Assessing the impact of missing data in evaluating the recovery of minor burn patients

被引:17
作者
Finlay, Vidya
Burke, Krischelle
van de Ruit, Claire
Lapuz, Ramona
Phillips, Michael [2 ]
Wood, Fiona
Edgar, Dale [1 ]
机构
[1] Univ Western Australia, Burns Serv Western Australia, McComb Fdn Western Australia, Royal Perth Hosp,Telstra Burns Outcome Ctr, Perth, WA 6847, Australia
[2] Univ Western Australia, Royal Perth Hosp, Western Australian Inst Med Res, Perth, WA 6847, Australia
关键词
Burns; Minor; Upper limb; Missingness; Outcome; Biostatistics; HEALTH SCALE; QUALITY; QUICKDASH; DROPOUT;
D O I
10.1016/j.burns.2009.05.004
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: Little published evidence is available regarding the recovery of patients with minor burns. Poor attendance at review clinics results in incomplete data which hampers accurate analysis of patient recovery. it is often assumed that non-attendance for review is due to full recovery and the inconvenience associated with clinic attendance. This study aimed to obtain final outcomes for a group of minor burn patients and identify factors contributing to missing data. Method: A group of patients with minor burn + upper limb involvement, noted to have 81% non-attendance at 6-month review, were contacted to evaluate their recovery and service satisfaction. The stability of responses from 6 months after burn was compared in a subset of participants who did attend review. Demographics of non-responders were compared to responders. Results: Final outcomes were obtained from 67% of participants. Mean BSHS-B and Quick-DASH scores for this group were 150.2 and 1.55% disability, respectively, indicating a good recovery. Subsequent non-responders were significantly younger (p = 0.016), suggestive of a better recovery than responders. Dissatisfaction with the service was not a contributing factor in non-attendance. Conclusion: Minor burn patients with upper limb involvement recover well and intensive review of these patients is unnecessary. (C) 2009 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:1086 / 1091
页数:6
相关论文
共 23 条
[1]   Development of the QuickDASH: Comparison of three item-reduction approaches [J].
Beaton, DE ;
Wright, JG ;
Katz, JN .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (05) :1038-1046
[2]   A BURN SPECIFIC HEALTH SCALE [J].
BLADES, B ;
MELLIS, N ;
MUNSTER, AM .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1982, 22 (10) :872-875
[3]  
Bland JM, 1996, BRIT MED J, V313, P744
[4]   Predictors of Quality of Life as measured by the Burn Specific Health Scale in persons with major burn injury [J].
Cromes, GF ;
Holavanahalli, R ;
Kowalske, K ;
Helm, P .
JOURNAL OF BURN CARE & REHABILITATION, 2002, 23 (03) :229-234
[5]   Burn rehabilitation - State of the science [J].
Esselman, PC ;
Thombs, BD ;
Magyar-Russell, G ;
Fauerbach, JA .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2006, 85 (04) :383-413
[6]   Core outcomes for adult burn survivors: A clinical overview [J].
Falder, Sian ;
Browne, Allyson ;
Edgar, Dale ;
Staples, Emma ;
Fong, Joy ;
Rea, Suzanne ;
Wood, Fiona .
BURNS, 2009, 35 (05) :618-641
[7]  
Fleiss JL., 1986, DESIGN ANAL CLIN EXP
[8]  
GAGNON MP, 2009, COCHRANE DATABASE SY, V9
[9]   CAN DROPOUT AND OTHER NON-COMPLIANCE BE MINIMIZED IN A CLINICAL-TRIAL - REPORT FROM THE VETERANS-ADMINISTRATIVE-NATIONAL-HEART-LUNG-AND-BLOOD-INSTITUTE COOPERATIVE STUDY ON ANTIHYPERTENSIVE THERAPY - MILD HYPERTENSION [J].
GOLDMAN, AI ;
HOLCOMB, R ;
PERRY, HM ;
SCHNAPER, HW ;
FITZ, AE ;
FROHLICH, ED .
CONTROLLED CLINICAL TRIALS, 1982, 3 (02) :75-89
[10]   Missing Data Analysis: Making It Work in the Real World [J].
Graham, John W. .
ANNUAL REVIEW OF PSYCHOLOGY, 2009, 60 :549-576