Identification of factors predicting scar outcome after burn injury in children: a prospective case-control study Article Swipe
Hilary Wallace
,
Mark W. Fear
,
Margaret M. Crowe
,
Lisa Martin
,
Fiona M. Wood
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1186/s41038-017-0084-x
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1186/s41038-017-0084-x
Background There is a lack of rigorous research investigating the factors that influence scar outcome in children. Improved clinical decision-making to reduce the health burden due to post-burn scarring in children will be guided by evidence on risk factors and risk stratification. This study aimed to examine the association between selected patient, injury and clinical factors and the development of raised scar after burn injury. Novel patient factors were investigated including selected immunological co-morbidities (asthma, eczema and diabetes type 1 and type 2) and skin pigmentation (Fitzpatrick skin type). Methods A prospective case-control study was conducted among 186 children who sustained a burn injury in Western Australia. Logistic regression was used to explore the relationship between explanatory variables and a defined outcome measure: scar height measured by a modified Vancouver Scar Scale (mVSS). Results The overall correct prediction rate of the model was 80.6%; 80.9% for children with raised scars (>1 mm) and 80.4% for children without raised scars (≤1 mm). After adjustment for other variables, each 1% increase in % total body surface area (%TBSA) of burn increased the odds of raised scar by 15.8% (95% CI = 4.4–28.5%). Raised scar was also predicted by time to healing of longer than 14 days (OR = 11.621; 95% CI = 3.727–36.234) and multiple surgical procedures (OR = 11.521; 1.994–66.566). Conclusions Greater burn surface area, time to healing of longer than 14 days, and multiple operations are independently associated with raised scar in children after burn injury. Scar prevention strategies should be targeted to children with these risk factors.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s41038-017-0084-x
- https://academic.oup.com/burnstrauma/article-pdf/doi/10.1186/s41038-017-0084-x/34865226/burns_v5_1_84.pdf
- OA Status
- diamond
- Cited By
- 47
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2621341812
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2621341812Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s41038-017-0084-xDigital Object Identifier
- Title
-
Identification of factors predicting scar outcome after burn injury in children: a prospective case-control studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2017Year of publication
- Publication date
-
2017-06-05Full publication date if available
- Authors
-
Hilary Wallace, Mark W. Fear, Margaret M. Crowe, Lisa Martin, Fiona M. WoodList of authors in order
- Landing page
-
https://doi.org/10.1186/s41038-017-0084-xPublisher landing page
- PDF URL
-
https://academic.oup.com/burnstrauma/article-pdf/doi/10.1186/s41038-017-0084-x/34865226/burns_v5_1_84.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/burnstrauma/article-pdf/doi/10.1186/s41038-017-0084-x/34865226/burns_v5_1_84.pdfDirect OA link when available
- Concepts
-
Medicine, Scars, Burn injury, Prospective cohort study, Logistic regression, Total body surface area, Body surface area, Odds ratio, Surgery, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
47Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3, 2024: 9, 2023: 6, 2022: 8, 2021: 8Per-year citation counts (last 5 years)
- References (count)
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36Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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