Quantifying Burn Injury-Related Disability and Quality of Life in the Developing World: A Primer for Patient-Centered Resource Allocation
| Autor: | Lauren Gampper, Thomas J. Gampper, Idorenyin Ndem, Heather A. McMahon, Brent R. DeGeorge |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Burn injury Adolescent Population India 030230 surgery Severity of Illness Index 03 medical and health sciences Disability Evaluation Young Adult 0302 clinical medicine Quality of life (healthcare) Statistical significance medicine Scalding Body Image Humans Disabled Persons Patient Reported Outcome Measures Survivors education Facial Injuries education.field_of_study business.industry medicine.disease Triage Plastic surgery 030220 oncology & carcinogenesis Cohort Physical therapy Quality of Life Surgery Female business Burns |
| Zdroj: | Annals of plastic surgery. 82(6S Suppl 5) |
| ISSN: | 1536-3708 |
| Popis: | BACKGROUND Untreated or undertreated burns are commonly encountered by plastic surgeons on medical trips in India and represent a major cause of disability. We sought to utilize validated patient-reported outcomes instruments to identify the patient population with the greatest burn-related disability in order to appropriately allocate plastic surgery resources to those in greatest need. METHODS The Quick Disability of the Arm, Shoulder, and Hand, RAND 36-Item Short Form Health Survey, and Burn-Specific Health Scale-Revised, Brief, and Adapted questionnaires were administered via an interpreter during a plastic surgery trip to Jharkhand, India, in January 2018. Demographics, comorbidities, and burn-specific history were recorded. RESULTS Twenty-eight postburn patients were surveyed (mean age, 17.0 ± 9.2 years; male:female ratio, 1:2.5). Mean time from injury was 4.74 years. No patient had received formal, primary burn care. Mechanism of injury: flame (39%), oil (32%), scalding water (14%), and other (14%). Fifty-four percent were extremity burns; 25%, facial; and 18%, neck burns. The Burn-Specific Health Scale-Revised, Brief, and Adapted demonstrated that the most significantly impacted domains for all patients were body image and skin sensitivity, with more than 80% of patients complaining of issues with skin sensitivity. In addition, children (aged |
| Databáze: | OpenAIRE |
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