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Article: Ultrasound assessment of scald scars in Asian children receiving pressure garment therapy

TitleUltrasound assessment of scald scars in Asian children receiving pressure garment therapy
Authors
Issue Date2001
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal of Pediatric Surgery, 2001, v. 36 n. 3, p. 466-469 How to Cite?
AbstractBackground/Purpose: Scar Formation After Scald Injury In Children Is Managed Commonly By Application Of Pressure Garment. The Duration Of The Treatment Depends On Clinical Assessment. The Objective Of The Study Was To Evaluate The Efficacy Of The Pressure Garment Therapy And To Correlate The Clinical Assessment Scar Thickness With Ultrasound Measurement. Methods: Prospective Study Of Children With Hypertrophic Scars Receiving Pressure Garment Therapy Was Carried Out Between 1993 And 1998. The Scars Were Mapped With Paper Cutting. Representative Scar Sites Were Scored Clinically According To Vancouver General Hospital Burn Assessment Scale (Pigmentation, Vascularity, Pliability, Height, Pain, Itchiness). Blind To The Clinical Results, 2 Radiologists Measured The Scar Thickness Of The Same Sites With Ultrasonography (5 To 10 Mhz Transducer, General Electric Logiq 500). The Correlation Between The Clinical Scores And Ultrasound Measurement Of Scar Thickness Were Analysed Using Analysis Of Variance (Anova). Results: The Median Age Of 58 Children With Scald Injury (M:F = 36:22) Was 2.8 Years (0.5 To 15.8 Years). The Mean Percentage Of Scald Was 8.8% (24% Had Scald Area >10%). In Addition, There Were 5 Children With Burn From Naked Flame And 9 Children With Keloid Secondary To Surgical Incisions. With Pressure Garment Therapy, The Scar Thickness Reached A Plateau 1 1/2 Years After The Injury And Began To Decline Gradually Thereafter. The Clinical Estimation Of Scar Thickness Correlated Well With The Ultrasound Measurement (Anova, P = .003, Adjusted R Square = 0,99). The Accuracy Rate Of Clinical Thickness Estimation Was 67%. Overestimation And Underestimation Accounted For 15% And 18%, Respectively. There Also Was Good Correlation Between Total Clinical Score And The Ultrasound Measurement (Anova, P < .001). Conclusions: In Children With Scald Injury, The Pressure Garment Needs To Be Continued For A Minimum Of 1 Year. Ultrasound Measurement Correlates Well With Overall Score Of The Vancouver General Hospital Burn Assessment Scale But Not Individual Components Of The Scoring System Except Wound Height. Copyright © 2001 By W.B. Saunders Company.
Persistent Identifierhttp://hdl.handle.net/10722/83818
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheng, Wen_HK
dc.contributor.authorSaing, Hen_HK
dc.contributor.authorZhou, Hen_HK
dc.contributor.authorHan, Yen_HK
dc.contributor.authorPeh, Wen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:45:35Z-
dc.date.available2010-09-06T08:45:35Z-
dc.date.issued2001en_HK
dc.identifier.citationJournal of Pediatric Surgery, 2001, v. 36 n. 3, p. 466-469en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83818-
dc.description.abstractBackground/Purpose: Scar Formation After Scald Injury In Children Is Managed Commonly By Application Of Pressure Garment. The Duration Of The Treatment Depends On Clinical Assessment. The Objective Of The Study Was To Evaluate The Efficacy Of The Pressure Garment Therapy And To Correlate The Clinical Assessment Scar Thickness With Ultrasound Measurement. Methods: Prospective Study Of Children With Hypertrophic Scars Receiving Pressure Garment Therapy Was Carried Out Between 1993 And 1998. The Scars Were Mapped With Paper Cutting. Representative Scar Sites Were Scored Clinically According To Vancouver General Hospital Burn Assessment Scale (Pigmentation, Vascularity, Pliability, Height, Pain, Itchiness). Blind To The Clinical Results, 2 Radiologists Measured The Scar Thickness Of The Same Sites With Ultrasonography (5 To 10 Mhz Transducer, General Electric Logiq 500). The Correlation Between The Clinical Scores And Ultrasound Measurement Of Scar Thickness Were Analysed Using Analysis Of Variance (Anova). Results: The Median Age Of 58 Children With Scald Injury (M:F = 36:22) Was 2.8 Years (0.5 To 15.8 Years). The Mean Percentage Of Scald Was 8.8% (24% Had Scald Area >10%). In Addition, There Were 5 Children With Burn From Naked Flame And 9 Children With Keloid Secondary To Surgical Incisions. With Pressure Garment Therapy, The Scar Thickness Reached A Plateau 1 1/2 Years After The Injury And Began To Decline Gradually Thereafter. The Clinical Estimation Of Scar Thickness Correlated Well With The Ultrasound Measurement (Anova, P = .003, Adjusted R Square = 0,99). The Accuracy Rate Of Clinical Thickness Estimation Was 67%. Overestimation And Underestimation Accounted For 15% And 18%, Respectively. There Also Was Good Correlation Between Total Clinical Score And The Ultrasound Measurement (Anova, P < .001). Conclusions: In Children With Scald Injury, The Pressure Garment Needs To Be Continued For A Minimum Of 1 Year. Ultrasound Measurement Correlates Well With Overall Score Of The Vancouver General Hospital Burn Assessment Scale But Not Individual Components Of The Scoring System Except Wound Height. Copyright © 2001 By W.B. Saunders Company.en_US
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.titleUltrasound assessment of scald scars in Asian children receiving pressure garment therapyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=36&issue=3&spage=466&epage=469&date=2001&atitle=Ultrasound+assessment+of+scald+scars+in+Asian+children+receiving+pressure+garment+therapyen_HK
dc.identifier.emailSaing, H: saing@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1053/jpsu.2001.21613en_US
dc.identifier.pmid11226998-
dc.identifier.scopuseid_2-s2.0-0035120815en_US
dc.identifier.hkuros61215en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0035120815&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume36en_US
dc.identifier.issue3en_US
dc.identifier.spage466en_US
dc.identifier.epage469en_US
dc.identifier.isiWOS:000167254100015-

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