Deep and extensive pediatric burns: retrospective evaluation of scheme of patients at the Department of Children’s Developmental Defects Surgery and Traumatology SUM

• Authors: Wojciech Jaworski , Aleksander Jaworski , Jakub Kufel , Andrzej Grabowski , Wojciech Korlacki

Abstracts

EN

Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland.
Aim: The aim of our study was to evaluate our treatment scheme as well as the long-term effects of burn treatment in our department.
Material and methods: We conducted a telephone survey with the parents of patients treated at our ward in 01.01.2016–01.01.2021 due to thermal burns. To assess the cosmetic effect of treatment, the modified Vancouver Scar Scale (mVSS) was used, as well as the evaluation of parents’ satisfaction with the treatment of patients on a scale from 1 to 10. Criteria to be included were the thermal burn of the skin to at least a 2b degree and/or burns with not less than 8% of the Total Body Surface Area (TBSA), as well as answering all the questions included in the questionnaire. The inclusion criteria were met by 38 out of 97 hospitalized patients.
Results: 26.32% of patients achieved 0 points on the mVSS, 21.05% achieved 1 point, 15.79% achieved 2 points, 15.79% achieved 3 points, 2.63% patients received 4 points, 5.26% patients received 5 points, 5.26% patients received 7 points, 2.63% patients received 8 points, 2.63% patients received 9 points, 2.63% of patients received 10 points, none of the patients received 6 and 11 points higher. 3% of parents rated their satisfaction at 5 points, 3% of caretakers as 7 points, 8% as 8 points, 8% as 9 points, and 89% as 10 points.
Discussion: Our treatment algorithm brings good therapeutic effects and is also very well received by the patients' parents. In order to carry out a nationwide standardization of the treatment of childhood burn wounds, it would be necessary to conduct a similarly constructed study in a multicenter setting.

Keywords

EN

pediatric burns; pediatric surgery; scar management; surgical dressing; telephone survey; treatment algorithm

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2022
• Volume: 94
• Issue: 5
• Pages: 31-39

Dates

published

2022

Contributors

author

Wojciech Jaworski

author

Aleksander Jaworski

author

Jakub Kufel

author

Andrzej Grabowski

author

Wojciech Korlacki

Identifiers

DOI

10.5604/01.3001.0015.7679

Biblioteka Nauki

58546526