Background Through improved survival of burns, more children have to deal with consequences of burns. Health-related quality of life (HRQL) measurement is important to qualify the perceived burden of burns in children. No systematic study of this outcome in children exist. Therefore, our objective was to review study designs, instruments, methodological quality, outcomes and predictors of HRQL in children after burns. Methods A systematic literature search was conducted in CINAHL, Embase, Google Scholar, Medline, The Cochrane library and Web of science (PROSPERO ID=CRD42016048065). Studies examining HRQL in pediatric burn patients were included. The risk of bias was assessed using the Quality in Prognostic Studies (QUIPS) tool. Results Twenty-seven studies using twelve HRQL instruments were included. The Burns Outcome Questionnaire 0-4 and 5-18 years old were most often applied. All longitudinal studies showed improvement of HRQL over time. However, problems were reported on the longer term on the domains '(parental) concern' and 'appearance'. Parental proxy scores were in general comparable to children’s self-ratings. Severity of burns, facial burns, hand burns, comorbidity and short time since burn predicted an impaired HRQL. The risk of bias of the studies was in general moderate. Conclusions HRQL in children after burns increases over time. Domains and patient groups that require special attention are identified. However, due to lack of comparability of studies, the available information could not be used optimally. To further improve our understanding of HRQL, consensus on design, data-analysis and data presentation is needed. Level of evidence Systematic review, level III Email addresses:spronki@maasstadziekenhuis.nl, legematec@maasstadziekenhuis.nl, s.polinder@erasmusmc.nl, baarm@maasstadziekenhuis.nl *Corresponding author: Inge Spronk, Association of Dutch Burn centers, Maasstad Hospital, PO Box 9100, 3007 AC Rotterdam, the Netherlands, Tel. 00 31 10 291 2739, Email: spronki@maasstadziekenhuis.nl. Conflict of Interest: None declared. Funding source: All phases of this study were supported by The Dutch Burn Foundation (grant number: 15.102 to MvB). The funding source had no role in any part of the study. © 2018 Lippincott Williams & Wilkins, Inc.
from Emergency Medicine via xlomafota13 on Inoreader https://ift.tt/2OhgaWX
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Publication date: Available online 7 July 2018 Source: The Journal of Emergency Medicine Author(s): Audrey Uong, Ariel Brandwein, Colin C...
-
Abstract Malignant brain tumors are rapidly progressive and often fatal owing to resistance to therapies and based on their complex biolog...
-
Oral Candida colonization in xerostomic post‐radiotherapy head and neck cancer patients 16h ... Oral Candida colonization in xerostomic post...
-
Abstract Background Bone flap resorption (BFR) is the most prevalent complication resulting in autologous cranioplasty failure, but no c...
-
Injury from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/1ULgTKC
-
Abstract Non-tumoral portal vein thrombosis (PVT) remains a highly relevant topic in the field of hepatology and liver transplantation wit...
-
Abstract Objectives Tumor invasion into blood and/or lymphatic vessels, perineural invasion, and histopathological grading are evaluated...
-
Objectives: Pantoprazole is frequently administered to critically ill patients for prophylaxis against gastrointestinal bleeding. However, ...
-
Abstract Many methods exist for generating keyframe summaries of videos. However, relatively few methods consider on-line summarisation, w...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου