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Title: Female patients display poorer burn-specific quality of life 12 months after a burn injury.
Authors: Wasiak, Jason
Other Authors: Lee, S.J.
Paul, Eldho
Shen, A.
Tan, Hannah
Cleland, Heather
Gabbe, Belinda
Keywords: Health Related Quality of Life
Kessler Psychological Distress Scale
Alcohol Use Disorders Identification Tool
Burns Specific Health Scale-Brief
Short Form 36 Medical Outcomes Survey Version 2
Burn Injury
Post Burn Recovery
Gender Differences
Psychological Distress
Epworth HealthCare, Australia
Issue Date: Jul-2016
Publisher: Elsevier
Citation: Injury. 2016 Jul 21. pii: S0020-1383(16)30328-X
Abstract: INTRODUCTION: Although gender differences in morbidity and mortality have been measured in patients with moderate to severe burn injury, little attention has been directed at gender effects on health-related quality of life (HRQoL) following burn injury. The current study was therefore conducted to prospectively measure changes in HRQoL for males and females in a sample of burn patients. METHODS: A total of 114 adults who received treatment at a statewide burns service for a sustained burns injury participated in this study. Instruments measuring generic health status (Short Form 36 Medical Outcomes Survey version 2), burn-specific HRQoL (Burns Specific Health Scale-Brief), psychological distress (Kessler Psychological Distress Scale) and alcohol use (Alcohol Use Disorders Identification Tool) were prospectively measured at 3, 6 and 12 months post-burn. RESULTS: In the 12 months post-injury, female patients showed overall poorer physical (p=0.01) and mental health status (p<0.001), greater psychological distress (p<0.001), and greater difficulty with aspects of burn-specific HRQoL: body image (p<0.001), affect (p<0.001), interpersonal functioning (p=0.005), heat sensitivity (p=0.01) and treatment regime (p=0.01). While significant interaction effects suggested that female patients had more improvement in difficulties with treatment regime (p=0.007), female patients continued to report greater difficulty with multiple aspects of physical and psychosocial health status 12 months post-injury. CONCLUSION: Even though demographic variables, injury characteristics and burn care interventions were similar across genders, following burn injury female patients reported greater impairments in generic and burn-specific HRQoL along with psychological morbidity, when compared to male patients. Urgent clinical and research attention utilising an evidence-based research framework, which incorporates the use of larger sample sizes, the use of validated instruments to measure appropriate outcomes, and a commitment to monitoring long-term care, can only improve burn-care.
DOI: 10.1016/j.injury.2016.07.032
PubMed URL:
ISSN: 0020-1383
Journal Title: Injury
Type: Journal Article
Affiliated Organisations: Victorian Adult Burns Service, The Alfred, Melbourne, Australia
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
Monash Alfred Psychiatry Research Centre, The Alfred, Melbourne, Australia
Central Clinical School Monash University, Melbourne, Australia
Clinical Haematology Department, The Alfred, Melbourne, Australia
Type of Clinical Study or Trial: Prospective Study
Appears in Collections:Mental Health

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