Health-related quality of life (EQ-5D) early after injury predicts long-term pain after burn

Gauffin, Emelie; Öster, Caisa; Sjöberg, Folke; Gerdin, Bengt; Ekselius, Lisa

doi:10.1016/j.burns.2016.05.016

Cited by 39 publications

(24 citation statements)

References 41 publications

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“…Retaining a low percentage of screened patients in a study is common among trauma populations including previously collected cohorts in motor vehicle collision [29], critical illness [43], burn injury [15; 59] and traumatic brain injury [57]. Of note, of our sample who was approached, 21% refused enrollment, which is consistent with other studies in burn injury [22; 24]. The most common reasons participants were excluded from the study was being <18 or >59 years of age (20%), delayed presentation for treatment (10%), burn not severe enough to require tissue autograft (16%), non-thermal burn (12%), and reside greater than 100 miles from burn center (10%).…”

Section: Methodssupporting

confidence: 85%

Pain and itch outcome trajectories differ among European American and African American survivors of major thermal burn injury

Mauck

Smith

Shupp

et al. 2017

PAIN

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Over half of individuals experiencing major thermal burn injury (MThBI) receive an autologous skin graft (autograft), in which skin is removed from a healthy “donor” site and transplanted to the burn site. Persistent pain/itch at the graft site are major causes of suffering and disability in MThBI survivors. African Americans have a higher risk of MThBI, and in other clinical settings African Americans experience a greater burden of pain and itch relative to European Americans. However, to our knowledge, ethnic differences in skin graft site pain/itch outcomes after MThBI have not been assessed. We evaluated skin graft site pain and itch severity (0–10 numeric rating scale (NRS)) over 1 year in a prospective multicenter cohort sample of African Americans and European Americans. In adjusted linear mixed models African Americans experienced a slower rate of pain resolution in the acute phase of recovery (β=−0.05 versus −0.08 NRS points per day, p<0.001), which resulted in a higher pain severity in the persistent phase of recovery (NRS mean difference=1.21, 95% CI [0.12, 2.29]), although not statistically significant after correction for multiple comparisons. African Americans also experience greater itch severity in the 6 weeks to 12 months after burn injury compared to European Americans (NRS mean difference=1.86 [0.80–2.93]), which results from a faster rate of itch development in African Americans in the acute recovery phase after burn injury. Future studies may improve outcomes in African Americans and lead to new pathogenic insights that benefit all burn injury survivors.

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Section: Methodssupporting

confidence: 85%

Pain and itch outcome trajectories differ among European American and African American survivors of major thermal burn injury

Mauck

Smith

Shupp

et al. 2017

PAIN

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“…Burn injuries are associated with four factors: n High exudate production (at least initially) 66 n Susceptibility to infection 68,69 n Wound pain (particularly at dressing change), distress and reduced quality of life (QoL) [70][71][72] n Predisposition to wound bed trauma and disruption. 66 These characteristics were taken into consideration in the design of three RCTs ( The other two trials were multicentre studies that compared treatment of partial-thickness burn injuries with Mepilex Ag and silver sulphadiazine (SSD).…”

Section: Burn Injuriesmentioning

confidence: 99%

Silver-containing foam dressings with Safetac: a review of the scientific and clinical data

Davies

McCarty

Hamberg³

2017

J Wound Care

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Phil Davies has more than 25 years of experience of working in healthcare-related industries. During that time, he has authored and contributed to numerous peer-reviewed journal articles and conference presentations (oral and poster) relating to wound care and other areas of healthcare. Phil was awarded a BSc (Hons) Medical Cell Biology and Biochemistry by the University of Liverpool (United Kingdom) in 1989.Sara McCarty was awarded her BSc (Hons) in biomedical sciences in 2008 by the University of Chester, UK. Since then, Sara has gained research experience in the field of wound healing. As a medical writer, she has also authored and contributed to a number of peer-reviewed journal articles and conference presentations. In 2014, she was awarded a PhD in the role and control of matrix metalloproteases in cutaneous wound healing.Kristina Hamberg has over 10 years of experience of working with the design and development of wound care products, particularly those with antimicrobial properties. During that time, she has become an expert within the areas of microbiology and test method development, as well as infection prevention. Kristina was awarded her MSc in food science in 1997 from the University of Kalmar, Sweden, and in 2002 she was awarded a PhD for microbiological evaluation of novel technologies for food preservation by Chalmers Technical University, Gothenburg, Sweden.How to cite this document: Davies, P., McCarty, S., Hamberg, K. Silver-containing foam dressings with Safetac: a review of the scientific and clinical data. J Wound Care 2017; 26: 6 (Suppl. 1), S1-S32. Conclusion S24 References S27Downloaded from magonlinelibrary.com by 054

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“…Several risk factors appear to increase risk for persistent PTSD after an index event such as a traumatic injury, including prior exposure to traumatic experiences, overall life stress, more severe acute traumatic stress symptoms, maladaptive coping responses, and poorer social support (Richmond, et al, 2011; Ozer, Best, Lipsey, & Weiss, 2003; Brewin, Andrews, & Valentine, 2000). Emotional and psychological responses to physical injury, including PTSD symptoms, are the dominant contributors to poor functional recovery and lower health-related quality of life (HRQOL) (Richmond, et al, 2009) and can persist for as long as two years after injury (Holbrook, et al, 2005; Gauffin, Öster, Sjöberg, Gerdin, & Ekselius 2016; Zatzick, et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Trauma Providers' Knowledge, Views, and Practice of Trauma-Informed Care

Bruce

Kassam‐Adams

Rogers

et al. 2018

Journal of Trauma Nursing

103

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Trauma-informed interventions have been implemented in various settings, but trauma-informed care (TIC) has not been widely incorporated into the treatment of adult patients with traumatic injuries. The purpose of this study was to examine health care provider knowledge, attitudes, practices, competence, and perceived barriers to implementation of TIC. This cross-sectional study used an anonymous web-based survey to assess attitudes, knowledge, perceived competence, and practice of TIC among trauma providers from an urban academic medical center with a regional resource trauma center. Providers (nurses, physicians, therapists [physical, occupational, respiratory]) working in trauma resuscitation, trauma critical care, and trauma care units were recruited. Descriptive statistics summarized knowledge, attitudes, practice, competence, and perceived barriers to TIC and logistic regression analyses examined factors predicting the use of TIC in practice. Of 147 participants, the majority were nurses (65%), followed by therapists (18%) and physicians (17%), with a median 3 years of experience; 75% answered the knowledge items correctly and 89% held favorable opinions about TIC. Nineteen percent rated themselves as less than "somewhat competent." All participants rated the following as significant barriers to providing basic TIC: time constraints, need of training, confusing information about TIC, and worry about retraumatizing patients. Self-rated competence was the most consistent predictor of providers' reported use of specific TIC practices. Despite some variability, providers were generally knowledgeable and held favorable views toward incorporating TIC into their practice. TIC training for trauma providers is needed and should aim to build providers' perceived competence in providing TIC.

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Health-related quality of life (EQ-5D) early after injury predicts long-term pain after burn

Cited by 39 publications

References 41 publications

Pain and itch outcome trajectories differ among European American and African American survivors of major thermal burn injury

Pain and itch outcome trajectories differ among European American and African American survivors of major thermal burn injury

Silver-containing foam dressings with Safetac: a review of the scientific and clinical data

Trauma Providers' Knowledge, Views, and Practice of Trauma-Informed Care

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