St. John's Rehab, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
J Burn Care Res. 2020 May 2;41(3):472-502. doi: 10.1093/jbcr/irz146.
Adult-acquired burn injuries are a life-altering event that can lead to debilitating functional or psychological impairments. With advancements in health care resulting in decreased mortality rates, survivors of burn injuries can expect to live longer. This warrants a shift in focus to better understand what happens to adults once they are discharged from the hospital into the community. Therefore, the purpose of this scoping review was to map the literature regarding the long-term outcomes of community-dwelling adult-acquired burn survivors. A computer-assisted literature search was conducted on literature from January 1, 2000 to August 31, 2018 utilizing four large databases (MEDLINE, EMBASE, CINHAL, and PsycINFO). Articles were included if they had a minimum of five individuals with a burn injury as a result of an accidental injury who were at least 18 years of age at the time of injury. Fifty-four articles were found suitable for inclusion in this review. The majority of studies were conducted in the United States and were longitudinal in design. Four themes were apparent from the articles: postburn complications, psychosocial outcomes, quality of life, and community participation. Data are lacking with respect to outcomes more than 5 years postburn as well as qualitative research. Furthermore, more literature is needed to understand the impact of postburn complications, coping strategies, and posttraumatic growth as well as barriers to community participation. Overall, there is an emerging body of literature that describes the long-term outcomes of adult-acquired burn survivors up to 5 years postburn.
成人获得性烧伤是一种改变生活的事件，可导致衰弱的功能或心理障碍。随着医疗保健的进步降低了死亡率，烧伤幸存者可以预期寿命更长。这需要将重点转移到更好地了解成年人从医院出院后进入社区后的情况。因此，本范围综述的目的是绘制有关社区居住的成人获得性烧伤幸存者长期结局的文献图谱。使用四个大型数据库（MEDLINE、EMBASE、CINHAL 和 PsycINFO），从 2000 年 1 月 1 日至 2018 年 8 月 31 日，进行了计算机辅助文献检索。如果文章至少有 5 名因意外伤害而导致烧伤的个体，且在受伤时年龄至少为 18 岁，则将其纳入。共发现 54 篇文章适合纳入本综述。大多数研究在美国进行，且为纵向设计。从文章中明显看出四个主题：烧伤后并发症、心理社会结局、生活质量和社区参与。烧伤后 5 年以上的结局以及定性研究的数据缺乏。此外，还需要更多的文献来了解烧伤后并发症、应对策略和创伤后成长以及社区参与障碍的影响。总体而言，有越来越多的文献描述了成人获得性烧伤幸存者烧伤后长达 5 年的长期结局。
