk, The Netherlands. nvanloey@burns.nl |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Physical effects of trauma and the psychological consequences of preexisting diseases account for a ...
Next Document: Readmission of trauma patients in a nonacademic Level II trauma center.