TY - JOUR
T1 - Scar quality in children with burns 5–7 years after injury
T2 - A cross-sectional multicentre study
AU - Burden of Burn Injuries Study Group
AU - Spronk, Inge
AU - Stortelers, Anniek
AU - van der Vlies, Cornelis H.
AU - van Zuijlen, Paul P.M.
AU - Pijpe, Anouk
AU - Polinder, Suzanne
AU - Nieuwenhuis, Marianne K.
AU - Middelkoop, Esther
AU - van Baar, Margriet E.
AU - Haagsma, Juanita A.
N1 - Funding Information: Members of the Burden of Burn Injuries Study Group include: Suzanne Polinder, Marianne K. Nieuwenhuis, Esther Middelkoop, Margriet E. van Baar, Juanita A. Haagsma. We also thank all participants for their collaboration and the Burden of Disease group (MM Stoop, AA Boekelaar, N Trommel, J Hiddingh, J Meijer and M Akkerman) and the Dutch Burn Repository group (A Boekelaar, A Pijpe, D Roodbergen, MM Stoop, PPM van Zuijlen, J Dokter, A van Es, CH van der Vlies, GIJM Beerthuizen, J Eshuis, J Hiddingh, SMHJ Scholten-Jaegers, ME van Baar, TM Haanstra, E Middelkoop, MK Nieuwenhuis, A Novin) for their cooperation, data collection and support. We thank the Dutch Burns Foundation Beverwijk (grant number: 19.106) for funding this research and Red Cross Hospital Beverwijk, Martini Hospital Groningen, and Maasstad Hospital Rotterdam for their support. Funding Information: Members of the Burden of Burn Injuries Study Group include: Suzanne Polinder, Marianne K. Nieuwenhuis, Esther Middelkoop, Margriet E. van Baar, Juanita A. Haagsma. We also thank all participants for their collaboration and the Burden of Disease group (MM Stoop, AA Boekelaar, N Trommel, J Hiddingh, J Meijer and M Akkerman) and the Dutch Burn Repository group (A Boekelaar, A Pijpe, D Roodbergen, MM Stoop, PPM van Zuijlen, J Dokter, A van Es, CH van der Vlies, GIJM Beerthuizen, J Eshuis, J Hiddingh, SMHJ Scholten‐Jaegers, ME van Baar, TM Haanstra, E Middelkoop, MK Nieuwenhuis, A Novin) for their cooperation, data collection and support. We thank the Dutch Burns Foundation Beverwijk (grant number: 19.106) for funding this research and Red Cross Hospital Beverwijk, Martini Hospital Groningen, and Maasstad Hospital Rotterdam for their support. Publisher Copyright: © 2021 The Authors. Wound Repair and Regeneration published by Wiley Periodicals LLC on behalf of The Wound Healing Society.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - Long-term scar formation is an important adverse consequence in children with burns, however, information regarding scar quality in the long-term is lacking. Therefore, we evaluated scar quality and its predictors in children with burns 5–7 years after injury. Parents of children with mild/intermediate burns (≤10% total body surface area burned), and of children with severe burns (>10% burned) completed the patient scale of the Patient and Observer Scar Assessment Scale (POSAS 2.0) for their children's—in their opinion—worst scar 5–7 years post-burn. Outcomes and predictive factors of scar quality were studied, and, for children with severe burns, POSAS parent scores were compared with observer scores. We included 103 children with mild/intermediate burns and 28 with severe burns (response rate: 51%). Most children (87%) had scars that differed from normal skin, with most differences reported for colour, and least for pain. Except for colour, children with severe burns had significantly higher scores (difference 0–2 points) on all scar characteristics (representing poorer scar quality) compared with children with mild/intermediate burns. Parent POSAS scores were on average 2.0–2.6 points higher compared to observer scores. Number of surgeries predicted both the mean POSAS and the mean overall opinion of a scar. In conclusion, 5–7 years post-burn, the scar of the majority of children differed from normal skin, especially on the characteristic colour. The uncovered insights are useful in counselling of children and their parents on expectations of the final outcome of their (children's) scar(s), and help in further targeting scar prevention strategies for the individual child.
AB - Long-term scar formation is an important adverse consequence in children with burns, however, information regarding scar quality in the long-term is lacking. Therefore, we evaluated scar quality and its predictors in children with burns 5–7 years after injury. Parents of children with mild/intermediate burns (≤10% total body surface area burned), and of children with severe burns (>10% burned) completed the patient scale of the Patient and Observer Scar Assessment Scale (POSAS 2.0) for their children's—in their opinion—worst scar 5–7 years post-burn. Outcomes and predictive factors of scar quality were studied, and, for children with severe burns, POSAS parent scores were compared with observer scores. We included 103 children with mild/intermediate burns and 28 with severe burns (response rate: 51%). Most children (87%) had scars that differed from normal skin, with most differences reported for colour, and least for pain. Except for colour, children with severe burns had significantly higher scores (difference 0–2 points) on all scar characteristics (representing poorer scar quality) compared with children with mild/intermediate burns. Parent POSAS scores were on average 2.0–2.6 points higher compared to observer scores. Number of surgeries predicted both the mean POSAS and the mean overall opinion of a scar. In conclusion, 5–7 years post-burn, the scar of the majority of children differed from normal skin, especially on the characteristic colour. The uncovered insights are useful in counselling of children and their parents on expectations of the final outcome of their (children's) scar(s), and help in further targeting scar prevention strategies for the individual child.
KW - burn injuries
KW - children
KW - long-term outcomes
KW - scar quality
UR - http://www.scopus.com/inward/record.url?scp=85115229410&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/wrr.12953
DO - https://doi.org/10.1111/wrr.12953
M3 - Article
C2 - 34133037
SN - 1067-1927
VL - 29
SP - 951
EP - 960
JO - Wound repair and regeneration
JF - Wound repair and regeneration
IS - 6
ER -