Citation

Van Loey NE, van Beeck EF, Faber BW, van de Schoot RAGJ, Bremer M. J. Trauma 2011; ePub(ePub): ePub.

Affiliation

Department of Psychosocial and Behavioural Research (N.E.L.), Association of Dutch Burns Centres, Beverwijk, The Netherlands; Department of Public Health (E.F.B.), Erasmus Medical Centre, Rotterdam, The Netherlands; Department of Clinical Psychology (B.W.F.), Martini Hospital, Groningen, The Netherlands; Department of Methods and Statistics (R.S.), Utrecht University, The Netherlands; and Burn Centre (M.B.), Martini Hospital, Groningen, The Netherlands.

Copyright

(Copyright © 2011, Lippincott Williams and Wilkins)

DOI

10.1097/TA.0b013e3182199072

PMID

22027879

Abstract

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.

Language: en