1. Activity Impairment, Work Status, and Work Productivity Loss in Adults 5-7 Years After Burn Injuries
- Author
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Spronk, Inge, van Loey, Nancy E. E., van der Vlies, Cornelis H., Haagsma, Juanita A., Polinder, Suzanne, van Baar, Margriet E., Nieuwenhuis, M. K., Middelkoop, E., Pijpe, A., Stoop, M. M., Boekelaar, A. A., Trommel, N., Hiddingh, J., Meijer, J., Akkerman, M., Boekelaar, A., Roodbergen, D., van Zuijlen, P. P. M., Dokter, J., van Es, A., van der Vlies, C. H., Beerthuizen, G. I. J. M., Eshuis, J., Scholten-Jaegers, S. M. H. J., van Baar, M. E., Haanstra, T. M., Novin, A., Functional recovery and quality of life after burns, Plastic, Reconstructive and Hand Surgery, AMS - Tissue Function & Regeneration, Public Health, Surgery, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, and Paediatric Surgery
- Subjects
Male ,Burn injury ,social participation ,Activities of daily living ,AcademicSubjects/MED00910 ,medicine.medical_treatment ,cross-sectional studies ,recovery of function ,vragenlijsten ,Quality of life ,Surveys and Questionnaires ,Survivors ,enquetes ,Netherlands ,education.field_of_study ,Rehabilitation ,body surface area ,dagelijkse activiteiten ,Middle Aged ,psychopathologie ,leeftijdsfactoren ,sekse factoren ,Health ,employment ,efficiëntie ,Emergency Medicine ,Female ,Nederland ,activities of daily living ,Barriers ,transversale studies ,Perspectives ,Adult ,gender factors ,medicine.medical_specialty ,age factors ,Population ,herstel van functie ,burns ,Return ,surveys ,Social-participation ,medicine ,Humans ,education ,lichaamsoppervlak ,brandwonden ,business.industry ,gebruik ,sociale participatie ,Original Articles ,questionnaires ,Mood ,quality of life ,efficiency ,Physical therapy ,Surgery ,Quality-of-life ,General Health Questionnaire ,physiopathology ,business ,Total body surface area ,kwaliteit van leven - Abstract
An important aspect of the rehabilitation of burn patients is social participation, including daily activities and work. Detailed information on long-term activity impairment and employment is scarce. Therefore, we investigated activity impairment, work status, and work productivity loss in adults 5–7 years following burn injuries, and investigated associations with burn-specific health-related quality of life (HRQL) domains. Adult participants completed the Work Productivity and Activity Impairment General Health questionnaire and the Burn Specific Health Scale-brief (BSHS-B) 5–7 years post-burn. Outcomes were compared between participants with mild/intermediate and severe burns (>20% total body surface area burned). Seventy-six (36%) of the 213 participants experienced some degree of activity impairment due to burn-related problems 5–7 years post-burn. Seventy percent of the population was employed; 12% of them experienced work productivity loss due to burn-related problems. Nineteen percent reported changes in their work situation (partly) because of the burn injury. A higher proportion of participants with severe burns had activity impairments (56% vs 29%; P = .001) and work productivity loss (26% vs 8%; P < .001) compared to participants with mild/intermediate burns. Activity impairment and work productivity loss were both associated with burn-related work problems and lower mood, measured with the BSHS-B. In conclusion, a substantial part of the study population experienced activity impairment and work productivity loss, was unemployed, and/or reported changes in their work situation due to their injury. Particularly patients with severe burns reported productivity loss and had lower employment rates. This subscribes the importance of addressing work-related functioning in the rehabilitation of burn patients.
- Published
- 2022
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