Fontaine M, Latarjet J
Burn Intensive Care Unit, Saint Joseph Saint Luc Hospital, Lyon, France.
Ann Burns Fire Disasters. 2024 Jun 30;37(2):143-147. eCollection 2024 Jun.
The objective of this study is to assess the quality of life and how to return to work after burns in adults. We conducted a monocentric, observational, prospective and open study in an intensive care burn unit. Patients aged between 18 and 65 years old were enrolled. Quality of life was assessed with Burn Specific Health Scale-Brief (BSHS-B). A total 118 patients were included with one delayed death. There were 55 flame burns. Median age was 39 years, median total burn surface area (TBSA) was 5% and median length of stay was 11 days. After management in the intensive care burn unit, 84 patients were discharged home and 33 to a rehabilitation care department. We sent 117 queries and got 56 answers. Median BSHS-B score ratio was 142/160. The most impacted items were heat sensitivity, body image, treatment regimens and work. Simple abilities were also affected with up to 28% of patients having difficulties with everyday actions such as cleaning oneself. Regarding return to work, 32% of workers lost their full-time job and 18% were downgraded as disabled. The outcome was worse for those patients who had to go to rehabilitation. Our data suggest that even small burns may strongly impact quality of life and limit the ability to return to work. Our results are consistent with previous published studies, which found greater alteration of quality of life with larger TBSA. These results call for care in specialized centers even for limited burns, especially in the case of functional area involvement.
本研究的目的是评估成人烧伤后的生活质量以及如何重返工作岗位。我们在一家重症监护烧伤病房进行了一项单中心、观察性、前瞻性和开放性研究。纳入了年龄在18至65岁之间的患者。使用烧伤特异性健康量表简表（BSHS-B）评估生活质量。共纳入118例患者，其中1例延迟死亡。有55例火焰烧伤。中位年龄为39岁，中位烧伤总面积（TBSA）为5%，中位住院时间为11天。在重症监护烧伤病房接受治疗后，84例患者出院回家，33例转至康复护理部门。我们发出了117份询问函，收到了56份回复。BSHS-B评分中位数比值为142/160。受影响最大的项目是热敏感性、身体形象、治疗方案和工作。简单的能力也受到影响，高达28%的患者在诸如自我清洁等日常行为方面存在困难。关于重返工作岗位，32%的工人失去了全职工作，18%被评定为残疾。对于那些必须去康复治疗的患者，结果更差。我们的数据表明，即使是小面积烧伤也可能对生活质量产生强烈影响，并限制重返工作的能力。我们的结果与之前发表的研究一致，那些研究发现烧伤总面积越大，生活质量改变越大。这些结果表明，即使是有限的烧伤，尤其是涉及功能区域的烧伤，也需要在专业中心进行护理。
