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155 results on '"Baar, A"'

4. Development of a value-based healthcare burns core set for adult burn care

Author

Spronk, I., van Uden, D., Lansdorp, C.A., van Dammen, L., van Gemert, R., Visser, I., Versluis, G., Wanders, H., Geelen, S.J.G., Verwilligen, R.A.F., van der Vlegel, M., Bijker, G.C., Heijblom, M.C., Fokke-Akkerman, M., Stoop, M., van Baar, M.E., Nieuwenhuis, M.K., Pijpe, A., van Schie, C.M.H., Gardien, K.L.M., Lucas, Y., Snoeks, A., Scholten-Jaegers, S.M.H.J., Meij-de Vries, A., Haanstra, T.M., Weel-Koenders, A.E.A.M., Wood, F.M., Edgar, D.W., Bosma, E., Middelkoop, E., van der Vlies, C.H., and van Zuijlen, P.P.M.

Published
2024
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27. Reliability and validity of a frailty assessment tool in specialized burn care, a retrospective multicentre cohort study

Author

Cords, Charlotte I., primary, van Baar, Margriet E., additional, Nieuwenhuis, Marianne K., additional, Pijpe, Anouk, additional, van der Vlies, Cornelis H., additional, Roukema, G, additional, Lucas, Y, additional, Gardien, K, additional, Middelkoop, E, additional, Polinder, S, additional, Scholten, SMHJ, additional, Damen, J, additional, Boudestein, K, additional, Pijpe, A, additional, van Zuijlen, PPM, additional, Mattace-Raso, F.U.S., additional, Bosma, E, additional, Verhofstad, MHJ, additional, Stoop, MM, additional, Boekelaar, A, additional, Roodbergen, D, additional, Heijblom, M.C., additional, van Es, A, additional, van der Vlies, CH, additional, Eshuis, H, additional, Hiddingh, J, additional, Scholten-Jaegers, SMHJ, additional, van Baar, ME, additional, Nieuwenhuis, MK, additional, and Novin, A, additional

Published
2023
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33. Burn injuries in primary care in the Netherlands

Author

Carine H.M. van Schie, Robert A Verheij, Lando L.J. Koppes, Eva E. van Zoonen, Margriet E. van Baar, Tranzo, Scientific center for care and wellbeing, and Huisarts & Ziekenhuis

Subjects
Male, Burn injury, medicine.medical_specialty, Epidemiology, Prevalence, Burn prevention, CHILDREN, Primary care, Critical Care and Intensive Care Medicine, General practitioner, Secondary care, 030207 dermatology & venereal diseases, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Environmental health, Medicine, Humans, Young adult, Child, Socioeconomic status, Primary care database, Netherlands, Primary Health Care, business.industry, Infant, Newborn, Infant, 030208 emergency & critical care medicine, General Medicine, HEALTH INEQUALITIES, Risk factors, Child, Preschool, Emergency Medicine, Surgery, Female, business, Burns
Abstract

Background:Research to date has mainly focused on burn injuries treated in secondary care. This study aims to provide knowledge on the epidemiology of burn injuries in primary care, to give directions for burn prevention.Methods:Data were derived from routine electronic health records of general practices and their out-of-hours service organisations in the Netherlands that participated in the Nivel Primary Care Database 2010–2015. We studied risk factors and trends.Results:The average burn injury prevalence rate was 4.40 (95% CI 4.27–4.53) per 1000 person-years in daytime general practice care and 1.47 (95% CI 1.46–1.49) per 1000 inhabitants in out-of-hours care. Children of 0−4 years old, especially boys, and young adult women had a higher risk. Burn injury risk was higher during the summer months and around New Year’s Eve. Living in low socioeconomic and strongly urbanised neighbourhoods was associated with a higher risk of burn injury than living in other neighbourhoods.Conclusion:Dutch general practitioners have a large share in burn care and therefore can play a significant role in burn prevention. Prevention may be most effective in the summer and around New Year’s Eve, and specific attention seems to be warranted for low socioeconomic groups and strongly urbanised neighbourhoods.

Published
2022

34. Improvement of burn care by video interaction guidance

Author

Van Ingen Schenau, Ina S.A., Niemeijer, Anuschka S., Zuiker, Jan Kees, Scholten, Sonja M.H.J., Lamberts, Kirsten F., Van Baar, Margriet E., Nieuwenhuis, Marianne K., and Public Health

Subjects
Child nursing, Communication, Emergency Medicine, Quality of care, Nurse-patient Relationship, Surgery, General Medicine, Fundamental care, Critical Care and Intensive Care Medicine, Nurse education
Abstract

Aims: To evaluate the effect of video interaction guidance on improving the nurse-child relationship during the wound care procedures. Additionally, determine whether the interactional behavior of nurses is related to pain and distress experienced by children.Methods: The interactional skills of seven nurses receiving video interaction guidance were compared with those of ten other nurses. The nurse-child interactions were video-taped during wound care procedures. Of the nurses receiving video interaction guidance, three wound dressing changes were videotaped before they received video interaction guidance and three after. The interaction between nurse and child was scored with the Nurse-child interaction taxonomy by two experienced raters. The COMFORT-B behavior scale was used to assess pain, and distress. All raters were blinded regarding video interaction guidance allocation and the sequence of tapesResults: Five nurses in the intervention group (71 %) showed clinically relevant progress on the taxonomy while only four nurses (40 %) showed similar progress in the control group [p = .10]. A weak association was found between the nurses’ interactions and the children's pain and distress [r = −.30, p = .002].Conclusions: This is the first study to show that video interaction guidance can be used as a tool to train nurses to become more effective during patient encounters. Furthermore, nurses’ interactional skills are positively associated with a child's pain and distress level.

Published
2023
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41. The added value of extending the EQ-5D-5L with an itching item for the assessment of health-related quality of life of burn patients

Author

Juanita A. Haagsma, M.E. van Baar, Suzanne Polinder, Gouke J. Bonsel, Inge Spronk, Mathieu F. Janssen, Public Health, and Psychiatry

Subjects
Adult, Male, medicine.medical_specialty, Psychometrics, Population, Critical Care and Intensive Care Medicine, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, EQ-5D, Surveys and Questionnaires, medicine, Added value, Humans, education, Netherlands, Rank correlation, Health related quality of life, education.field_of_study, business.industry, Pruritus, Reproducibility of Results, 030208 emergency & critical care medicine, General Medicine, Middle Aged, Convergent validity, Quality of Life, Emergency Medicine, Physical therapy, Ceiling effect, Itching, Female, Surgery, medicine.symptom, Burns, business
Abstract

Introduction Health-related quality of life (HRQL) is an important outcome in burn care and research. An advantage of a generic HRQL instrument, like the EQ-5D, is that it enables comparison of outcomes with other conditions and the general population. However, the downside is that it does not include burn specific domains, like scar issues or itching. Adding extra items to a generic instrument might overcome this issue. This study explored the potential and added value of extending the EQ-5D-5L with a burn-specific item, using a itching item as an example. Methods The EQ-5D-5L and the Patient and Observer Scar Assessment Scale (POSAS) was completed by adult patients 5–7 years after injury. A separate POSAS itching item was used to study the added value of an itching item for the EQ-5D-5L. The EQ-5D-5L + Itching was created by adding the POSAS itching item to the EQ-5D-5L. Five psychometric properties were compared between EQ-5D-5L and EQ-5D-5L + Itching: distribution (e.g. ceiling), informativity cf. Shannon’s indices, convergent validity, dimension dependency, and explanatory power respectively. Results A total of 243 patients were included, of whom 49% reported any itching on the POSAS. Adding an itching item to the EQ-5D-5L decreased the ceiling effect, and resulted in increased absolute informativity (H’ = 4.76 vs. H’ = 3.64) and relative informativity (J’ = 0.34 vs. J’ = 0.31). The extra itching item decreased the convergent validity (Spearman’s rank correlation coefficient = −0.51 vs. −0.59). Mutual dependency of dimensions existed, showing that all other items were dominant over the itching item. Adding the itching item to the standard EQ-5D-5L barely improved explanatory power (49.3% vs. 49.0%). Conclusions PThe present study showed adding a burn-specific item to the EQ-5D-5L is possible and has potential. However, 5 to 7 years after injury, adding an itching item to the EQ-5D-5L provides little additional information; the gain in terms of added value is relatively small. Apart from instances where itching information is specifically needed, a strong case is not present for adding an itching item to the EQ-5D-5L for long-term (>5 yr after burns) HRQL assessment in burn patients. In early time periods after burn, the added value might be greater and we recommend exploring this potential in future studies, ideally on multiple timepoints after burn.

Published
2021

45. Seeding the value based health care and standardised measurement of quality of life after burn debate

Author

M.E. van Baar, U. Van Daele, N.E.E. van Loey, Dale W. Edgar, Jill Meirte, Inge Spronk, Fiona M. Wood, L B Kazis, and Public Health

Subjects
business.industry, MEDLINE, General Medicine, Critical Care and Intensive Care Medicine, Article, Quality of life (healthcare), Nursing, Health care, Emergency Medicine, Quality of Life, Medicine, Humans, Surgery, Seeding, Human medicine, business, Burns, Value (mathematics), Delivery of Health Care
Published
2020

49. Patient-reported scar quality of donor-sites following split-skin grafting in burn patients: Long-term results of a prospective cohort study

Author

Legemate, C.M. (Catherine), Ooms, P.J. (Pauline J.), Trommel, N. (Nicole), Middelkoop, E. (Esther), Baar, M.E. (Margriet) van, Goei, H. (Harold), Vlies, C.H. (Cornelis) van der, Legemate, C.M. (Catherine), Ooms, P.J. (Pauline J.), Trommel, N. (Nicole), Middelkoop, E. (Esther), Baar, M.E. (Margriet) van, Goei, H. (Harold), and Vlies, C.H. (Cornelis) van der

Abstract

Background: Skin grafting is the current gold standard for treatment of deeper burns. How patients appraise the donor-site scar is poorly investigated. The aim of this study was to evaluate long-term patient-reported quality of donor-site scars after split skin grafting and identify possible predictors. Methods: A prospective cohort study was conducted. Patients were included in a Dutch burn centre during one year. Patient-reported quality of donor-site scars and their worst burn scar was assessed at 12 months using the Patient and Observer Scar Assessment Scale (POSAS). Mixed model analyses were used to identify predictors of scar quality. Results: This study included 115 donor-site scars of 72 patients with a mean TBSA burned of 11.2%. The

Published
2020
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50. Comparison of three different methods to estimate the burden of disease of burn injuries in Western Australia in 2011-2018

Author

Spronk, I. (Inge), Haagsma, J.A. (Juanita), Edgar, D.W. (Dale W.), Baar, M.E. (Margriet) van, Polinder, S. (Suzanne), Wood, F.M. (Fiona M.), Spronk, I. (Inge), Haagsma, J.A. (Juanita), Edgar, D.W. (Dale W.), Baar, M.E. (Margriet) van, Polinder, S. (Suzanne), and Wood, F.M. (Fiona M.)

Abstract

Background: Priority setting and resource allocation in health care, surveillance and interventions is based increasingly on burden of disease. Several methods exist to calculate the non-fatal burden of disease of burns expressed in years lived with disability (YLDs). The aim of this study was to assess the burden of disease due to burns in Western Australia 2011–2018 and compare YLD outcomes between three existing methods. Methods: Data from th

Published
2020
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