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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Health-related quality of life after burns: A prospective multicenter cohort study with 18 months follow-up
Journal of Trauma and Acute Care Surgery, Volume 72, No. 2, Year 2012
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Description
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. Patient's scores were compared with an age- and gender-weighted norm population. 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. Copyright © 2012 by Lippincott Williams & Wilkins.
Authors & Co-Authors
van Loey, Nancy Elisa E.
Netherlands, Beverwijk
Association of Dutch Burn Centres - Adbc
van Beeck, E. F.
Netherlands, Rotterdam
Erasmus Mc
van de Schoot, Rens A.G.J.
Netherlands, Utrecht
Universiteit Utrecht
Statistics
Citations: 91
Authors: 3
Affiliations: 4
Identifiers
Doi:
10.1097/TA.0b013e3182199072
ISSN:
21630763
Research Areas
Disability
Health System And Policy
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative