Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns
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Introduction: Like many other Western burn services, the proportion of major to minor burns managed at Royal Perth Hospital (RPH) is in the order of 1:10. The Burn Specific Health Scale-Brief (BSHS-B) is an established measure of recovery after major burns, however its performance and validity in a population with a high volume of minor burns is uncertain. Utilizing the tool across burns of all sizes would be useful in service wide clinical practice.Aim: This study was designed to examine the reliability and validity of the BSHS-B across a sample of mostly minor burn patients.Method: BSHS-B scores of patients, obtained between January 2006 and February 2013 and stored on a secure hospital database were collated and analysed Cronbach’s alpha, factor analysis, logistic regression and longitudinal regression were used to examine reliability and validity of the BSHS-B.Results: Data from 927 burn patients (2031 surveys) with a mean % total burn surface area (TBSA) of 6.7 (SD 10.0) were available for analysis. The BSHS-B demonstrated excellent reliability with a Cronbach’s alpha of 0.95. First and second order factor analyses reduced the40 item scale to four domains: Work; Affect and Relations; Physical Function; Skin Involvement, as per the established construct. TBSA, length of stay and burn surgery all predicted burn specific health in the first three months of injury (p < 0.001, p < 0.001, p = 0.03). BSHS-B whole scale and domain scores showed significant improvement over 24 months from burn (p < 0.001).Discussion: The results from this study show that the structure and performance of the BSHS-B in a burn population consisting of 90% minor burns is consistent with that demonstrated in major burns.Conclusion: The BSHS-B can be employed to track and predict recovery after burns of all sizesto assist the provision of targeted burn care.
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Towards more efficient burn care: Identifying factors associated with good quality of life post-burnFinlay, V.; Phillips, M.; Allison, Garry; Wood, F.; Ching, D.; Wicaksono, D.; Plowman, S.; Hendrie, D.; Edgar, D. (2015)Background: As minor burn patients constitute the vast majority of a developed nation case-mix, streamlining care for this group can promote efficiency from a service-wide perspective. This study tested the hypothesis ...
Finlay, V.; Hendrie, Delia; Allison, Garry; Phillips, M.; Wood, Fiona; Edgar, D. (2014)Minor burns represent the majority of all burn patients in developed countries, yet little information regarding their outcomes is available in the literature. Minor burns at Royal Perth Hospital are provided routine ...
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