Early and late-recorded predictors of health-related quality of life of burn patients on long-term follow-up

Gojowy, David; Kauke, Martin; Ohmann, Tobias; Homann, H.-H.; Mannil, Lijo

doi:10.1016/j.burns.2019.03.016

Cited by 28 publications

(17 citation statements)

References 32 publications

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“…[ 4 ] We observed that female sex and black race correlated with worse mental health, but not physical health. Similar findings have been demonstrated in polytrauma patients and patients with spinal cord injuries, suggesting that this is not a burn injury-specific phenomenon [ 27 , 29 ]. Given the lack of correlation between burn size and many long-term outcomes, professional burn care and survivorship societies suggest de-emphasizing the role of burn size during shared-decision making conversations.…”

Section: Discussionsupporting

confidence: 81%

“…It has been documented by several reports that burn size is a poor predictor of long-term outcomes, particularly those not directly related to physical complaints. [ 1 , 25 , 26 ] A report of 42 burn survivors with a median follow-up of 14 years described predictors of quality of life after injury [ 27 ]. The authors determined that non-injury and non-acute care factors were predictive of long-term psychosocial health, including body image, sexual function, strength of social support, and co-existing mental health disorders.…”

Section: Discussionmentioning

confidence: 99%

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Mortality prognostication scores do not predict long-term, health-related quality of life after burn: A burn model system national database study

Stewart

Carrougher

Curtis

et al. 2021

Burns

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Highlights There are few tools to facilitate shared decision-making after burn injury. Mortality prognostication scores are thought to reflect long-term quality of life. Higher rBaux and Ryan scores are negatively correlated with long-term physical health, but not mental health. Burn size and mortality prognostication scores poorly explained the variance quality of life. More accurate scores are needed to predict long-term quality of life

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Mortality prognostication scores do not predict long-term, health-related quality of life after burn: A burn model system national database study

Stewart

Carrougher

Curtis

et al. 2021

Burns

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“…We believe there are 2 primary reasons for this finding: increased severity of disease in burn and trauma patients that necessitates longer inpatient convalescence/rehabilitation and increased length-of-stay that lengthens the window to identify/diagnose comorbidities/diseases. Gojowy et al 20 performed a single-center cross-sectional study evaluating 42 long-term severe burn survivors with DPT burns >20% TBSA and found that both length-of-stay and hand function predicted physical summary scores and decreased health-related quality of life. Our study demonstrated an increased length-of-stay in the ASCS treatment group (23 ± 13 days) compared with the STSG treatment group (10 ± 13 days; P < .05).…”

Section: Discussionmentioning

confidence: 99%

Use of Autologous Skin Cell Suspension for the Treatment of Hand Burns: A Pilot Study

Barnett

Carter

Tuggle

2021

Journal of Hand Surgery Global Online

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Autologous skin cell suspension (ASCS) is a valid alternative and adjunct to split-thickness skin grafting (STSG) for treating burns. Limited data exists regarding the use of ASCS for hand burns. We hypothesized that using ASCS in hand burns shortens healing time with no difference in complications and less donor site morbidity. Methods: This was a retrospective chart review of second-and third-degree hand burns treated at a level 1 Trauma and Burn Center from 2017 to 2019. Study groups included patients with hand burns treated with ASCS in combination with STSG and those treated with STSG alone. Outcomes included time to reepithelialization, return to work, length of hospital stay, and complications including reoperation, graft failure, and infection. Results: Fifty-nine patients aged 14 to 85 years (mean age 39 ± 15 years) met inclusion criteria. The ASCS treatment group comprised 37 patients; STSG comprised 22 patients. Mean follow-up time was 14 ± 7 months. The ASCS treatment group had a larger mean percent total body surface area (TBSA) (22% ± 14% vs 6% ± 8%; P < .05). There was no difference in time to wound re-epithelialization between both groups (ASCS, 11 ± 4 days vs STSG, 11 ± 5 days). Mean length-of-stay was 23 ± 13 days compared to 10 ± 13 days (P < .05) between the ASCS and STSG groups, respectively. No patients in the ASCS group required reoperation, whereas 2 patients in the STSG group required such for an infection-related graft loss and a web space contracture release. On multivariable analysis adjusting for TBSA, ASCS was associated with an earlier return to work (P < .05). Conclusions: ASCS is safe and effective in treating hand burns. ASCS was associated with similar rates of re-epithelialization, earlier return to work, and no difference in complications compared with STSG. Type of study/level of evidence: Therapeutic, Level IV.

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“… 37 However, 10 years after a burn injury, QoL is, on average, comparable to the general population. 38 …”

Section: Methodsmentioning

confidence: 99%

“…Scars, particularly burns, cause physical and psychosocial sequelae which negatively affect QoL and are one of the most influential causes of DALYs according to the WHO. 38 Furthermore, acne marks and scars have been shown to significantly alter QoL regardless of age group. 24 The physical and sensory changes alongside the burden of complete scar treatments mean the impact on QoL can be ongoing.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Acne, Atopic Dermatitis, Skin Toxicities and Scars on Quality of Life and the Importance of a Holistic Treatment Approach

Dréno¹,

Amici²,

Demessant³

et al. 2021

CCID

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Skin conditions such as acne, atopic dermatitis, skin toxicity from oncology treatment, and scars are among the most common health conditions and negatively impact quality of life (QoL). Yet the physician perception of this impact often varies greatly from the patient perception. This is important because patient illness perception is closely linked with seeking help and treatment adherence behaviors. The objective of this review is to better understand the impact of these four highly prevalent skin conditions on QoL including their health-related economic factors to improve treatment outcomes. The literature search included literature published on QoL with acne, atopic dermatitis, scars (from any cause) and skin toxicities on PubMed between 2015 and 2020. We found that patients with skin conditions have a much higher frequency of altered QoL and psychological distress than those without. Also, skin conditions negatively impact self-image and can cause feelings of isolation, loneliness, lower self-esteem, and lower body satisfaction. Additionally, physical discomfort adds to the psychological distress. These physical and psychological impacts are an enormous financial burden on patients, their families and society. We found evidence that holistic treatment including treating the skin condition itself, providing wider peer and psychological support as well as shared decision-making, therapeutic patient education and dermatologist involvement improves outcomes. Holistic history-taking, checklists, or the use of more formal QoL scoring tools can be incorporated into routine consultations to better assess patient well-being and provide clinicians with important information for adapting treatment to individual patient requirements. In conclusion, this review highlights the overall impact of skin conditions (including psychological and QoL impacts) and the importance of providing holistic care to optimize treatment outcomes. A comprehensive QoL screening tool would be useful to help provide patient-centered treatment.

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Early and late-recorded predictors of health-related quality of life of burn patients on long-term follow-up

Cited by 28 publications

References 32 publications

Mortality prognostication scores do not predict long-term, health-related quality of life after burn: A burn model system national database study

Mortality prognostication scores do not predict long-term, health-related quality of life after burn: A burn model system national database study

Use of Autologous Skin Cell Suspension for the Treatment of Hand Burns: A Pilot Study

The Impact of Acne, Atopic Dermatitis, Skin Toxicities and Scars on Quality of Life and the Importance of a Holistic Treatment Approach

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