Burn Specific Health Scale - Brief - Brazil and International Classification of Functioning, Disability and Health in Burn Patients.

With better burn trauma survival rates, quality of life and functionality have become important outcomes in the evaluation of burn patients. The objective of this study was to evaluate the quality of life of burn survivors using the Burn Specific Health Scale-Brief-Br and their function and health using the International Classification of Functioning Disability and Health (ICF) in order to assess whether there is a correlation in the results obtained between the two instruments. A cross-sectional study with 80 burn patients who underwent outpatient follow-up was completed. Quality of life was assessed using the BSHS-B-Br, an instrument translated and validated in Brazilian Portuguese. Based on ICF category concepts, a data collection tool was used with "yes" and "no" answers. A "yes" answer represented the "8" qualifier, indicating a problem without a specific order of magnitude. Both instruments were self-applied in standardized conditions without complications during the process. Results were analyzed through Spearman's rank correlation coefficients. The BSHS-B-Br had an average score of 127.12 (SD ± 23.03). The correlation was moderate between the total BSHS-B-Br score and the answers of ICF for body functions (r = -.53; P < .001) and environmental factors (r = -.50; P < .001). It was weak for body structures (r = -.47; P < .001) and for activities and participation (r = -.43; P < .001). This study found a moderate correlation between the results of the Burn Specific Health Scale - Brief - Brazil and the International Classification of Functioning, Disability and Health for burn patients showing that both instruments provide complementary information about burned patients.

Fat Grafting for Treatment of Facial Burns and Burn Scars.

This article presents the authors' experience with the use of fat grafting via the Coleman technique, for the adjuvant treatment of facial burn wounds and their sequelae. It demonstrates the regenerative effects of fat injected under the wound and/or the scar as well as of fat delivered to the debrided surface of the wound and to the surface of the scar after laser treatment or microneedling.

Estudo clínico-epidemiológico de pacientes queimados internados em uma unidade de terapia intensiva em Goiás / Epidemiological portrait of burned patients admitted into an intensive care unit in Goiás, Brazil / Estudio clínico epidemiológico de pacientes quemados ingresados en una unidad de cuidados intensivos en Goiás

OBJETIVO: Avaliar o perfil clínico epidemiológico de pacientes atendidos em unidade de terapia intensiva (UTI) no estado de Goiás. MÉTODO: Estudo epidemiológico do tipo inquérito, descritivo, retrospectivo realizado por meio da análise de 196 prontuários, selecionados de maneira aleatória, por cálculo de amostragem populacional de pacientes atendidos em UTI de um hospital terciário de Goiás entre 2010 e 2015. RESULTADOS: Em 5 anos, foram internados 357 pacientes na UTI, sendo avaliados 196. A média de idade dos internados na UTI foi de 32 anos e 2 meses, com a faixa etária variando de 1 mês a 87 anos e 5 meses. O gênero masculino foi responsável por 63% (n=123) das internações. Ao se avaliar o local de acidente, observamos uma maior ocorrência do mesmo no ambiente domiciliar, muito associado ao uso de álcool 33% (n=65). Os líquidos inflamáveis, como, por exemplo, álcool, gasolina e óleo, foram responsáveis por 56% (n=110) das internações em UTI. Encontrou-se que 38% (8) dos pacientes que foram a óbito tiveram sua lesão decorrente de tentativa de autoextermínio. Houve significância estatística entre o óbito e a necessidade de hemodiálise e também entre óbito e a tentativa de autoextermínio. CONCLUSÕES: De acordo com os dados analisados, o sexo masculino é o mais acometido por acidentes com queimaduras, tendo o álcool como a principal fonte de acidentes em todas as faixas etárias, exceto em crianças. Além disso, é a alta porcentagem de óbito na população com tentativa de autoextermínio, sendo líquidos inflamáveis o meio mais comum.(AU)

OBJECTIVE: To evaluate the clinical epidemiological profile of patients treated at an intensive care unit (ICU) in the state of Goiás. METHOD: A retrospective analysis of 196 randomly selected charts of patients admitted to an ICU of a tertiary hospital in Goiás between 2010 and 2015. RESULTS: In 5 years, 357 patients were hospitalized in the ICU, and we evaluated 196. The average age of patients in the ICU was 32 years and 2 months, with the age range varying from 1 month to 87 years and 5 months. Males were responsible for 63% (n=123) of ICU admissions. When assessing the accident site, we observed a higher occurrence of the accidents in the home environment, very associated with the use of alcohol 33% (n=65). Flammable liquids, such as alcohol, gasoline and oil, accounted for 56% (n=110) of ICU admissions. We found that 38% (n=8) of the patients in the group evolving to death had their injury due to a self-extermination attempt. There was statistical significance between death and need for hemodialysis and self-extermination. CONCLUSIONS: According to the analyzed data, males are most affected by burn accidents, with alcohol being the main source of accidents in all age groups, except for children. In addition, there is a high percentage of death in the population that attempts self-extermination, being that inflammable liquids are the most common means.

Objetivo: Evaluar el perfil clínico epidemiológico de los pacientes atendidos en la unidad de terapiaintensiva del estado de Goiás. Método: Estudio epidemiológico de tipo encuesta, descriptivo, retrospectivo realizado por medio del análisis de 196 histórias clínicas seleccionados al azar de los pacientes tratados en la unidad de cuidados intensivos de un hospital de tercer nivel de Goiás entre 2010 y 2015. Resultados: En 5 años, 357 pacientes fueron ingresados en la UCI, se evaluaron 196. La media de edad de los internados en la UCI fue de 32 años y dos meses, variando de um mes a 87 años y cinco meses. En cuanto al género, los pacientes de sexo masculino representaron el 63% (n=123) de los ingresos en la UCI. Al evaluar el lugar del accidente, se observó mayor ocurrencia en el ambiente del hogar, en el ambiente del hogar, estrechamente asociado con alcohol 33% (n=65). Los líquidos inflamables, tales como alcohol, gasolina y petróleo representaron el 56% (n=110) de los ingresos de UCI. Se encontró que 38% (n=8) de los pacientes que fueron a óbito y tuvieron sus lesiones decorrentes de autoexterminio. Hubo significancia estadistica entre óbito y necesidad de hemodialisis y entre óbito y autoexterminio. Conclusiones: De acuerdo con los datos analizados, los hombres son los más afectados por accidentes con quemaduras, que tienen el alcohol como la principal fuente de accidentes en todas las edade, execto en los niños. Además de eso, hay alto porcentaje de óbitos en la población de intención de autoexterminio, siendo los líquidos inflamables el agente más comun.(AU)

Validation of the Brazilian version of the Burn Specific Health Scale-Brief (BSHS-B-Br).

INTRODUCTION: Progressive increases in survival rates from burn trauma have shifted attention to patient rehabilitation and posttraumatic quality of life. The assessment of quality of life is strongly dependent on reliable instruments for its measurement. A literature review has revealed that the Burn Specific Health Scale-Brief (BSHS-B) questionnaire is the most commonly used instrument worldwide. OBJECTIVES: The aim of this study was to translate the BSHS-B into the Portuguese language, adapt it culturally to the Brazilian population, and test its psychometric properties. METHODS: The questionnaire was translated into Portuguese; culturally adapted; and tested for reproducibility, face validity, content validity, and construct validity. The translated version was tested on 92 patients with burns. Internal consistency was tested by means of Cronbach's alpha. Construct validity was performed by correlating the BSHS-B questionnaire with the Burn Specific Health Scale-Revised (BSHS-R), BurnSexQ-Escola Paulista de Medicina (EPM)/Universidade Federal De São Paulo (UNIFESP), the Rosenberg Self-Esteem Scale (RSES), and the Beck Depression Inventory (BDI). RESULTS: Cronbach's alpha was 0.85. The Pearson correlation coefficients were significant at three time points of the reliability analysis. A significant correlation was observed between BSHS-B domains and BSHS-R, and between RSES and BDI domains. A significant correlation was also observed between BSHS-B and the BurnSexQ-EPM/UNIFESP social comfort and body image domains. CONCLUSION: The BSHS-B questionnaire was translated into Portuguese. It is a reliable tool in this language, showing face, content, and construct validity. The modified instrument has been named BSHS-B-Br.

Burn Sexuality Questionnaire: Brazilian translation, validation and cultural adaptation.

In measuring the quality of life of burn victims, it is essential that we find reliable and valid means. The Burn Sexuality Questionnaire (BSQ) is a specific instrument that assesses sexuality in the context of quality of life of burn victims. We set out to translate, validate and culturally adapt the BSQ into Brazilian Portuguese. The Portuguese version was applied to 80 patients. After translation, cultural adaptation was performed with 30 patients. We also tested the final version for reliability in 20 patients, and for face, content and construct validities in 30 patients, according to standard procedures. Total Cronbach's alpha was 0.87. Pearson's correlation was significant between scores for different time points. Construct validity was demonstrated with the correlation of the BSQ with the Burn Specific Health Scale-Revised (BSHS-R) questionnaire. It showed significant correlation between the BSQ social comfort domain and the BSHS-R affect and body image (p=0.025), simple function ability (p=0.008), work (p=0.016) and treatment (p=0.037) domains. This cultural adaptation of the BSQ suggests that it is a reliable tool and has construct validity for the social comfort domain. There is still need for a better-structured tool that could possibly evaluate functional and psychological aspects of sexuality, because one could easily overlook the psychosocial aspects of patients with major, complex burns.

Sexuality after burn in Brazil: survey of burn health-care workers.

Patients who survive a major burn must live with emotional and physical sequela. In a literature review, we found that sexuality concerns of burn victims are rarely a focus of therapy. After suggestions from Rimmer et al. [12], using their questionnaire translated into Portuguese, we held a survey of burn-care professionals at the VII Brazilian Burn Congress. More than 120 practitioners from 41 centres, aged in average 41.2 years (1 standard deviation 10.96), completed the survey. A proportion of 63.7% were female, and 58.1% were Caucasians; 37.1% were physicians, 20.9% nurse practitioners and 16.9 were occupational therapists/physical therapists (OTs/PT)s. Psychologists made up 3.2%. Only 28% of the respondents felt comfortable in initiating a conversation about sexual intimacy with their patients. The vast majority believed it should be done by the psychologist. Only 38% felt their burn centre did an adequate job in that area. When compared with a study of our country's general population, we find similar results indicating that intimacy, sexuality and sexual intercourse are considered most important in a relationship. There is a significant lack of literature in sexuality after burn; most likely meaning it is ignored by most centres. There is a need for other similar surveys to be performed, as well as a collective consciousness of the need for discussions about sexuality with patients and their partners, providing counselling and treatment, when need.