Quality-of-life loss of people admitted to burn centers, United States.

TitleQuality-of-life loss of people admitted to burn centers, United States.
Publication TypeJournal Article
Year of Publication2013
AuthorsMiller T, Bhattacharya S, Zamula W, Lezotte D, Kowalske K, Herndon D, Fauerbach J, Engrav L
JournalQual Life Res
Volume22
Issue9
Pagination2293-305
Date Published2013 Nov
ISSN1573-2649
Abstract

PURPOSE: To estimate quality-of-life loss per serious burn survivor in a large U.S. cohort. METHODS: Longitudinal functional assessments of all 1,587 people receiving primary treatment in 5 burn centers between 2000 and 2009 included pre-burn (retrospective), at time of discharge, and 6, 12, and 24 months post-injury. We assessed adults with RAND Short Form (SF) 12 and children with SF-10 or Child Health Questionnaire, the child surveys scored using standard norms-based scoring. A literature review identified 20 quality-adjusted life year utility scorings for SF-12 and 27 scorings for EQ-5d response distributions predicted from SF-12 scores. We computed composite scores for each patient and time period by applying 32 scorings that met quality/non-duplication criteria. RESULTS: Mean quality-of-life scores were 0.805 4 weeks pre-burn, 0.562 at discharge, rebounded through 1 year, and stabilized at 0.735 (0.750 for TBSA burned below 25 %, 0.722 for TBSA burned of 25-50 %, and 0.695 for larger burns). As a percentage of initial levels, burns reduced short-term quality of life by 30 %. Long-term loss averaged 11 %, ranging from 9 % for TBSA burned below 25-13 % for TBSA burned above 50 %. Children recovered faster and more fully. CONCLUSION: Burns cause substantial losses in quality of life, with long-term losses comparable to traumatic brain injury.

DOI10.1007/s11136-012-0321-5
Alternate JournalQual Life Res
PubMed ID23224665