E L Gee Kee1, R M Kimble2, L Cuttle3, K A Stockton4. 1. Centre for Children's Burns and Trauma Research, Child Health Research Centre, The University of Queensland, Australia. Electronic address: e.geekee@uq.edu.au. 2. Centre for Children's Burns and Trauma Research, Child Health Research Centre, The University of Queensland, Australia; Pegg Leditschke Children's Burns Centre, Lady Cilento Children's Hospital, Brisbane, Australia. 3. Centre for Children's Burns and Trauma Research, Child Health Research Centre, The University of Queensland, Australia; Tissue Repair and Regeneration Program, Institute of Health and Biomedical Innovation, Queensland University of Technology, Australia. 4. Centre for Children's Burns and Trauma Research, Child Health Research Centre, The University of Queensland, Australia.
Abstract
INTRODUCTION: There is a paucity of research investigating the scar outcome of children with partial thickness burns. The aim of this study was to assess the scar outcome of children with partial thickness burns who received a silver dressing acutely. METHOD:Children aged 0-15 years with an acute partial thickness burn, ≤10% TBSA were included. Children were originally recruited for an RCT investigating three dressings for partial thickness burns. Children were assessed at 3 and 6 months after re-epithelialization. 3D photographs were taken of the burn site, POSAS was completed and skin thickness was measured using ultrasound imaging. RESULTS: Forty-three children returned for 3 and 6 month follow-ups or returned a photo. Days to re-epithelialization was a significant predictor of skin/scar quality at 3 and 6 months (p<0.01). Patient-rated color and observer-rated vascularity and pigmentation POSAS scores were comparable at 3 months (color vs. vascularity 0.88, p<0.001; color vs. pigmentation 0.64, p<0.001), but patients scored higher than the observer at 6 months (color vs. vascularity 0.57, p<0.05; color vs. pigmentation 0.15, p=0.60). Burn depth was significantly correlated with skin thickness (r=0.51, p<0.01). Hypopigmentation of the burn site was present in 25.8% of children who re-epithelialized in ≤ 2 weeks. CONCLUSION: This study has provided information on outcomes for children with partial thickness burns and highlighted a need for further education of this population.
RCT Entities:
INTRODUCTION: There is a paucity of research investigating the scar outcome of children with partial thickness burns. The aim of this study was to assess the scar outcome of children with partial thickness burns who received a silver dressing acutely. METHOD:Children aged 0-15 years with an acute partial thickness burn, ≤10% TBSA were included. Children were originally recruited for an RCT investigating three dressings for partial thickness burns. Children were assessed at 3 and 6 months after re-epithelialization. 3D photographs were taken of the burn site, POSAS was completed and skin thickness was measured using ultrasound imaging. RESULTS: Forty-three children returned for 3 and 6 month follow-ups or returned a photo. Days to re-epithelialization was a significant predictor of skin/scar quality at 3 and 6 months (p<0.01). Patient-rated color and observer-rated vascularity and pigmentation POSAS scores were comparable at 3 months (color vs. vascularity 0.88, p<0.001; color vs. pigmentation 0.64, p<0.001), but patients scored higher than the observer at 6 months (color vs. vascularity 0.57, p<0.05; color vs. pigmentation 0.15, p=0.60). Burn depth was significantly correlated with skin thickness (r=0.51, p<0.01). Hypopigmentation of the burn site was present in 25.8% of children who re-epithelialized in ≤ 2 weeks. CONCLUSION: This study has provided information on outcomes for children with partial thickness burns and highlighted a need for further education of this population.
Authors: Aba Lőrincz; Alex Váradi; Péter Hegyi; Zoltán Rumbus; Máté Tuba; Anna Gabriella Lamberti; Margit Varjú-Solymár; Andrea Párniczky; Bálint Erőss; András Garami; Gergő Józsa Journal: Life (Basel) Date: 2022-04-21
Authors: Inge Spronk; Anniek Stortelers; Cornelis H van der Vlies; Paul P M van Zuijlen; Anouk Pijpe Journal: Wound Repair Regen Date: 2021-06-16 Impact factor: 3.617