The prevalence of perceived fatigue in burn survivors: A systematic review of cross-sectional and longitudinal studies

IF 3.2 3区医学 Q2 CRITICAL CARE MEDICINE

Burns Pub Date : 2025-03-27 DOI:10.1016/j.burns.2025.107469

J.M. Prent , M. Wildekamp , S. Scholten-Jaegers , H. Houdijk , M.K. Nieuwenhuis , L.J. Mouton

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引用次数: 0

Abstract

Objective

Perceived fatigue significantly impacts quality of life after burns, yet how often it occurs is unknown. Therefor this study assessed the prevalence of perceived fatigue of burn survivors.

Methods

In February 2023, a systematic literature search was performed in CINAHL, Embase, PsycInfo, PubMed and Web of Science. Studies reporting the prevalence of post-burn perceived fatigue were included.

Results

In ten cross-sectional studies of moderate-high quality with measurements between 5.3 days and 42 years post burn, the prevalence of perceived fatigue varied between 5 % and 78 % with no apparent time trends. Broad study populations hindered explaining this varying prevalence by age or %TBSA. In four high-quality longitudinal studies with 3–5 measurements between 1 and 24 months post burn, the prevalence decreased over time, dropping from approximately 70 to 50 % in adults and 65 to 28 % in children. Studies used various measurement instruments and cut-off points for operationalizing perceived fatigue, severely limiting the interpretation and comparison of prevalence rates across studies.

Conclusions

The high prevalence and persistent nature of perceived fatigue among burn survivors emphasize its crucial role in burn rehabilitation. Future studies should prioritize identifying individuals with adverse trajectories of perceived fatigue and unravelling underlying mechanisms to develop effective treatments for reducing post-burn perceived fatigue.

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烧伤幸存者感知疲劳的患病率：横断面和纵向研究的系统回顾

目的感知疲劳显著影响烧伤后的生活质量，但其发生的频率尚不清楚。因此，本研究评估了烧伤幸存者感知疲劳的患病率。方法于2023年2月在CINAHL、Embase、PsycInfo、PubMed和Web of Science进行系统文献检索。研究报告了烧伤后感觉疲劳的患病率。结果在烧伤后5.3天至42年的10项中高质量横断面研究中，感知疲劳的患病率在5 %至78 %之间变化，没有明显的时间趋势。广泛的研究人群阻碍了解释这种不同年龄或TBSA百分比的患病率。在四项高质量的纵向研究中，在烧伤后1至24个月内进行3-5次测量，患病率随着时间的推移而下降，成人从大约70%下降到50% %，儿童从65下降到28% %。研究使用各种测量工具和截止点来操作感知疲劳，严重限制了研究中患病率的解释和比较。结论感知疲劳在烧伤幸存者中的高发性和持续性强调了其在烧伤康复中的重要作用。未来的研究应优先识别具有不良感知疲劳轨迹的个体，并揭示潜在的机制，以开发有效的治疗方法来减少烧伤后感知疲劳。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.