Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns
Introduction: Like many other Western burn services, the proportion of major to minor burns managed at Royal Perth Hospital (RPH) is in the order of 1:10. The Burn Specific Health Scale-Brief (BSHS-B) is an established measure of recovery after major burns, however its performance and validity in a...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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Pergamon
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/48155 |
| _version_ | 1848758032224223232 |
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| author | Finlay, V. Phillips, M. Wood, F. Hendrie, Delia Allison, Garry Edgar, D. |
| author_facet | Finlay, V. Phillips, M. Wood, F. Hendrie, Delia Allison, Garry Edgar, D. |
| author_sort | Finlay, V. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Introduction: Like many other Western burn services, the proportion of major to minor burns managed at Royal Perth Hospital (RPH) is in the order of 1:10. The Burn Specific Health Scale-Brief (BSHS-B) is an established measure of recovery after major burns, however its performance and validity in a population with a high volume of minor burns is uncertain. Utilizing the tool across burns of all sizes would be useful in service wide clinical practice.Aim: This study was designed to examine the reliability and validity of the BSHS-B across a sample of mostly minor burn patients.Method: BSHS-B scores of patients, obtained between January 2006 and February 2013 and stored on a secure hospital database were collated and analysed Cronbach’s alpha, factor analysis, logistic regression and longitudinal regression were used to examine reliability and validity of the BSHS-B.Results: Data from 927 burn patients (2031 surveys) with a mean % total burn surface area (TBSA) of 6.7 (SD 10.0) were available for analysis. The BSHS-B demonstrated excellent reliability with a Cronbach’s alpha of 0.95. First and second order factor analyses reduced the40 item scale to four domains: Work; Affect and Relations; Physical Function; Skin Involvement, as per the established construct. TBSA, length of stay and burn surgery all predicted burn specific health in the first three months of injury (p < 0.001, p < 0.001, p = 0.03). BSHS-B whole scale and domain scores showed significant improvement over 24 months from burn (p < 0.001).Discussion: The results from this study show that the structure and performance of the BSHS-B in a burn population consisting of 90% minor burns is consistent with that demonstrated in major burns.Conclusion: The BSHS-B can be employed to track and predict recovery after burns of all sizesto assist the provision of targeted burn care. |
| first_indexed | 2025-11-14T09:37:32Z |
| format | Journal Article |
| id | curtin-20.500.11937-48155 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:37:32Z |
| publishDate | 2014 |
| publisher | Pergamon |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-481552017-09-13T14:21:32Z Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns Finlay, V. Phillips, M. Wood, F. Hendrie, Delia Allison, Garry Edgar, D. BSHS-B Factor analysis Reliability Validity Minor burns Performance Introduction: Like many other Western burn services, the proportion of major to minor burns managed at Royal Perth Hospital (RPH) is in the order of 1:10. The Burn Specific Health Scale-Brief (BSHS-B) is an established measure of recovery after major burns, however its performance and validity in a population with a high volume of minor burns is uncertain. Utilizing the tool across burns of all sizes would be useful in service wide clinical practice.Aim: This study was designed to examine the reliability and validity of the BSHS-B across a sample of mostly minor burn patients.Method: BSHS-B scores of patients, obtained between January 2006 and February 2013 and stored on a secure hospital database were collated and analysed Cronbach’s alpha, factor analysis, logistic regression and longitudinal regression were used to examine reliability and validity of the BSHS-B.Results: Data from 927 burn patients (2031 surveys) with a mean % total burn surface area (TBSA) of 6.7 (SD 10.0) were available for analysis. The BSHS-B demonstrated excellent reliability with a Cronbach’s alpha of 0.95. First and second order factor analyses reduced the40 item scale to four domains: Work; Affect and Relations; Physical Function; Skin Involvement, as per the established construct. TBSA, length of stay and burn surgery all predicted burn specific health in the first three months of injury (p < 0.001, p < 0.001, p = 0.03). BSHS-B whole scale and domain scores showed significant improvement over 24 months from burn (p < 0.001).Discussion: The results from this study show that the structure and performance of the BSHS-B in a burn population consisting of 90% minor burns is consistent with that demonstrated in major burns.Conclusion: The BSHS-B can be employed to track and predict recovery after burns of all sizesto assist the provision of targeted burn care. 2014 Journal Article http://hdl.handle.net/20.500.11937/48155 10.1016/j.burns.2013.07.005 Pergamon restricted |
| spellingShingle | BSHS-B Factor analysis Reliability Validity Minor burns Performance Finlay, V. Phillips, M. Wood, F. Hendrie, Delia Allison, Garry Edgar, D. Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns |
| title | Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns |
| title_full | Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns |
| title_fullStr | Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns |
| title_full_unstemmed | Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns |
| title_short | Enhancing the clinical utility of the Burn Specific Health Scale-Brief: Not just for major burns |
| title_sort | enhancing the clinical utility of the burn specific health scale-brief: not just for major burns |
| topic | BSHS-B Factor analysis Reliability Validity Minor burns Performance |
| url | http://hdl.handle.net/20.500.11937/48155 |