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

Measurement 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. A systematic re...

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Bibliographic Details
Published in:PloS one Vol. 13; no. 5; p. e0197507
Main Authors: Spronk, Inge, Legemate, Catherine, Oen, Irma, van Loey, Nancy, Polinder, Suzanne, van Baar, Margriet
Format: Journal Article
Language:English
Published: United States Public Library of Science 24.05.2018
Public Library of Science (PLoS)
Subjects:
Adult
Adults
Age Factors
Bias
Biology and Life Sciences
Burn patients
Burn treatment
Burns
Burns - epidemiology
Burns - psychology
Burns - rehabilitation
Disability
Discomfort
Evaluation
Health aspects
Health risks
Health Surveys
Hospitals
Humans
Injuries
Medical research
Medicine and Health Sciences
Methods
Outcome and process assessment (Medical care)
Pain
Pain perception
Pain sensitivity
Patient outcomes
Patients
Public health
Publication Bias
Quality of Life
Recovery
Research and Analysis Methods
Researchers
Sensitivity
Social Sciences
Studies
Surveys and Questionnaires
Systematic review
Trauma
Netherlands
ISSN:1932-6203, 1932-6203
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Description
Summary:Measurement 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. A 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. Twenty 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. Consensus 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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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0197507