Document Detail


Laser Doppler imaging of paediatric burns: burn wound outcome can be predicted independent of clinical examination.
MedLine Citation:
PMID:  16730128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study sought to assess the validity of independent, blinded reporting of Laser Doppler Imaging (LDI) prediction of burn wound outcome in children. Two experienced paediatric burn consultants were invited to report on LDI scans performed routinely within 3 days of burn. They were provided with the LDI flux image, a low-resolution colour digital photograph of the burnt area and a basic history. Report predictions were correlated with outcome. Reports were compiled on 50 scans performed on 31 patients at a mean of 54h post burn. Of the 100 reports generated, mean correlation with outcome was 97%. If the LDI predicted a deep burn, it was always correct. Non-correlations were due to a number of factors including inadequate scanning of the affected area, excessive movement and residual wound debris. Accurate prediction of burn wound outcome could be made via the standard information generated by LDI and appeared more reliable than clinical prediction. The correlation improved with increasing experience with LDI.
Authors:
E R La Hei; A J A Holland; H C O Martin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Validation Studies     Date:  2006-05-24
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  32     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-06-26     Completed Date:  2006-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  England    
Other Details:
Languages:  eng     Pagination:  550-3     Citation Subset:  IM    
Affiliation:
Burns Unit, The Children's Hospital at Westmead, The University of Sydney, Westmead, New South Wales, NSW 2145, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Burns / diagnosis*
Child
Child, Preschool
Female
Humans
Infant
Laser-Doppler Flowmetry / standards*
Male
Observer Variation
Physical Examination
Prognosis
Sensitivity and Specificity
Skin / blood supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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