Individual recovery of health-related quality of life during 18 months post-burn using a retrospective pre-burn measurement: an exploratory study
| Autor: | van Dam, M.E., van de Schoot, R., Hofland, H.W., Engelhard, I.M., Van Loey, N.E.E., Experimental psychopathology, Leerstoel Engelhard, Leerstoel Schoot, Methodology and statistics for the behavioural and social sciences, Afd Klinische psychologie |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Quality of life medicine.medical_specialty Time Factors Population Exploratory research Article Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine education Retrospective Studies Face validity Health related quality of life education.field_of_study business.industry Public health Environmental and Occupational Health Public Health Environmental and Occupational Health Level of functioning 030208 emergency & critical care medicine Cognition Individual recovery humanities Physical therapy Anxiety Female Public Health medicine.symptom Burns business Post-traumatic stress Pre-injury data |
| Zdroj: | Quality of Life Research, 30(3), 737. Springer Netherlands Quality of Life Research |
| ISSN: | 1573-2649 0962-9343 |
| Popis: | Purpose This study explored the individual trajectories of health-related quality of life (HRQL) compared to recalled pre-burn level of HRQL and investigated whether burn severity and post-traumatic stress disorder (PTSD) symptoms increase the risk of not returning to pre-burn level of HRQL. Methods Data were obtained from 309 adult patients with burns in a multicenter study. Patients completed the EQ-5D-3L questionnaire with a Cognition bolt-on shortly after hospital admission, which included a recalled pre-injury measure, and, again, at 3, 6, 12 and 18 months post-burn. Burn severity was indicated by the number of surgeries, and PTSD symptoms were assessed with the IES-R at three months post-burn. Pre- and post-injury HRQL were compared to norm populations. Results Recalled pre-injury HRQL was higher than population norms and HRQL at 18 months post-burn was comparable to population norms. Compared to the pre-injury level of functioning, four HRQL patterns of change over time were established: Stable, Recovery, Deterioration, and Growth. In each HRQL domain, a subset of patients did not return to their recalled pre-injury levels, especially with regard to Pain, Anxiety/Depression, and Cognition. Patients with more severe burns or PTSD symptoms were less likely to return to pre-injury level of functioning within 18 months post-burn. Conclusion This study identified four patterns of individual change. Patients with more severe injuries and PTSD symptoms were more at risk of not returning to their recalled pre-injury HRQL. This study supports the face validity of using a recalled pre-burn HRQL score as a reference point to monitor HRQL after burns. |
| Databáze: | OpenAIRE |
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