Inge Spronk1, Suzanne Polinder2, Nancy E E van Loey3, Cornelis H van der Vlies4, Anouk Pijpe5, Juanita A Haagsma6, Margriet E van Baar7. 1. Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands; Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, The Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences, Amsterdam, The Netherlands. Electronic address: i.spronk@erasmusmc.nl. 2. Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands. Electronic address: s.polinder@erasmusmc.nl. 3. Association of Dutch Burn Centres, Department Behavioural Research, Beverwijk, The Netherlands; Utrecht University, Department Clinical Psychology, Utrecht, The Netherlands. Electronic address: nvanloey@burns.nl. 4. Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands; Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. Electronic address: vliesc@maasstadziekenhuis.nl. 5. Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands. Electronic address: apijpe@rkz.nl. 6. Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands. Electronic address: j.haagsma@erasmumc.nl. 7. Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands; Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, The Netherlands. Electronic address: baarm@maasstadziekenhuis.nl.
Abstract
INTRODUCTION: Burn injury can affect health-related quality of life (HRQL). Knowledge concerning long-term HRQL in burn patients is limited. Therefore our aim was to evaluate long-term HRQL and to study predictors of impaired long-term HRQL. METHODS: All adults with a length of stay (LOS) of ≥1 day (2011-2012) were invited. Also, adults with severe burns, i.e., >20% total body surface area (TBSA) burned or TBSA full thickness>5% (2010-2013) were invited. Participants completed the EuroQol(EQ)-5 D-5L + C and visual analogue scale (EQ-VAS) 5-7 years after burns. RESULTS: This study included 256 patients (mean %TBSA 10%); 187 patients with minor burns and 69 patients with severe burns. Mean EQ-5D summary was 0.90 and EQ-VAS 83.2 in the minor burn patients, and 0.79 and 78.1 in the severe burn patients. Some problems in at least one dimension were experienced by 81% of patients with severe burns and 45% of those with minor burns. However, a minority reported severe or extreme problems; 15% of those with severe burns and 6% of those with minor burns. Patients with severe burns reported significantly more problems, except for anxiety/depression. In both patient groups most problems were reported on pain/discomfort. Length of hospital stay, gender and age were associated with lower long-term HRQL (EQ-VAS) in multivariate analyses, whereas only length of stay was associated with a lower summary score. CONCLUSIONS: The majority of patients experienced some problems with HRQL 5-7 years post burn. This emphasizes that burns can have a negative impact on an individual's HRQL, particularly in more severely burned patients, that persists for years. The HRQL dimensions most frequently affected include pain/discomfort and anxiety/depression. Patients with a prolonged hospital stay, females and older patients are at higher risk of poor HRQL in the long-term.
INTRODUCTION: Burn injury can affect health-related quality of life (HRQL). Knowledge concerning long-term HRQL in burn patients is limited. Therefore our aim was to evaluate long-term HRQL and to study predictors of impaired long-term HRQL. METHODS: All adults with a length of stay (LOS) of ≥1 day (2011-2012) were invited. Also, adults with severe burns, i.e., >20% total body surface area (TBSA) burned or TBSA full thickness>5% (2010-2013) were invited. Participants completed the EuroQol(EQ)-5 D-5L + C and visual analogue scale (EQ-VAS) 5-7 years after burns. RESULTS: This study included 256 patients (mean %TBSA 10%); 187 patients with minor burns and 69 patients with severe burns. Mean EQ-5D summary was 0.90 and EQ-VAS 83.2 in the minor burn patients, and 0.79 and 78.1 in the severe burn patients. Some problems in at least one dimension were experienced by 81% of patients with severe burns and 45% of those with minor burns. However, a minority reported severe or extreme problems; 15% of those with severe burns and 6% of those with minor burns. Patients with severe burns reported significantly more problems, except for anxiety/depression. In both patient groups most problems were reported on pain/discomfort. Length of hospital stay, gender and age were associated with lower long-term HRQL (EQ-VAS) in multivariate analyses, whereas only length of stay was associated with a lower summary score. CONCLUSIONS: The majority of patients experienced some problems with HRQL 5-7 years post burn. This emphasizes that burns can have a negative impact on an individual's HRQL, particularly in more severely burned patients, that persists for years. The HRQL dimensions most frequently affected include pain/discomfort and anxiety/depression. Patients with a prolonged hospital stay, females and older patients are at higher risk of poor HRQL in the long-term.
Authors: Huan Deng; Cailin A Abouzeid; Lauren J Shepler; Mary D Slavin; J Andrew Taylor; Hannah W Mercier; Juan P Herrera-Escobar; Lewis E Kazis; Colleen M Ryan; Jeffrey C Schneider Journal: Burns Date: 2022-04-22 Impact factor: 2.609
Authors: Marc G Jeschke; Margriet E van Baar; Mashkoor A Choudhry; Kevin K Chung; Nicole S Gibran; Sarvesh Logsetty Journal: Nat Rev Dis Primers Date: 2020-02-13 Impact factor: 52.329
Authors: I Spronk; G J Bonsel; S Polinder; M E van Baar; M F Janssen; J A Haagsma Journal: Health Qual Life Outcomes Date: 2020-05-19 Impact factor: 3.186
Authors: Inge Spronk; Dale W Edgar; Margriet E van Baar; Fiona M Wood; Nancy E E Van Loey; Esther Middelkoop; Babette Renneberg; Caisa Öster; Lotti Orwelius; Asgjerd L Moi; Marianne Nieuwenhuis; Cornelis H van der Vlies; Suzanne Polinder; Juanita A Haagsma Journal: BMC Public Health Date: 2020-01-29 Impact factor: 3.295
Authors: Inge Spronk; Nancy E E Van Loey; Charlie Sewalt; Daan Nieboer; Babette Renneberg; Asgjerd Litleré Moi; Caisa Oster; Lotti Orwelius; Margriet E van Baar; Suzanne Polinder Journal: PLoS One Date: 2020-01-10 Impact factor: 3.240
Authors: Elise Boersma-van Dam; Rens van de Schoot; Helma W C Hofland; Iris M Engelhard; Nancy E E Van Loey Journal: Qual Life Res Date: 2020-10-22 Impact factor: 4.147
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
Authors: Inge Spronk; Anniek Stortelers; Cornelis H van der Vlies; Paul P M van Zuijlen; Anouk Pijpe Journal: Wound Repair Regen Date: 2021-06-16 Impact factor: 3.617