Psychiatric Diagnoses After Hospitalization With Work-Related Burn Injuries in Washington State

Anderson, Naomi J.; Bonauto, David K.; Adams, Darrin

doi:10.1097/bcr.0b013e318217f83a

Cited by 19 publications

(9 citation statements)

References 29 publications

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“…The mean total healthcare cost per burn patient (85 studies) was $76,497 (range of $102–$717,306; median of $36,696) . The range includes costs in different market economies and healthcare settings, and the majority of studies calculated acute burn hospitalization costs only.…”

Section: Resultsmentioning

confidence: 99%

Costs of burn care: A systematic review

Hop

Polinder

Vlies

et al. 2014

Wound Repair Regeneration

135

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Burn care is traditionally considered expensive care. However, detailed information about the costs of burn care is scarce despite the increased need for this information and the enhanced focus on healthcare cost control. In this study, economic literature on burn care was systematically reviewed to examine the problem of burn-related costs. Cost or economic evaluation studies on burn care that had been published in international peer-reviewed journals from 1950 to 2012 were identified. The methodology of these articles was critically appraised by two reviewers, and cost results were extracted. A total of 156 studies met the inclusion criteria. Nearly all of the studies were cost studies (n = 153) with a healthcare perspective (n = 139) from high-income countries (n = 127). Hospital charges were often used as a proxy for costs (n = 44). Three studies were cost-effectiveness analyses. The mean total healthcare cost per burn patient in high-income countries was $88,218 (range $704-$717,306; median $44,024). A wide variety of methodological approaches and cost prices was found. We recommend that cost studies and economic evaluations employ a standard approach to improve the quality and harmonization of economic evaluation studies, optimize comparability, and improve insight into burn care costs and efficiency.

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Section: Resultsmentioning

confidence: 99%

Costs of burn care: A systematic review

Hop

Polinder

Vlies

et al. 2014

Wound Repair Regeneration

135

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“…Only 1.5% of burned workers were admitted to hospital, but this represented 5% of the costs incurred which were in excess of 5 million $US. Anderson et al (2011) showed that in Washington state, 10.3% of all burns were chemical skin injuries among 329 studied patients. Total cost for all studied patients was $US 872,089.00.…”

Section: Financial Cost Of Chemical Skin Injuriesmentioning

confidence: 95%

“…Total cost for all studied patients was $US 872,089.00. Medical costs were significantly higher when a co-morbid psychiatric diagnosis was made, and 62 of such patients accounted for 48% of the total cost (Anderson et al 2011).…”

Section: Financial Cost Of Chemical Skin Injuriesmentioning

confidence: 99%

Acute chemical skin injuries in the United States: a review

Hall

Mathieu

Maibach

2018

Critical Reviews in Toxicology

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The objective was to perform a thorough review of published and other available data to elucidate the extent of chemical skin injuries in the US. Chemical skin injuries differ significantly from skin lesions produced by other injury mechanisms, so this review was restricted to the former. Retrieval of relevant published data was performed in PubMed and Google. Other data were retrieved from the American College of Surgeons National Trauma Databank, American Burn Association National Burn Repository, US Department of Labor Bureau of Labor Statistics, websites of all 50 US States Departments of Health, and the National Poison Data System of the American Association of Poison Control Centers. Two areas of significance in disfiguring skin burn injuries and particularly of chemical skin injuries, psychosocial issues and the associated financial burden, have been briefly reviewed. Because of the paucity of published data, international as well as US data have been included. A brief description of an active flushing fluid as an alternative to potable water, Diphoterine solution, has also been included. Chemical skin injuries generally comprise approximately 2-5% of all skin burns, but sometimes higher percentages have been reported. Data analysis shows that while there are various sources regarding the epidemiology of chemical skin injuries, the total annual number cannot be determined because there is no centralized US national reporting mechanism. Literature and clinical experience demonstrate the importance of chemical skin injuries in USA. Dermal exposures to chemicals can result in mortality and morbidity. Chemical skin injuries can be avoided or ameliorated and preventive advanced measures should be taken to reduce or ameliorate them.

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“…A number of psychosocial difficulties such as depression [6][7][8][9][10][11], anxiety [6,9,12,13], difficulties sleeping [14], and trauma symptoms [5,6,8,9,15] can also accompany the physical impact of a burn. Patients with burn scarring can also encounter unwanted questions or staring from others which can lead to avoidance of activities which could draw attention to their scars, fear of being judged negatively by others, low social self-esteem and withdrawal from romantic relationships [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

The Development and Validation of the CARe Burn Scale—Adult Form: A Patient-Reported Outcome Measure (PROM) to Assess Quality of Life for Adults Living with a Burn Injury

Griffiths

Guest

Pickles

et al. 2019

Journal of Burn Care &Amp; Research

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Introduction: Patient Reported Outcome Measures (PROMs) identify vital information about patient needs and therapeutic progress. This paper outlines the development and validation of the CARe Burn Scale-Adult Form: a PROM that assesses quality of life in adults living with a burn injury. Methods: 11 patient, 10 family member and 4 health professional interviews, and a systematic review were conducted to inform the development of a conceptual framework and a draft measure. Cognitive debriefing interviews conducted with 3 adult burn patients, 1 family member and 8 health professionals provided feedback to ascertain content validity of the measure. The measure was then field tested with 304 adult burn patients. Rasch psychometric analysis was conducted for scale reduction, and traditional psychometric analyses provided a comparison with other measures. Further psychometric testing with an additional 118 adult burn patients tested the shortened CARe Burn Scale in relation to other quality of life PROMs. Results: The conceptual framework outlined 14 domains; 12 of which fulfilled Rasch and traditional psychometric analyses. Two individual scales did not fulfil the Rasch criteria and were retained as checklists. Individual CARe Burn Scales correlated moderately-to-highly with other quality of life scales measuring similar constructs, and had low-to-no correlations with dissimilar constructs and the majority of sociodemographic factors, indicating evidence of concurrent and divergent validity. 3 Conclusions: The CARe Burn Scale-Adult Form can help identify patient needs and provides burns-specialist health professionals with a tool to assess quality of life and therapeutic progress after a burn event and related treatment.

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Psychiatric Diagnoses After Hospitalization With Work-Related Burn Injuries in Washington State

Cited by 19 publications

References 29 publications

Costs of burn care: A systematic review

Costs of burn care: A systematic review

Acute chemical skin injuries in the United States: a review

The Development and Validation of the CARe Burn Scale—Adult Form: A Patient-Reported Outcome Measure (PROM) to Assess Quality of Life for Adults Living with a Burn Injury

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