Burn Specific Health Scale -Brief (BSHS-B)
Introduction[edit | edit source]
The Burns Specific Health Scale-Brief (BSHS-B) questionnaire is an appropriate measurement tool for the assessment of general, physical, mental, and social health aspects of the burn survivor.  It is commonly used to quantify the recovery of quality of life (QoL) after a burn. In response to the lack of a specific instrument to assess the health of patients with burns, Blades et al. in 1979 recorded the first 114-item version of BSHS-Abbreviated (BSHS-A) instrument; and after its construction, modified versions of BSHS-Reviewed (BSHS-R) and a short version of BSHS-B were created. 
Intended Population[edit | edit source]
To measure burn specific health outcomes in survivors of burn injury, 
Scoring[edit | edit source]
The instrument measures psychosocial difficulties and physical difficulties using nine domains (Table 1). The participant is asked to choose from a 5-point scale of severity, where “0” is extreme and “4” is none at all. It has a total obtainable score of 40. 
|Physical(8)||Burn specific (10)||Social and emotional (22)|
|Hand function(5)||Heat specificity (5)||Affect (7)|
|Simple abilities (3)||Treatment regimens (5)||Work (4)|
|Interpersonal relationship (4)|
|Body image (4)|
The 40-item questionnaire, aims to assess QOL specific to postburn topics, requires about 15 minutes to complete. Higher BSHS-B score indicates fewer problems and, accordingly, a higher QoL.
Evidence[edit | edit source]
Reliability and validity[edit | edit source]
Internal consistency of the BSHS-B has been shown to be excellent with a Cronbach's factor alphas ranging between 0.75-0.93. There is evidence of concurrent validity for the BSHS-B when compared with the abbreviated and revised versions. It is claimed that the BSHS-B exhibits construct validity in its association with a variety of aspects of burn-related health.
The BSHS-B has been used to establish criterion validity for the QuickDASH in an Australian sample with upper limb burns and it was found that while mean scores improved over the period of the study for both measures, the effect sizes were greater for the QuickDASH. When used in conjunction with the SF-36, the BSHS-B was found to provide more useful information regarding fear-avoidance and post-traumatic stress disorder in relation to return to work.
References[edit | edit source]
- Kvannli L, Finlay V, Edgar DW, Wu A, Wood FM. Using the Burn Specific Health Scale-Brief as a measure of quality of life after a burn—What score should clinicians expect?. Burns. 2011 Feb 1;37(1):54-60.
- Edgar DW, Katsu A, Group AAH. Burn survivor rehabilitation: principles and guidelines for the allied health professional. In: Edgar DW, editor. ANZBA concensus document. Brisbane, Queensland, Australia: Australian and New Zealand Burns Association; 2007.
- Blades B, Mellis N, Munster AM. A burn specific health scale. The Journal of trauma 1982;22(10):872-5.
- Blalock SJ, Bunker BJ, DeVellis RF. Measuring health status among survivors of burn injury: revisions of the Burn Specific Health Scale. The Journal of trauma 1994;36(4):508-15.
- Kildal M, Andersson G, Fugl-Meyer AR, Lannerstam K, Gerdin B. Development of a brief version of the Burn Specific Health Scale (BSHS-B). The Journal of trauma 2001;51(4):740-6. Blades B, Jones C, Munster A. Quality of life after major burns. J Trauma 1979;19:556–8.
- Murphy ME, Holzer CE, Richardson LM, Epperson K, Ojeda S, Martinez EM, Suman OE, Herndon DN, Meyer WJ. Quality of Life of Young Adult Survivors of Pediatric Burns Using World Health Organization Disability Assessment Scale II and Burn Specific Health Scale-Brief: A Comparison. J Burn Care Res. 2015 Sep-Oct;36(5) 521-533. doi:10.1097/bcr.0000000000000156. PMID: 25167373; PMCID: PMC4362787.
- Kildal M, Andersson G, Gerdin B. Health status in Swedish burn patients: Assessment utilising three variants of the Burn Specific Health Scale. Burns. 2002 Nov 1;28(7):639-45.
- Willebrand M, Kildal M. A simplified domain structure of the burn-specific health scale-brief (BSHS-B): a tool to improve its value in routine clinical work. Journal of Trauma and Acute Care Surgery. 2008 Jun 1;64(6):1581-6.
- Wikehult B. Use of healthcare, perceived health and patient satisfaction in patients with burns (Doctoral dissertation, Universitetsbiblioteket).
- Wu A, Edgar DW, Wood FM. The QuickDASH is an appropriate tool for measuring the quality of recovery after upper limb burn injury. Burns. 2007 Nov 1;33(7):843-9.
- Dyster-Aas J, Kildal M, Willebrand M. Return to work and health-related quality of life after burn injury. Journal of rehabilitation medicine. 2007 Jan 5;39(1):49-55.