Elise Boersma-van Dam1,2, Rens van de Schoot3,4, Helma W C Hofland5, Iris M Engelhard6, Nancy E E Van Loey7,6. 1. Association of Dutch Burn Centres, P.O. Box 1015, 1940 EA, Beverwijk, The Netherlands. m.e.boersma-vandam@uu.nl. 2. Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands. m.e.boersma-vandam@uu.nl. 3. Department of Methodology and Statistics, Faculty of Social and Behavioral Sciences, Utrecht University, Utrecht, The Netherlands. 4. Optentia Research Program, Faculty of Humanities, North-West University, Vanderbijlpark, South Africa. 5. Burn Center Maasstad Hospital, Rotterdam, The Netherlands. 6. Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands. 7. Association of Dutch Burn Centres, P.O. Box 1015, 1940 EA, Beverwijk, The Netherlands.
Abstract
PURPOSE: This study explored the individual trajectories of health-related quality of life (HRQL) compared to recalled pre-burn level of HRQL and investigated whether burn severity and post-traumatic stress disorder (PTSD) symptoms increase the risk of not returning to pre-burn level of HRQL. METHODS: Data were obtained from 309 adult patients with burns in a multicenter study. Patients completed the EQ-5D-3L questionnaire with a Cognition bolt-on shortly after hospital admission, which included a recalled pre-injury measure, and, again, at 3, 6, 12 and 18 months post-burn. Burn severity was indicated by the number of surgeries, and PTSD symptoms were assessed with the IES-R at three months post-burn. Pre- and post-injury HRQL were compared to norm populations. RESULTS: Recalled pre-injury HRQL was higher than population norms and HRQL at 18 months post-burn was comparable to population norms. Compared to the pre-injury level of functioning, four HRQL patterns of change over time were established: Stable, Recovery, Deterioration, and Growth. In each HRQL domain, a subset of patients did not return to their recalled pre-injury levels, especially with regard to Pain, Anxiety/Depression, and Cognition. Patients with more severe burns or PTSD symptoms were less likely to return to pre-injury level of functioning within 18 months post-burn. CONCLUSION: This study identified four patterns of individual change. Patients with more severe injuries and PTSD symptoms were more at risk of not returning to their recalled pre-injury HRQL. This study supports the face validity of using a recalled pre-burn HRQL score as a reference point to monitor HRQL after burns.
PURPOSE: This study explored the individual trajectories of health-related quality of life (HRQL) compared to recalled pre-burn level of HRQL and investigated whether burn severity and post-traumatic stress disorder (PTSD) symptoms increase the risk of not returning to pre-burn level of HRQL. METHODS: Data were obtained from 309 adult patients with burns in a multicenter study. Patients completed the EQ-5D-3L questionnaire with a Cognition bolt-on shortly after hospital admission, which included a recalled pre-injury measure, and, again, at 3, 6, 12 and 18 months post-burn. Burn severity was indicated by the number of surgeries, and PTSD symptoms were assessed with the IES-R at three months post-burn. Pre- and post-injury HRQL were compared to norm populations. RESULTS: Recalled pre-injury HRQL was higher than population norms and HRQL at 18 months post-burn was comparable to population norms. Compared to the pre-injury level of functioning, four HRQL patterns of change over time were established: Stable, Recovery, Deterioration, and Growth. In each HRQL domain, a subset of patients did not return to their recalled pre-injury levels, especially with regard to Pain, Anxiety/Depression, and Cognition. Patients with more severe burns or PTSD symptoms were less likely to return to pre-injury level of functioning within 18 months post-burn. CONCLUSION: This study identified four patterns of individual change. Patients with more severe injuries and PTSD symptoms were more at risk of not returning to their recalled pre-injury HRQL. This study supports the face validity of using a recalled pre-burn HRQL score as a reference point to monitor HRQL after burns.
Entities:
Keywords:
Burns; Individual recovery; Post-traumatic stress; Pre-injury data; Quality of life
Authors: James A Fauerbach; Dennis Lezotte; Rebecca A Hills; G Fred Cromes; Karen Kowalske; Barbara J de Lateur; Cleon W Goodwin; Patricia Blakeney; David N Herndon; Shelley A Wiechman; Loren H Engrav; David R Patterson Journal: J Burn Care Rehabil Date: 2005 Jan-Feb
Authors: Nancy E van Loey; Ed F van Beeck; Bertus W Faber; Rens van de Schoot; Marco Bremer Journal: J Trauma Acute Care Surg Date: 2012-02 Impact factor: 3.313
Authors: Ted Miller; Soma Bhattacharya; William Zamula; Dennis Lezotte; Karen Kowalske; David Herndon; James Fauerbach; Loren Engrav Journal: Qual Life Res Date: 2012-12-08 Impact factor: 4.147
Authors: Suzanne Polinder; Juanita A Haagsma; Eefje Belt; Ronan A Lyons; Vicki Erasmus; Johan Lund; Ed F van Beeck Journal: BMC Public Health Date: 2010-12-23 Impact factor: 3.295