Gee Kee E L, Kimble R M, Cuttle L, Stockton K A
Centre for Children's Burns and Trauma Research, Child Health Research Centre, The University of Queensland, Australia.
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.
Burns. 2016 Feb;42(1):97-103. doi: 10.1016/j.burns.2015.06.019. Epub 2015 Nov 3.
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.
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.
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.
This study has provided information on outcomes for children with partial thickness burns and highlighted a need for further education of this population.
关于儿童浅度烧伤瘢痕转归的研究较少。本研究旨在评估急性接受银敷料治疗的儿童浅度烧伤的瘢痕转归情况。
纳入年龄在0至15岁、急性浅度烧伤且烧伤面积≤10%TBSA的儿童。这些儿童最初是为一项比较三种浅度烧伤敷料的随机对照试验而招募的。在创面重新上皮化后3个月和6个月对儿童进行评估。对烧伤部位拍摄三维照片，完成患者和观察者瘢痕评估量表（POSAS）评分，并使用超声成像测量皮肤厚度。
43名儿童返回进行3个月和6个月的随访或返回了照片。创面重新上皮化的天数是3个月和6个月时皮肤/瘢痕质量的显著预测因素（p<0.01）。在3个月时，患者自评颜色与观察者评定的血管分布和色素沉着的POSAS评分具有可比性（颜色与血管分布0.88，p<0.001；颜色与色素沉着0.64，p<0.001），但在6个月时患者评分高于观察者（颜色与血管分布0.57，p<0.05；颜色与色素沉着0.15，p = 0.60）。烧伤深度与皮肤厚度显著相关（r = 0.51，p<0.01）。在创面重新上皮化≤2周的儿童中，25.8%存在烧伤部位色素减退。
本研究提供了儿童浅度烧伤转归的相关信息，并强调了对这一群体进行进一步教育的必要性。
