Predictors of health-related quality of life after burn injuries: a systematic review

Spronk, Inge; Legemate, Catherine M.; Dokter, Jan; van Loey, Nancy E. E.; van Baar, Margriet E.; Polinder, Suzanne

doi:10.1186/s13054-018-2071-4

Critical Care

Table 3 Summary of 19 multivariable predictive studies of HRQL in adult burn patients

From: Predictors of health-related quality of life after burn injuries: a systematic review

QUIPS score	8	8	8	8	8	9	9	9	9	9	9	9	9	9	9	9	10	10	10	12	13	13
	Edgar 2013 (SF-36)¹	Edgar 2013 (BSHS-B)¹	Finlay 2015 (BSHS-B)¹	Low 2012 (BSHS-B)⁴	Xie 2012 (SF-36)	Renneberg 2014 (SF-12)	Van Loey 2012 (EQ-5D)	Kildal 2004 (BSHS-B)²	Wasiak 2014 (SF-36)³	Wasiak 2014 (BSHS-B)³	Moi 2012(QOLS)	Palmu 2015(RAND-36)	Oster 2011(EQ-5D index)⁴	Oster 2011(EQ-5D VAS)⁴	Oster 2013(BSHS-B)⁴	Knight 2016(BSHS-B)	Zhang 2014(BSHS-B)	Kildal 2005(BSHS-B)²	Willebrand 2006(BSHS-B)	Tahir 2011(SF-36)	Cromes 2002(BSHS)	Anzarut 2005(SF-36)
Demographic factors
Increasing age	–	+	0	+/−	+	0	--	?	--	--	0	?	0	0	0	0	0	?	–	0		–
Male gender	+	++	++	+	0	+	++	?	+	++	0	?	0	0	0	++	++	?	+	0		0
Married					0							0					0
Living alone											0		0	0	0
Low level of education					0							0	0	0	0		0
Rehabilitation					0												0
Environmental factors
Low socioeconomic status					0												0
Work related injury																	0					0
Preburn working status												0	0	++	0
Working status postburn					+						0		++	++	+		0
Burn-specific factors
High %TBSA burned	--	--	0	–	0		0		0	0	0	?	0	0	0	0	--		–	0		0
Full-thickness injury			0	–	0				--	0	0		0	0	0		0					–
Longer length of hospital stay				–	+				0	0	0	0	--	0	--	--	0			--		0
Surgery	+	++	--														0
Number of surgeries							--		0	0	0									--
Burn area								?				0						?		--
Hand burns					0							–	0	0	+		--					0
Hands needing grafting					0																	0
Facial burns					0								0	0			0					0
Face needing grafting					+																	0
Upper limb burn			++														0
Mechanical ventilation					0				0	0							--					0
Tracheostomy required					0						0											0
Pain											0		--	0			--				0
Etiology					0							0								0
Longer time since burn	0	++			0			?					0	0	0		0	?	0			0
Psychological factors
Any preburn psychiatric disorder				0								0	0	0	0	--
Any postburn psychiatric disorder				0								0	0	0
Post-traumatic stress disorder or symptoms							--					?	0	--	–
Preburn depression				–								?	0	0
Postburn depression or depressive symptoms						–	--					--	0	0	–
Preburn substance use disorder				–								?	0	0	0
Postburn substance use disorder												?	0	--
Preburn anxiety disorder				–									0	0	0
Avoidant coping						–												–	–
Emotional or social support																	0	+				+
Neuroticism						–		--											–
Body image											0											0

Studies are ordered according to the QUIPS score and in addition to the number of patients included. Psychological disorders and symptom levels of depression and post-traumatic stress disorder were taken together. Avoidance coping includes post-traumatic stress disorder-avoidance, avoidance, and fear avoidance
++ positive statistically significant correlation(p ≤ 0.05) with HRQL, + positive statistically significant correlation(p ≤ 0.05) with a domain(s) of HRQL only, 0 no statistically significant correlation(p > 0.05) with HRQL, -- negative statistically significant correlation(p ≤ 0.05) with HRQL, − negative statistically significant correlation(p ≤ 0.05) with a domain(s) of HRQL only, ? direction of correlation not reported, %TBSA percentage total body surface area
¹Based on the same dataset, ²based on the same dataset, ³based on the same dataset, ⁴based on the same dataset

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ISSN: 1364-8535

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