Return to work after specialised burn care: A two-year prospective follow-up study of the prevalence, predictors and related costs

Goei, H.; Hop, M.J.; Vlies, C.H. van der; Nieuwenhuis, M.K.; Polinder, Suzanne; Middelkoop, Esther; Baar, Margriet E. van; Kuijper, E.C.; Tempelman, F.R.H.; Vloemans, A.F.P.M.; Zuijlen, Paul P. M. van; Es, A. van; Hofland, Helma W. C.; Dokter, J.; Beerthuizen, G.I.J.M.; Eshuis, H.; Hiddingh, J.; Scholten-Jaegers, S.M.H.J.; Novin, A.; Novin, M.

doi:10.1016/j.injury.2016.03.031

Cited by 40 publications

(29 citation statements)

References 28 publications

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“…The three domains covering this (‘work’ (BSHS-B), ‘physical role limitations’ (SF-36), and ‘usual activities’ (EQ-5D)) show mixed results, with also reduced scores in the longer-term. Simple activities like walking and dressing improve towards the level of the average population, however, more advanced functioning like working is more affected by burns and varies among the population, which might be explained by the heterogeneous nature of the burn population in combination with reported substantial effects on work situation, also in burns of limited severity [ 119 ].…”

Section: Discussionmentioning

confidence: 99%

Health related quality of life in adults after burn injuries: A systematic review

et al. 2018

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ObjectivesMeasurement of health-related quality of life (HRQL) is essential to qualify the subjective burden of burns in survivors. We performed a systematic review of HRQL studies in adult burn patients to evaluate study design, instruments used, methodological quality, and recovery patterns.MethodsA systematic review was performed. Relevant databases were searched from the earliest record until October 2016. Studies examining HRQL in adults after burn injuries were included. Risk of bias was scored using the Quality in Prognostic Studies tool.ResultsTwenty different HRQL instruments were used among the 94 included studies. The Burn Specific Health Scale–Brief (BSHS-B) (46%), the Short Form–36 (SF-36) (42%) and the EuroQol questionnaire (EQ-5D) (9%) were most often applied. Most domains, both mentally and physically orientated, were affected shortly after burns but improved over time. The lowest scores were reported for the domains ‘work’ and ‘heat sensitivity’ (BSHS-B), ‘bodily pain’, ‘physical role limitations’ (SF-36), and ‘pain/discomfort’ (EQ-5D) in the short-term and for ‘work’ and ‘heat sensitivity’, ‘emotional functioning’ (SF-36), ‘physical functioning’ and ‘pain/discomfort’ in the long-term. Risk of bias was generally low in outcome measurement and high in study attrition.ConclusionConsensus on preferred validated methodologies of HRQL measurement in burn patients would facilitate comparability across studies, resulting in improved insights in recovery patterns and better estimates of HRQL after burns. We recommend to develop a guideline on the measurement of HRQL in burns. Five domains representing a variety of topics had low scores in the long-term and require special attention in the aftermath of burns.

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Section: Discussionmentioning

confidence: 99%

Health related quality of life in adults after burn injuries: A systematic review

et al. 2018

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“…A Dutch study included all eligible working-age patients (n=104) admitted to the burn centre of Rotterdam during August 1, 2011 to July 31, 2012. 12 Of the patients (n=104) 66 were pre-employed and 70% was back at work after 3 months, 92% after 12 months while 8% had not returned to work at the final follow-up time of 24 months. They calculated loss in productivity to be some EUR 11,916 per employed patient.…”

Section: Discussionmentioning

confidence: 97%

Burden of Fire Injuries in Finland: Lost Productivity and Benefits

Haikonen

Lillsunde

2016

Journal of Public Health Research

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Background: The aim of this study was to assess the economic burden of fire-related injury from two perspectives: post-injury social security compensations and also productivity losses due to the lost productive time from a societal perspective induced by the injury.Design and methods: A cohort of 1503 inpatients who sustained fire-related injury during the period 2001–2005 was retrospectively followed up for 5-10 years until the end of 2010, using linkages between several administrative registers. The study process was started in 2015 and finalized on March 2016.Results: Annual productivity loss was on average EUR 5.72 million, giving a total for the five-year study period of EUR 28.6 million, with a mean value of EUR 19,070 per person. Mean/median disability time for those who received benefits was 572/63 days, ranging from 3 days to 36.5 years. Total average cost of benefits to the injured annually during the study period was EUR 1.03 million. This equates to EUR 3430 per patient for the whole cohort or EUR 14,860 for those who received benefits.Conclusions: The burden of fire-related injuries in terms of payment transfers and lost productivity due to periods of disability as indirect costs is high; in a population of 5.4 million, the annual loss exceeded EUR 5.7 million. The results could be used in planning preventive measures and therefore yield savings.Significance for public healthThere is little scientific knowledge about fire-related injuries and their consequences. This study addresses this public health problem and yields results potentially useful for designing preventive measures where costs are weighed against the benefits especially when augmented with direct costs.

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“…33 Although it is obvious that severe and catastrophic burns can result in complex recovery needs across the physical, psychological and social aspects of one's health and well-being, 6 7 9 10 disruption in health and well-being may also be experienced by those with less severe injuries. 34 Currently, little is known about the return-to-work process for burns patients, which modifiable factors can be successfully used to assist return to work, 26 and what interventions are suitable at which time points in the burn recovery process. Previous reviews are limited by a focus on physical or psychological outcomes rather than work performance and environmental changes in the workplace.…”

Section: Open Accessmentioning

confidence: 99%

Return to employment for working-aged adults after burn injury: a scoping review protocol

et al. 2021

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IntroductionCutaneous burns can have a catastrophic effect on people’s lives and may restrict opportunities for employment due to physical impairment and psychosocial deficits. Failure or delay in return to work can result in loss of income and support for the family unit. It can also negatively affect life role and identity and present difficulties with future opportunities. Current literature indicates multiple discrete influences on return to work as a result of burn injury but an understanding of how working-aged adults resume employment after burn injury is lacking. This scoping review will provide a comprehensive overview of the current literature by mapping and consolidating knowledge in this area of burn recovery and thus provide an informative basis for developing return-to-work programmes for survivors of burn injury.Methods and analysisThis scoping review protocol will follow the Arksey and O’Malley’s (2005) methodological framework. A comprehensive search strategy has been developed with subject expert librarians. These databases were used: OvidSP: Medline, Embase, PsycINFO, PubMed and Cochrane Central Register of Controlled Trials and EBSCOhost: CINAHL and Scopus. Reference lists of selected full text will be hand searched for additional literature. To enhance consistency and rigour, all reviewers will undertake a calibration exercise before paired reviewers independently screen all records using Rayyan. Full-text articles meeting the study inclusion criteria will be retrieved and examined. Extracted data will be analysed using the International Classification of Functioning, Disability and Health.Ethics and disseminationEthics approval is generally not required for scoping reviews. Findings of this scoping review will be reported in a peer-reviewed journal and presented at conferences.

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Return to work after specialised burn care: A two-year prospective follow-up study of the prevalence, predictors and related costs

Cited by 40 publications

References 28 publications

Health related quality of life in adults after burn injuries: A systematic review

Health related quality of life in adults after burn injuries: A systematic review

Burden of Fire Injuries in Finland: Lost Productivity and Benefits

Return to employment for working-aged adults after burn injury: a scoping review protocol

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