Document Detail


Long-term functional sequelae after paediatric burns.
MedLine Citation:
PMID:  9601583     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ninety-one patients with at least 5 per cent (median 10 per cent, maximum 50 per cent) total body surface area (TBSA) burns were clinically re-examined on average 17.3 yr after primary injury. The patients had sustained mostly superficial dermal scalds. The most common long-term functional sequelae were impaired tanning (n = 67; 77.7 per cent), diminished tactile sensibility (n = 50; 56.2 per cent) and increased reddening (n = 14; 15.6 per cent) either in the sun or the Finnish sauna. Five patients (6.3 per cent) had limited joint mobility and one patient experienced constrictive scars on her trunk during pregnancy. Scar appearance was significantly associated with impaired tactile sense (chi 2 = 11.87, DF = 2, p < 0.01; Spearman's R = 0.27, p = 0.03). Surprisingly, better scar appearance showed more disturbed touch sensation. The primary operative treatment (early excision and split skin grafting) was not associated with diminished sense of touch (chi 2 = 1.24, DF = 1, p = 0.27). Neither were scar appearance and poor tanning significantly associated (chi 2 = 1.63, DF = 1, p = 0.4). Only three patients suffered no functional detriments. In this series the harmful functional consequences were generally slight. The aetiological background (scalds) and the relatively small, superficially burned skin area probably explains the good late outcome. However, since nearly every burn-injured child will have some signs of the injury in adulthood, children present a constant challenge in the effort for better burn care and prevention.
Authors:
R E Zeitlin; J Järnberg; E J Somppi; B Sundell
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  24     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-07-20     Completed Date:  1998-07-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  3-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Tampere University Hospital, Finland.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Injuries / complications,  pathology
Adult
Body Surface Area
Burns / complications*,  pathology,  prevention & control,  surgery
Chi-Square Distribution
Child
Cicatrix / etiology,  surgery
Contracture / etiology
Female
Follow-Up Studies
Humans
Infant
Joint Diseases / etiology
Longitudinal Studies
Male
Pregnancy
Pregnancy Complications
Sensation Disorders / etiology
Skin Diseases / etiology*
Skin Pigmentation
Skin Transplantation
Touch / physiology
Treatment Outcome

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


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