Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/814
Title: Factors predicting health status and recovery of hand function after hand burns in the second year after hospital discharge.
Epworth Authors: Wasiak, Jason
Other Authors: Knight, Amber
Salway, J.
O'Brien, L.
Keywords: Hand
Health Status
Burns
Burns Specific Health Scale-Brief
BSHS-B
Brief Michigan Hand Outcome Questionnaire
Brief MHQ
Epworth HealthCare
Issue Date: Sep-2016
Publisher: Elsevier
Citation: Burns. 2016 Sep 5. pii: S0305-4179(16)30242-X. doi: 10.1016/j.burns.2016.07.025
Abstract: INTRODUCTION: Hands are the most commonly burnt body part given humans' innate response to guard their face from injury, and are known to have detrimental functional and psychological consequences. Conflicting evidence exists regarding the impact of hand burns on long-term health status and global functioning. The objective of this study was to identify patient and clinical characteristics that predict health status and hand function of people at 12-24 months after hand burn. METHODS: The Burns Specific Health Scale-Brief (BSHS-B) and the Brief Michigan Hand Outcome Questionnaire (Brief MHQ) were administered to community-dwelling adults who were between one and two years after admission to a statewide burns service for burns including one or both hands. Demographic, injury, and treatment data were collected to identify which factors predict health status and hand function in the second year after admission. Linear regression analyses adjusted for total burn surface area and burn depth were conducted to identify important predictors or outcomes. RESULTS: The sample (n=41) was 80.5% male, with a mean age of 44.5 years and total body surface area (TBSA) of 8.4%. Psychiatric illness (regression coefficient -56.6, confidence interval (95% CI) -76.70, -36.49) and female gender (-20.3; 95% CI -0.77, -40.29) were key predictors of poorer global health status on the BSHS-B. Females also scored worse on body image (-5.35; 95% CI -1.83, -8.87) and work (-4.13; 95% CI -0.64, -7.62) domains of BSHS-B. The need for reconstructive or secondary surgery (-38.84; 95% CI -58.04, -19.65) and female gender (-16.30; 95% CI -4.03, -28.57) were important predictors of poorer hand function. CONCLUSION: Women and those with a history of psychiatric illness are particularly vulnerable to poorer outcomes in health status and/or hand function after burns, and may benefit from more intensive rehabilitation support and long-term follow-up.
URI: http://hdl.handle.net/11434/814
DOI: 10.1016/j.burns.2016.07.025
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/27608528
ISSN: 0305-4179
Journal Title: Burns: Journal of the International Society for Burn Injuries
Type: Journal Article
Affiliated Organisations: Monash University, Peninsula Campus, McMahons Rd, Frankston, Victoria 3199, Australia.
The School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Victorian Adult Burns Service, Alfred Health, 55 Commercial Rd, Prahran, Victoria 3181, Australia.
Type of Clinical Study or Trial: Predictive Test
Appears in Collections:Rehabilitation

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