| The impact of laser Doppler imaging on time to grafting decisions in pediatric burns. | |
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MedLine Citation:
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PMID: 20182369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Early definitive treatment of burns facilitates optimal results by reducing the risk of subsequent hypertrophic scarring. Laser Doppler imaging (LDI) has been shown to assist in predicting burn wound healing potential. This study sought to determine whether use of LDI in pediatric burn patients has led to earlier decision making for grafting. The study cohort were patients who underwent a skin grafting procedure for a burn wound at a single institution, a state referral center for all major pediatric burns, between June 2006 and December 2007. Patients were divided into two groups: those who underwent LDI scanning and those who were only assessed clinically. Time of burn injury to time of decision making for the grafting procedure was calculated in days. Forty-nine percent of 196 patients underwent LDI. The mean time from the date of injury to decision making for graft procedure was 8.9 days in those patients who had an LDI scan vs 11.6 days in the group assessed by clinical observation alone. This trend for earlier decision for grafting procedure in the LDI group was statistically significant (P = .01). There was no significant difference between those patients who were scanned and those only assessed clinically in relation to gender, age, mechanism of injury, percentage BSA burnt, and wound culture results. There was a significant reduction in time to grafting decision in the LDI group. This would potentially lead to reduced length of stay, reduced number of hospital visits, and streamlined care for the patient and their family. |
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Authors:
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Lawrence H C Kim; Diane Ward; Lawrence Lam; Andrew J A Holland |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of burn care & research : official publication of the American Burn Association Volume: 31 ISSN: 1559-0488 ISO Abbreviation: J Burn Care Res Publication Date: 2010 Mar-Apr |
Date Detail:
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Created Date: 2010-03-02 Completed Date: 2010-06-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101262774 Medline TA: J Burn Care Res Country: United States |
Other Details:
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Languages: eng Pagination: 328-32 Citation Subset: IM |
Affiliation:
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Children's Hospital Burns Research Institute and Burns Unit, Department of Surgery, New South Wales, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Burns / pathology, surgery Chi-Square Distribution Child Cicatrix, Hypertrophic / prevention & control* Decision Making Female Humans Laser-Doppler Flowmetry* Male Prospective Studies Skin Transplantation* Time Factors Wound Healing / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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