V Finlay1, M Phillips2, F Wood3, D Hendrie4, G T Allison4, D Edgar5. 1. Fiona Wood Foundation, Australia; Burn Injury Research Unit, University of Western Australia, Burn Service of Western Australia, Fiona Wood Foundation, Australia. Electronic address: Vidya.finlay@health.wa.gov.au. 2. Western Australian Institute of Medical Research, Australia. 3. Burn Injury Research Unit, University of Western Australia, Burn Service of Western Australia, Fiona Wood Foundation, Australia. 4. Curtin University of Technology, Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Australia. 5. Fiona Wood Foundation, Australia; Burn Injury Research Unit, University of Western Australia, Burn Service of Western Australia, Fiona Wood Foundation, Australia.
Abstract
INTRODUCTION: Like many other Western burn services, the proportion of major to minor burns managed at Royal Perth Hospital (RPH) is in the order of 1:10. The Burn Specific Health Scale-Brief (BSHS-B) is an established measure of recovery after major burn, however its performance and validity in a population with a high volume of minor burns is uncertain. Utilizing the tool across burns of all sizes would be useful in service wide clinical practice. AIM: This study was designed to examine the reliability and validity of the BSHS-B across a sample of mostly minor burn patients. METHOD: BSHS-B scores of patients, obtained between January 2006 and February 2013 and stored on a secure hospital database were collated and analyzed Cronbach's alpha, factor analysis, logistic regression and longitudinal regression were used to examine reliability and validity of the BSHS-B. RESULTS: Data from 927 burn patients (2031 surveys) with a mean % total burn surface area (TBSA) of 6.7 (SD 10.0) were available for analysis. The BSHS-B demonstrated excellent reliability with a Cronbach's alpha of 0.95. First and second order factor analyses reduced the 40 item scale to four domains: Work; Affect and Relations; Physical Function; Skin Involvement, as per the established construct. TBSA, length of stay and burn surgery all predicted burn specific health in the first three months of injury (p<0.001, p<0.001, p=0.03). BSHS-B whole scale and domain scores showed significant improvement over 24 months from burn (p<0.001). DISCUSSION: The results from this study show that the structure and performance of the BSHS-B in a burn population consisting of 90% minor burns is consistent with that demonstrated in major burns. CONCLUSION: The BSHS-B can be employed to track and predict recovery after burns of all sizes to assist the provision of targeted burn care. Crown
INTRODUCTION: Like many other Western burn services, the proportion of major to minor burns managed at Royal Perth Hospital (RPH) is in the order of 1:10. The Burn Specific Health Scale-Brief (BSHS-B) is an established measure of recovery after major burn, however its performance and validity in a population with a high volume of minor burns is uncertain. Utilizing the tool across burns of all sizes would be useful in service wide clinical practice. AIM: This study was designed to examine the reliability and validity of the BSHS-B across a sample of mostly minor burn patients. METHOD: BSHS-B scores of patients, obtained between January 2006 and February 2013 and stored on a secure hospital database were collated and analyzed Cronbach's alpha, factor analysis, logistic regression and longitudinal regression were used to examine reliability and validity of the BSHS-B. RESULTS: Data from 927 burn patients (2031 surveys) with a mean % total burn surface area (TBSA) of 6.7 (SD 10.0) were available for analysis. The BSHS-B demonstrated excellent reliability with a Cronbach's alpha of 0.95. First and second order factor analyses reduced the 40 item scale to four domains: Work; Affect and Relations; Physical Function; Skin Involvement, as per the established construct. TBSA, length of stay and burn surgery all predicted burn specific health in the first three months of injury (p<0.001, p<0.001, p=0.03). BSHS-B whole scale and domain scores showed significant improvement over 24 months from burn (p<0.001). DISCUSSION: The results from this study show that the structure and performance of the BSHS-B in a burn population consisting of 90% minor burns is consistent with that demonstrated in major burns. CONCLUSION: The BSHS-B can be employed to track and predict recovery after burns of all sizes to assist the provision of targeted burn care. Crown
Authors: Inge Spronk; Catherine M Legemate; Jan Dokter; Nancy E E van Loey; Margriet E van Baar; Suzanne Polinder Journal: Crit Care Date: 2018-06-14 Impact factor: 9.097
Authors: Inge Spronk; Nancy E E Van Loey; Cornelis H van der Vlies; Juanita A Haagsma; Suzanne Polinder; Margriet E van Baar Journal: J Burn Care Res Date: 2022-01-05 Impact factor: 1.845