The short and long-term outcome priorities of a Western Australian adult burn population

Inge Spronk, Fiona M Wood, Mark W Fear, C A Lansdorp, Dale W Edgar

Research output: Contribution to journalArticlepeer-review

Abstract

To optimize patient recovery, understanding which outcomes are most important to burn patients is key. However, research to determine what outcomes are patient priorities is limited. Therefore, we assessed what outcomes are most important to Western Australian burn patients, separately in the short-term (<6 months) and long-term (6-24 months) after injury. Adult patients who had a burn injury 3-36 months ago completed a survey, rating the importance of 36 short- and long-term outcomes. The survey items were ranked according to the number of patients reporting the outcome as ‘very important’. Results were compared between subgroups based on age, gender, burn size, and number of surgeries. Ninety-three patients were included. In the short-term, ‘not having a wound infection’ (87.1%), ‘good wound healing’ (83.9%), and ‘walking or moving around’ (74.7%) were the most important outcomes. ‘Lifting or moving something’ (67.6%), ‘walking or moving around’ (66.2%), and ‘being independent’ (66.2%) were reported as most important in the long-term. Scar related outcomes were more important to females and to patients with multiple surgeries; mental health outcomes were priorities for females and patients with major burns; walking and moving around to males and older patients; and social and financial outcomes were rated highly by patients with major burns and multiple surgeries. In conclusion, the most important outcomes were consistent across time periods, indicating the importance of core outcomes in longitudinal follow-up. The wide range of priority outcomes and differences between subgroups underlines the need for multidisciplinary care and a patient-centred approach to support patients.
Original languageEnglish
JournalJournal of Burn Care & Research
DOIs
Publication statusPublished - 5 Nov 2023

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