Predictors of health-related quality of life after burn injuries: a systematic review

Background Identifying predictors of health-related quality of life (HRQL) following burns is essential for optimization of rehabilitation for burn survivors. This study aimed to systematically review predictors of HRQL in burn patients. Methods Medline, Embase, Web of Science, Cochrane, CINAHL, and...

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Bibliographic Details
Published in:Critical care (London, England) Vol. 22; no. 1; pp. 160 - 13
Main Authors: Spronk, Inge, Legemate, Catherine M., Dokter, Jan, van Loey, Nancy E. E., van Baar, Margriet E., Polinder, Suzanne
Format: Journal Article
Language:English
Published: London BioMed Central 14.06.2018
BioMed Central Ltd
Springer Nature B.V
BMC
Subjects:
Analysis
Burn injuries
Burns
Burns and scalds
Critical care
Critical Care Medicine
Emergency Medicine
Evidence-based medicine
Health-related quality of life
Injuries
Intensive
Librarians
Medicine
Medicine & Public Health
Patients
Post traumatic stress disorder
Predictors
Prognosis
Quality of life
Researchers
Review
Systematic review
Trauma
Health-related quality of life
Burn injuries
Predictors
ISSN:1364-8535, 1466-609X, 1364-8535, 1466-609X, 1366-609X
Online Access:Get full text
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Summary:Background Identifying predictors of health-related quality of life (HRQL) following burns is essential for optimization of rehabilitation for burn survivors. This study aimed to systematically review predictors of HRQL in burn patients. Methods Medline, Embase, Web of Science, Cochrane, CINAHL, and Google Scholar were reviewed from inception to October 2016 for studies that investigated at least one predictor of HRQL after burns. The Quality in Prognostic Studies tool was used to assess risk of bias of included studies. Results Thirty-two studies were included. Severity of burns, postburn depression, post-traumatic stress symptoms, avoidance coping, less emotional or social support, higher levels of neuroticism, and unemployment postburn were found to predict a poorer HRQL after burns in multivariable analyses. In addition, weaker predictors included female gender, pain, and a postburn substance use disorder. Risk of bias was generally low in outcome measurement and high in study attrition and study confounding. Conclusions HRQL after burns is affected by the severity of burns and the psychological response to the trauma. Both constructs provide unique information and knowledge that are necessary for optimized rehabilitation. Therefore, both physical and psychological problems require attention months to years after the burn trauma.
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ISSN:1364-8535
1466-609X
1364-8535
1466-609X
1366-609X
DOI:10.1186/s13054-018-2071-4