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The influence of advancing age on quality of life and rate of recovery after treatment for burn.

Abstract

BACKGROUND

With an ageing population the prevalence of burns in the elderly is increasing. The influence of increasing age on post-burn quality of life (QoL) is unquantified.

AIM

To examine the effect of ageing on QoL recovery after burn.

METHODS

The Burn Specific Health Scale-Brief (BSHS-B) and Short Form Health Outcomes (SF-36), collected up to 24 months post-injury, for patients treated by the Royal Perth Hospital Burn Service were analysed. Multivariable analysis was adjusted for demographic and injury factors. The impact of ageing on rate of recovery was examined using BSHS-B normative data.

RESULTS

The cohort (n=1051) was 79.6% male with mean TBSA of 8% and age of 37.3 years. The SF-36 showed advancing age predicted poorer outcomes in physical function, role physical, vitality and role emotional domains but reduced bodily pain. The BSHS-B was affected by injury factors, not ageing. The standardised rate of recovery after burn improved with advancing age. The provision of surgery positively affected most outcomes assessed.

CONCLUSION

This study quantified the impact of ageing on post-burn QoL recovery and confirmed that physical function suffered to the greatest degree. The results emphasise the importance of pro-active burn surgery and physical rehabilitation strategies with older patients.

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  • Authors+Show Affiliations

    ,

    Royal Perth Hospital, Burn Service of Western Australia. dale.edgar@health.wa.gov.au

    , , , ,

    Source

    MeSH

    Adolescent
    Age Factors
    Burns
    Cohort Studies
    Female
    Health Status
    Humans
    Length of Stay
    Male
    Multivariate Analysis
    Outcome Assessment (Health Care)
    Psychometrics
    Quality of Life
    Surveys and Questionnaires
    Young Adult

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    23810399

    Citation

    Edgar, Dale W., et al. "The Influence of Advancing Age On Quality of Life and Rate of Recovery After Treatment for Burn." Burns : Journal of the International Society for Burn Injuries, vol. 39, no. 6, 2013, pp. 1067-72.
    Edgar DW, Homer L, Phillips M, et al. The influence of advancing age on quality of life and rate of recovery after treatment for burn. Burns. 2013;39(6):1067-72.
    Edgar, D. W., Homer, L., Phillips, M., Gurfinkel, R., Rea, S., & Wood, F. M. (2013). The influence of advancing age on quality of life and rate of recovery after treatment for burn. Burns : Journal of the International Society for Burn Injuries, 39(6), pp. 1067-72. doi:10.1016/j.burns.2013.05.017.
    Edgar DW, et al. The Influence of Advancing Age On Quality of Life and Rate of Recovery After Treatment for Burn. Burns. 2013;39(6):1067-72. PubMed PMID: 23810399.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The influence of advancing age on quality of life and rate of recovery after treatment for burn. AU - Edgar,Dale W, AU - Homer,Lucy, AU - Phillips,Michael, AU - Gurfinkel,Reuven, AU - Rea,Suzanne, AU - Wood,Fiona M, Y1 - 2013/06/28/ PY - 2013/04/13/received PY - 2013/05/22/revised PY - 2013/05/25/accepted PY - 2013/7/2/entrez PY - 2013/7/3/pubmed PY - 2014/3/13/medline KW - Ageing KW - Burns KW - Outcome KW - Quality of life KW - SF36 SP - 1067 EP - 72 JF - Burns : journal of the International Society for Burn Injuries JO - Burns VL - 39 IS - 6 N2 - BACKGROUND: With an ageing population the prevalence of burns in the elderly is increasing. The influence of increasing age on post-burn quality of life (QoL) is unquantified. AIM: To examine the effect of ageing on QoL recovery after burn. METHODS: The Burn Specific Health Scale-Brief (BSHS-B) and Short Form Health Outcomes (SF-36), collected up to 24 months post-injury, for patients treated by the Royal Perth Hospital Burn Service were analysed. Multivariable analysis was adjusted for demographic and injury factors. The impact of ageing on rate of recovery was examined using BSHS-B normative data. RESULTS: The cohort (n=1051) was 79.6% male with mean TBSA of 8% and age of 37.3 years. The SF-36 showed advancing age predicted poorer outcomes in physical function, role physical, vitality and role emotional domains but reduced bodily pain. The BSHS-B was affected by injury factors, not ageing. The standardised rate of recovery after burn improved with advancing age. The provision of surgery positively affected most outcomes assessed. CONCLUSION: This study quantified the impact of ageing on post-burn QoL recovery and confirmed that physical function suffered to the greatest degree. The results emphasise the importance of pro-active burn surgery and physical rehabilitation strategies with older patients. SN - 1879-1409 UR - https://www.unboundmedicine.com/medline/citation/23810399/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0305-4179(13)00178-2 DB - PRIME DP - Unbound Medicine ER -