Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Towards more efficient burn care: Identifying factors associated with good quality of life post-burn

    Access Status
    Fulltext not available
    Authors
    Finlay, V.
    Phillips, M.
    Allison, Garry
    Wood, F.
    Ching, D.
    Wicaksono, D.
    Plowman, S.
    Hendrie, D.
    Edgar, D.
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Finlay, V. and Phillips, M. and Allison, G. and Wood, F. and Ching, D. and Wicaksono, D. and Plowman, S. et al. 2015. Towards more efficient burn care: Identifying factors associated with good quality of life post-burn. Burns. 41 (7): pp. 1397-1404.
    Source Title
    Burns
    DOI
    10.1016/j.burns.2015.06.018
    ISSN
    0305-4179
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/54847
    Collection
    • Curtin Research Publications
    Abstract

    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 that a predictive nomogram model that estimates likelihood of good long-term quality of life (QoL) post-burn is a valid way to optimise patient selection and risk management when applying a streamlined model of care. Method: A sample of 224 burn patients managed by the Burn Service of Western Australia who provided both short and long-term outcomes was used to estimate the probability of achieving a good QoL defined as 150 out of a possible 160 points on the Burn Specific Health Scale-Brief (BSHS-B) at least six months from injury. A multivariate logistic regression analysis produced a predictive model provisioned as a nomogram for clinical application. A second, independent cohort of consecutive patients (n = 106) was used to validate the predictive merit of the nomogram. Results and discussion: Male gender (p = 0.02), conservative management (p = 0.03), upper limb burn (p = 0.04) and high BSHS-B score within one month of burn (p < 0.001) were significant predictors of good outcome at six months and beyond. A Receiver Operating Curve (ROC) analysis demonstrated excellent (90%) accuracy overall. At 80% probability of good outcome, the false positive risk was 14%. The nomogram was validated by running a second ROC analysis of the model in an independent cohort. The analysis confirmed high (86%) overall accuracy of the model, the risk of false positive was reduced to 10% at a lower (70%) probability. This affirms the stability of the nomogram model in different patient groups over time. An investigation of the effect of missing data on sample selection determined that a greater proportion of younger patients with smaller TBSA burns were excluded due to loss to follow up. Conclusion: For clinicians managing comparable burn populations, the BSWA burns nomogram is an effective tool to assist the selection of patients to a streamlined care pathway with the aim of improving efficiency of service delivery.

    Related items

    Showing items related by title, author, creator and subject.

    • Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns
      Finlay, V.; Phillips, M.; Wood, F.; Hendrie, Delia; Allison, Garry; Edgar, D. (2014)
      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 ...
    • Long term mortality in a population-based cohort of adolescents, and young and middle-aged adults with burn injury in Western Australia: A 33-year study
      Duke, J.; Boyd, James; Randall, S.; Wood, F. (2015)
      © 2015 Elsevier Ltd. All rights reserved. Background Advances in the treatment and management of burn patients over the past decades have resulted in a decline of in-hospital mortality rates. Current estimates of burn-related ...
    • Development and evaluation of a new model of minor burn care
      Finlay, Vidya M. (2014)
      Many (25%) minor burn patients fail to attend hospital review. Investigation of a novel streamlined model of care found that selected patients who were assessed with a mailed survey (the Burn Specific Health Scale – Brief) ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.