Patterns of recovery over 12 months following a burn injury in Australia

Jason Wasiak, Eldho Paul, Stuart James Lee, Patrick Mahar, B Pfitzer, Anneliese B Spinks, Heather J Cleland, Belinda Jane Gabbe

Research output: Contribution to journalArticleResearchpeer-review

14 Citations (Scopus)

Abstract

Objective: To describe patients generic health status and health-related quality of life (HRQoL) 12-months following admission to a state-wide burns service. Methods: A total of 114 injured adults with >10 total body surface area burned (TBSA) or burns less than 10 TBSA to smaller anatomical areas such as the hands and feet participated in this study. Retrospective assessment of pre-burn injury status and prospective assessment of generic health and HRQoL were followed up at 3, 6 and 12-months after injury using the 36-item Short Form Health Survey (SF-36 v.2) and Burns Specific Health Scale-Brief (BSHS-B). The SF-36 v.2 was administered retrospectively during the initial hospital stay to assess pre-injury HRQoL. Changes in instruments scores were assessed using multilevel mixed effects regression models. Mean scores were compared over time and between severity groups as defined by 30 TBSA. Results: For the overall sample, the SF-36 v.2 physical component scale (PCS) score between 3 and 12-months post-burn injury were significantly lower than pre-injury scores (p <0.01), with no significant change over time for the mental component scale (MCS) (p = 0.36). Significant TBSA-burden by time interactions highlighted changes from pre-burn injury in overall PCS (p = 0.02), physical functioning (p <0.001) and role-physical (p = 0.03), with subscales worse for the TBSA >30 group. With respect to the BSHS-B, significant improvement from 3 to 12-months post-burn injury was seen for the entire sample in simple abilities (p <0.001), hand function (p = 0.001), work (p = 0.01), and treatment regime (p = 0.004) subscales. The TBSA >30 group showed a greater rate of improvement in simple abilities (p = 0.01) and hand function (p = 0.005) between 3 and 12 months post-burn injury. Conclusions: Whilst certain HRQoL measures improve over the 12-months, in most cases they do not reach pre-morbid levels. Patients face ongoing challenges regarding their physical and psychosocial recovery 12-months post-burn injury with respect to generic health and burn-specific health. These challenges vary at different time periods over the 12-month post-burn period, and may provide windows of opportunity in which to address ongoing issues.
Original languageEnglish
Pages (from-to)1459 - 1464
Number of pages6
JournalInjury
Volume45
Issue number9
DOIs
Publication statusPublished - 2014

Cite this

Wasiak, Jason ; Paul, Eldho ; Lee, Stuart James ; Mahar, Patrick ; Pfitzer, B ; Spinks, Anneliese B ; Cleland, Heather J ; Gabbe, Belinda Jane. / Patterns of recovery over 12 months following a burn injury in Australia. In: Injury. 2014 ; Vol. 45, No. 9. pp. 1459 - 1464.
@article{cb26b9e3e5544986a37fb5f55e646c56,
title = "Patterns of recovery over 12 months following a burn injury in Australia",
abstract = "Objective: To describe patients generic health status and health-related quality of life (HRQoL) 12-months following admission to a state-wide burns service. Methods: A total of 114 injured adults with >10 total body surface area burned (TBSA) or burns less than 10 TBSA to smaller anatomical areas such as the hands and feet participated in this study. Retrospective assessment of pre-burn injury status and prospective assessment of generic health and HRQoL were followed up at 3, 6 and 12-months after injury using the 36-item Short Form Health Survey (SF-36 v.2) and Burns Specific Health Scale-Brief (BSHS-B). The SF-36 v.2 was administered retrospectively during the initial hospital stay to assess pre-injury HRQoL. Changes in instruments scores were assessed using multilevel mixed effects regression models. Mean scores were compared over time and between severity groups as defined by 30 TBSA. Results: For the overall sample, the SF-36 v.2 physical component scale (PCS) score between 3 and 12-months post-burn injury were significantly lower than pre-injury scores (p <0.01), with no significant change over time for the mental component scale (MCS) (p = 0.36). Significant TBSA-burden by time interactions highlighted changes from pre-burn injury in overall PCS (p = 0.02), physical functioning (p <0.001) and role-physical (p = 0.03), with subscales worse for the TBSA >30 group. With respect to the BSHS-B, significant improvement from 3 to 12-months post-burn injury was seen for the entire sample in simple abilities (p <0.001), hand function (p = 0.001), work (p = 0.01), and treatment regime (p = 0.004) subscales. The TBSA >30 group showed a greater rate of improvement in simple abilities (p = 0.01) and hand function (p = 0.005) between 3 and 12 months post-burn injury. Conclusions: Whilst certain HRQoL measures improve over the 12-months, in most cases they do not reach pre-morbid levels. Patients face ongoing challenges regarding their physical and psychosocial recovery 12-months post-burn injury with respect to generic health and burn-specific health. These challenges vary at different time periods over the 12-month post-burn period, and may provide windows of opportunity in which to address ongoing issues.",
author = "Jason Wasiak and Eldho Paul and Lee, {Stuart James} and Patrick Mahar and B Pfitzer and Spinks, {Anneliese B} and Cleland, {Heather J} and Gabbe, {Belinda Jane}",
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doi = "10.1016/j.injury.2014.02.018",
language = "English",
volume = "45",
pages = "1459 -- 1464",
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Patterns of recovery over 12 months following a burn injury in Australia. / Wasiak, Jason; Paul, Eldho; Lee, Stuart James; Mahar, Patrick; Pfitzer, B; Spinks, Anneliese B; Cleland, Heather J; Gabbe, Belinda Jane.

In: Injury, Vol. 45, No. 9, 2014, p. 1459 - 1464.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Patterns of recovery over 12 months following a burn injury in Australia

AU - Wasiak, Jason

AU - Paul, Eldho

AU - Lee, Stuart James

AU - Mahar, Patrick

AU - Pfitzer, B

AU - Spinks, Anneliese B

AU - Cleland, Heather J

AU - Gabbe, Belinda Jane

PY - 2014

Y1 - 2014

N2 - Objective: To describe patients generic health status and health-related quality of life (HRQoL) 12-months following admission to a state-wide burns service. Methods: A total of 114 injured adults with >10 total body surface area burned (TBSA) or burns less than 10 TBSA to smaller anatomical areas such as the hands and feet participated in this study. Retrospective assessment of pre-burn injury status and prospective assessment of generic health and HRQoL were followed up at 3, 6 and 12-months after injury using the 36-item Short Form Health Survey (SF-36 v.2) and Burns Specific Health Scale-Brief (BSHS-B). The SF-36 v.2 was administered retrospectively during the initial hospital stay to assess pre-injury HRQoL. Changes in instruments scores were assessed using multilevel mixed effects regression models. Mean scores were compared over time and between severity groups as defined by 30 TBSA. Results: For the overall sample, the SF-36 v.2 physical component scale (PCS) score between 3 and 12-months post-burn injury were significantly lower than pre-injury scores (p <0.01), with no significant change over time for the mental component scale (MCS) (p = 0.36). Significant TBSA-burden by time interactions highlighted changes from pre-burn injury in overall PCS (p = 0.02), physical functioning (p <0.001) and role-physical (p = 0.03), with subscales worse for the TBSA >30 group. With respect to the BSHS-B, significant improvement from 3 to 12-months post-burn injury was seen for the entire sample in simple abilities (p <0.001), hand function (p = 0.001), work (p = 0.01), and treatment regime (p = 0.004) subscales. The TBSA >30 group showed a greater rate of improvement in simple abilities (p = 0.01) and hand function (p = 0.005) between 3 and 12 months post-burn injury. Conclusions: Whilst certain HRQoL measures improve over the 12-months, in most cases they do not reach pre-morbid levels. Patients face ongoing challenges regarding their physical and psychosocial recovery 12-months post-burn injury with respect to generic health and burn-specific health. These challenges vary at different time periods over the 12-month post-burn period, and may provide windows of opportunity in which to address ongoing issues.

AB - Objective: To describe patients generic health status and health-related quality of life (HRQoL) 12-months following admission to a state-wide burns service. Methods: A total of 114 injured adults with >10 total body surface area burned (TBSA) or burns less than 10 TBSA to smaller anatomical areas such as the hands and feet participated in this study. Retrospective assessment of pre-burn injury status and prospective assessment of generic health and HRQoL were followed up at 3, 6 and 12-months after injury using the 36-item Short Form Health Survey (SF-36 v.2) and Burns Specific Health Scale-Brief (BSHS-B). The SF-36 v.2 was administered retrospectively during the initial hospital stay to assess pre-injury HRQoL. Changes in instruments scores were assessed using multilevel mixed effects regression models. Mean scores were compared over time and between severity groups as defined by 30 TBSA. Results: For the overall sample, the SF-36 v.2 physical component scale (PCS) score between 3 and 12-months post-burn injury were significantly lower than pre-injury scores (p <0.01), with no significant change over time for the mental component scale (MCS) (p = 0.36). Significant TBSA-burden by time interactions highlighted changes from pre-burn injury in overall PCS (p = 0.02), physical functioning (p <0.001) and role-physical (p = 0.03), with subscales worse for the TBSA >30 group. With respect to the BSHS-B, significant improvement from 3 to 12-months post-burn injury was seen for the entire sample in simple abilities (p <0.001), hand function (p = 0.001), work (p = 0.01), and treatment regime (p = 0.004) subscales. The TBSA >30 group showed a greater rate of improvement in simple abilities (p = 0.01) and hand function (p = 0.005) between 3 and 12 months post-burn injury. Conclusions: Whilst certain HRQoL measures improve over the 12-months, in most cases they do not reach pre-morbid levels. Patients face ongoing challenges regarding their physical and psychosocial recovery 12-months post-burn injury with respect to generic health and burn-specific health. These challenges vary at different time periods over the 12-month post-burn period, and may provide windows of opportunity in which to address ongoing issues.

UR - http://www.sciencedirect.com.ezproxy.lib.monash.edu.au/science/article/pii/S0020138314000898#

U2 - 10.1016/j.injury.2014.02.018

DO - 10.1016/j.injury.2014.02.018

M3 - Article

VL - 45

SP - 1459

EP - 1464

JO - Injury

JF - Injury

SN - 0020-1383

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ER -