Scar outcome of children with partial thickness burns: a 3 and 6 month follow up

Gee Kee, E. L., Kimble, R. M., Cuttle, L. and Stockton, K. A. (2016) Scar outcome of children with partial thickness burns: a 3 and 6 month follow up. Burns, 42 1: 97-103. doi:10.1016/j.burns.2015.06.019

Author Gee Kee, E. L.
Kimble, R. M.
Cuttle, L.
Stockton, K. A.
Title Scar outcome of children with partial thickness burns: a 3 and 6 month follow up
Journal name Burns   Check publisher's open access policy
ISSN 1879-1409
Publication date 2016-02
Sub-type Article (original research)
DOI 10.1016/j.burns.2015.06.019
Open Access Status Not Open Access
Volume 42
Issue 1
Start page 97
End page 103
Total pages 7
Place of publication Kidlington, United Kingdom
Publisher Elsevier
Collection year 2017
Language eng
Formatted 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.
Keyword Child
Partial thickness burn
Scar outcome
Skin thickness
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
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Child Health Research Centre Publications
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