TY - JOUR
T1 - Activity Impairment, Work Status, and Work Productivity Loss in Adults 5-7 Years after Burn Injuries
AU - Spronk, Inge
AU - van Loey, Nancy E. E.
AU - van der Vlies, Cornelis H.
AU - Haagsma, Juanita A.
AU - Polinder, Suzanne
AU - van Baar, Margriet E.
AU - Nieuwenhuis, M. K.
AU - Middelkoop, E.
AU - Pijpe, A.
AU - Stoop, M. M.
AU - Boekelaar, A. A.
AU - Trommel, N.
AU - Hiddingh, J.
AU - Meijer, J.
AU - Akkerman, M.
AU - Boekelaar, A.
AU - Pijpe, A.
AU - Roodbergen, D.
AU - Stoop, M. M.
AU - van Zuijlen, P. P. M.
AU - Dokter, J.
AU - van Es, A.
AU - van der Vlies, C. H.
AU - Beerthuizen, G. I. J. M.
AU - Eshuis, J.
AU - Hiddingh, J.
AU - Scholten-Jaegers, S. M. H. J.
AU - van Baar, M. E.
AU - Haanstra, T. M.
AU - Middelkoop, E.
AU - Nieuwenhuis, M. K.
AU - Novin, A.
N1 - Publisher Copyright: © 2021 The Author(s) 2021. Published by Oxford University Press on behalf of the American Burn Association.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85125965101&partnerID=8YFLogxK
U2 - https://doi.org/10.1093/jbcr/irab047
DO - https://doi.org/10.1093/jbcr/irab047
M3 - Article
C2 - 33693704
SN - 1559-047X
VL - 43
SP - 256
EP - 262
JO - Journal of Burn Care and Research
JF - Journal of Burn Care and Research
IS - 1
ER -