Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury
The relationship between burn depth, healing time and the development of hypertrophic scarring (HTS) is well recognised by burn surgeons but is seldom mentioned in the published literature. We studied 337 children with scalds whose scars were monitored for up to 5 years. Overall HTS rates were found...
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| Veröffentlicht in: | Burns 2006-12, Vol.32 (8), p.992-999 |
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| creator | Cubison, Tania C.S. Pape, Sarah A. Parkhouse, Nicholas |
| description | The relationship between burn depth, healing time and the development of hypertrophic scarring (HTS) is well recognised by burn surgeons but is seldom mentioned in the published literature. We studied 337 children with scalds whose scars were monitored for up to 5 years. Overall HTS rates were found to be: under 10 days to healing
=
0%, 10–14 days
=
8%, 15–21 days
=
20%, 22–25 days
=
40%, 26–30 days
=
68% and over 30 days
=
92%. In the conservatively treated group the HTS rates are: under 10 days
=
0%, 10–14 days
=
2%, 15–21 days
=
20%, 22–25 days
=
28%, 26–30 days
=
75% and over 30 days
=
94%. If skin grafting is undertaken there is a much higher incidence of HTS in the 10–14 days group: 10–14 days
=
33%, 15–21 days
=
19%, 22–25 days
=
54%, 26–30 days
=
64% and over 30 days
=
88%.
We conclude that there is a low risk of HTS formation in scalds healed before 21 days, and that surgery should be reserved for scalds likely to take more than 21 days to heal. |
| doi_str_mv | 10.1016/j.burns.2006.02.007 |
| format | Article |
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=
0%, 10–14 days
=
8%, 15–21 days
=
20%, 22–25 days
=
40%, 26–30 days
=
68% and over 30 days
=
92%. In the conservatively treated group the HTS rates are: under 10 days
=
0%, 10–14 days
=
2%, 15–21 days
=
20%, 22–25 days
=
28%, 26–30 days
=
75% and over 30 days
=
94%. If skin grafting is undertaken there is a much higher incidence of HTS in the 10–14 days group: 10–14 days
=
33%, 15–21 days
=
19%, 22–25 days
=
54%, 26–30 days
=
64% and over 30 days
=
88%.
We conclude that there is a low risk of HTS formation in scalds healed before 21 days, and that surgery should be reserved for scalds likely to take more than 21 days to heal.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/j.burns.2006.02.007</identifier><identifier>PMID: 16901651</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Burn ; Burns - pathology ; Burns - therapy ; Child ; Child, Preschool ; Cicatrix, Hypertrophic - pathology ; Cicatrix, Hypertrophic - therapy ; Evidence ; Female ; Follow-Up Studies ; Healing time ; Humans ; Hypertrophic scar ; Hypertrophy ; Infant ; Laser Doppler imaging ; Male ; Outcome ; Paediatric ; Prognosis ; Retrospective Studies ; Scald ; Time Factors ; Treatment Outcome ; Wound Healing - physiology</subject><ispartof>Burns, 2006-12, Vol.32 (8), p.992-999</ispartof><rights>2006 Elsevier Ltd and ISBI</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c272t-45dad38895056ae88afd15c719604b1b3f5f0c0845a7f0ca9d65f500d68bfd5b3</citedby><cites>FETCH-LOGICAL-c272t-45dad38895056ae88afd15c719604b1b3f5f0c0845a7f0ca9d65f500d68bfd5b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0305417906000465$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16901651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cubison, Tania C.S.</creatorcontrib><creatorcontrib>Pape, Sarah A.</creatorcontrib><creatorcontrib>Parkhouse, Nicholas</creatorcontrib><title>Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury</title><title>Burns</title><addtitle>Burns</addtitle><description>The relationship between burn depth, healing time and the development of hypertrophic scarring (HTS) is well recognised by burn surgeons but is seldom mentioned in the published literature. We studied 337 children with scalds whose scars were monitored for up to 5 years. Overall HTS rates were found to be: under 10 days to healing
=
0%, 10–14 days
=
8%, 15–21 days
=
20%, 22–25 days
=
40%, 26–30 days
=
68% and over 30 days
=
92%. In the conservatively treated group the HTS rates are: under 10 days
=
0%, 10–14 days
=
2%, 15–21 days
=
20%, 22–25 days
=
28%, 26–30 days
=
75% and over 30 days
=
94%. If skin grafting is undertaken there is a much higher incidence of HTS in the 10–14 days group: 10–14 days
=
33%, 15–21 days
=
19%, 22–25 days
=
54%, 26–30 days
=
64% and over 30 days
=
88%.
We conclude that there is a low risk of HTS formation in scalds healed before 21 days, and that surgery should be reserved for scalds likely to take more than 21 days to heal.</description><subject>Burn</subject><subject>Burns - pathology</subject><subject>Burns - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cicatrix, Hypertrophic - pathology</subject><subject>Cicatrix, Hypertrophic - therapy</subject><subject>Evidence</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Healing time</subject><subject>Humans</subject><subject>Hypertrophic scar</subject><subject>Hypertrophy</subject><subject>Infant</subject><subject>Laser Doppler imaging</subject><subject>Male</subject><subject>Outcome</subject><subject>Paediatric</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Scald</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Wound Healing - physiology</subject><issn>0305-4179</issn><issn>1879-1409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2PFCEQhonRuOPqLzAxnIweui26G5o-eNhsVtdkEw-uZ0JD4TD2l0CPmau_XOYj8SYXIDz1FvUQ8ppByYCJD7uyX8MUywpAlFCVAO0TsmGy7QrWQPeUbKAGXjSs7a7Iixh3kBeX8JxcMdHlBM425M_d3lucDFI3B5q2SAc__aQ9pt-IE92izvcfNPkRqZ7sibC4x2FeRpwSnR3dHhYMKczL1hsajQ6Rvrt__Pae-okuGq3XKeSX02epXZGm-YgNNgO7NRxekmdODxFfXfZr8v3T3ePtffHw9fOX25uHwlRtlYqGW21rKTsOXGiUUjvLuGlZJ6DpWV877sCAbLhu80F3VnDHAayQvbO8r6_J23PuEuZfK8akRh8NDoOecF6jEpJBJZoug_UZNGGOMaBTS_CjDgfFQB3Vq506TaOO6hVUKqvPVW8u8Ws_ov1Xc3GdgY9nAPOQe49BReOP6q0PaJKys_9vg7_JhJe1</recordid><startdate>200612</startdate><enddate>200612</enddate><creator>Cubison, Tania C.S.</creator><creator>Pape, Sarah A.</creator><creator>Parkhouse, Nicholas</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200612</creationdate><title>Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury</title><author>Cubison, Tania C.S. ; Pape, Sarah A. ; Parkhouse, Nicholas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c272t-45dad38895056ae88afd15c719604b1b3f5f0c0845a7f0ca9d65f500d68bfd5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Burn</topic><topic>Burns - pathology</topic><topic>Burns - therapy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cicatrix, Hypertrophic - pathology</topic><topic>Cicatrix, Hypertrophic - therapy</topic><topic>Evidence</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Healing time</topic><topic>Humans</topic><topic>Hypertrophic scar</topic><topic>Hypertrophy</topic><topic>Infant</topic><topic>Laser Doppler imaging</topic><topic>Male</topic><topic>Outcome</topic><topic>Paediatric</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Scald</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Wound Healing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cubison, Tania C.S.</creatorcontrib><creatorcontrib>Pape, Sarah A.</creatorcontrib><creatorcontrib>Parkhouse, Nicholas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cubison, Tania C.S.</au><au>Pape, Sarah A.</au><au>Parkhouse, Nicholas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2006-12</date><risdate>2006</risdate><volume>32</volume><issue>8</issue><spage>992</spage><epage>999</epage><pages>992-999</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><abstract>The relationship between burn depth, healing time and the development of hypertrophic scarring (HTS) is well recognised by burn surgeons but is seldom mentioned in the published literature. We studied 337 children with scalds whose scars were monitored for up to 5 years. Overall HTS rates were found to be: under 10 days to healing
=
0%, 10–14 days
=
8%, 15–21 days
=
20%, 22–25 days
=
40%, 26–30 days
=
68% and over 30 days
=
92%. In the conservatively treated group the HTS rates are: under 10 days
=
0%, 10–14 days
=
2%, 15–21 days
=
20%, 22–25 days
=
28%, 26–30 days
=
75% and over 30 days
=
94%. If skin grafting is undertaken there is a much higher incidence of HTS in the 10–14 days group: 10–14 days
=
33%, 15–21 days
=
19%, 22–25 days
=
54%, 26–30 days
=
64% and over 30 days
=
88%.
We conclude that there is a low risk of HTS formation in scalds healed before 21 days, and that surgery should be reserved for scalds likely to take more than 21 days to heal.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>16901651</pmid><doi>10.1016/j.burns.2006.02.007</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0305-4179 |
| ispartof | Burns, 2006-12, Vol.32 (8), p.992-999 |
| issn | 0305-4179 1879-1409 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68102649 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Burn Burns - pathology Burns - therapy Child Child, Preschool Cicatrix, Hypertrophic - pathology Cicatrix, Hypertrophic - therapy Evidence Female Follow-Up Studies Healing time Humans Hypertrophic scar Hypertrophy Infant Laser Doppler imaging Male Outcome Paediatric Prognosis Retrospective Studies Scald Time Factors Treatment Outcome Wound Healing - physiology |
| title | Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury |
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