Functional and Psychological Outcomes Following Burn Injury: Reduced Income and Hidden Emotions Are Predictors of Greater Distress

“…While the head and neck represent relatively small anatomical regions, the patients in this study with head and neck burns received relatively large volumes of blood products. One reason for this might be that isolated facial burns resulting from fire/ flame injuries are rare, whereby the face is usually affected as a part of a larger burn (28)(29)(30).…”

Section: Discussionmentioning

confidence: 99%

The Use of Blood Products in Adult Patients with Burns

Koljonen

Tuimala²,

Haglund

et al. 2016

Scand J Surg

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Methods: To study the use of blood products in burn patients, we used data collected from the optimal Use of Blood registry, developed through co-operation between 10 major hospital districts and the finnish red cross Blood service. Burn patients ⩾18 years treated at the helsinki University hospital between 2005 and 2011 with an in-hospital stay ⩾1 day who received at least one transfusion during their hospital stay were included in this study.Results: Among all 558 burn patients, 192 (34%) received blood products during their hospital stay. The transfused cohort comprised 192 burn patients. The study cohort received a total of 6087 units of blood components, 2422 units of leukoreduced red blood cells, 1728 units of leukoreduced platelets, and 420 units of single-donor fresh frozen plasma or, after 2007, 1517 units of octaplas ® frozen plasma. All three types of blood components were administered to 29% of patients, whereas 45% received only red blood cells and 6% received only octaplas. Transfused patients were significantly older (p < 0.001), experienced fire-/flame-related accidents and burns to multiple locations

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“…Therefore, long-term significant psychological distress was diagnosed among approximately one-third of burned patients 12–15…”

Section: Introductionmentioning

confidence: 99%

Factor structure of the Persian version of general, social, and negative self-consciousness of appearance domains of Derriford Appearance Scale 59: an application in the field of burn injuries

Bazargani

Zare

Ranjbar

2017

NDT

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BackgroundThe Derriford Appearance Scale 59 (DAS59) is a widely used measure of the spectrum of psychological distress and dysfunction that is characteristic of disfigurement. Also, disfigurement due to burn injury leads to feeling guilty or less socially competent, avoiding social situations, suicide, poor self-esteem, sexual difficulties, and depression. Therefore, the purpose of this study was to translate and culturally adapt three subscales of DAS59 into Persian language and to investigate its factor structure for Iranian burned patients.MethodTranslation–back translation of the scale into Persian was done. The internal consistency of the translated scale was evaluated by Cronbach’s alpha. Next, construct validity of the translated instrument was assessed by exploratory factor analysis using principal components and rotation of varimax methods. This research involved a convenience sample of 189 adult burned patients with disfigurement in their face, head, ears, neck, hands, and legs.ResultThe Cronbach’s alpha for overall scale, subscales 1, 2, and 3 were 0.93, 0.93, 0.89, and 0.80, respectively. The best solution from the principal components analysis of the 40 items of the DAS59 revealed three factors corresponding to the three subscales with 20 items: factor 1 (general self-consciousness of appearance) consisted of 9 statements accounting for 33.23% of the variance (eigenvalue =9.23); factor 2 (social self-consciousness of appearance) consisted of 7 statements accounting for 22.91% of the variance (eigenvalue =1.53); and factor 3 (negative self-concept) consisted of 4 statements accounting for 14.98% of the variance (eigenvalue =1.13).ConclusionThe factor structure of the three subscales of DAS59 provides a widely acceptable, psychometrically robust, factorial self-report scale to assess distress and dysfunction in problems of appearance among Iranian burned patients, and facilitates further research into the efficacy of treatment approaches for problems of appearance and early investigation of therapeutic outcome.

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Functional and Psychological Outcomes Following Burn Injury: Reduced Income and Hidden Emotions Are Predictors of Greater Distress

Cited by 28 publications

References 20 publications

A randomized controlled trial of an educational programme with telephone reinforcement to improve perceived health status of Brazilian burn victims at 6‐month post discharge

A randomized controlled trial of an educational programme with telephone reinforcement to improve perceived health status of Brazilian burn victims at 6‐month post discharge

The Use of Blood Products in Adult Patients with Burns

Factor structure of the Persian version of general, social, and negative self-consciousness of appearance domains of Derriford Appearance Scale 59: an application in the field of burn injuries

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