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Usability and effectiveness of Suprathel(®) in partial thickness burns in children

PURPOSE: Evaluation of usability and effectiveness of Suprathel(®) in the treatment of partial thickness burns in children. METHODS: A prospective, observational study to evaluate adherence of Suprathel(®) to the wound bed, reepithelialization time, grafting, wound colonization and infection, pain,...

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Autores principales: Rashaan, Z. M., Krijnen, P., Allema, J. H., Vloemans, A. F., Schipper, I. B., Breederveld, R. S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533852/
https://www.ncbi.nlm.nih.gov/pubmed/27432172
http://dx.doi.org/10.1007/s00068-016-0708-z
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author Rashaan, Z. M.
Krijnen, P.
Allema, J. H.
Vloemans, A. F.
Schipper, I. B.
Breederveld, R. S.
author_facet Rashaan, Z. M.
Krijnen, P.
Allema, J. H.
Vloemans, A. F.
Schipper, I. B.
Breederveld, R. S.
author_sort Rashaan, Z. M.
collection PubMed
description PURPOSE: Evaluation of usability and effectiveness of Suprathel(®) in the treatment of partial thickness burns in children. METHODS: A prospective, observational study to evaluate adherence of Suprathel(®) to the wound bed, reepithelialization time, grafting, wound colonization and infection, pain, dressing changes, length of hospital stay (LOS) and scar formation. RESULTS: Twenty-one children (median age 2.4 years, range 5 months–14 years) with a median total body surface area (TBSA) of 4 % (range 1–18) were included. Median LOS was 10 days (range 3–20). Median outer layer dressing changes was 3 (range 1–14). Suprathel(®) was only adherent in wounds debrided with Versajet(®). Median reepithelialization time was 13 days (range 7–29). Three patients needed a split skin graft. There were 7 (33 %) patients with wound colonization before application of Suprathel(®). This increased to 12 (57 %) patients during treatment. One patient developed a wound infection. Median visual analog scale (VAS) scores for background and procedural pain in patients >7 years were 3.2 (range 2–5) and 3.5 (range 2–5), respectively. In younger patients, median background and procedural COMFORT-B scores were 13.8 (range 10–23) and 14.8 (range 13–23, p = 0.03), respectively. Patient and Observer Scar Assessment Scale (POSAS) scores were favorable after 3 and 6 months post burn. CONCLUSIONS: Suprathel(®) provides potential advantages regarding pain and scar formation, but extensive wound debridement is needed to achieve adequate adherence.
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spelling pubmed-55338522017-08-11 Usability and effectiveness of Suprathel(®) in partial thickness burns in children Rashaan, Z. M. Krijnen, P. Allema, J. H. Vloemans, A. F. Schipper, I. B. Breederveld, R. S. Eur J Trauma Emerg Surg Original Article PURPOSE: Evaluation of usability and effectiveness of Suprathel(®) in the treatment of partial thickness burns in children. METHODS: A prospective, observational study to evaluate adherence of Suprathel(®) to the wound bed, reepithelialization time, grafting, wound colonization and infection, pain, dressing changes, length of hospital stay (LOS) and scar formation. RESULTS: Twenty-one children (median age 2.4 years, range 5 months–14 years) with a median total body surface area (TBSA) of 4 % (range 1–18) were included. Median LOS was 10 days (range 3–20). Median outer layer dressing changes was 3 (range 1–14). Suprathel(®) was only adherent in wounds debrided with Versajet(®). Median reepithelialization time was 13 days (range 7–29). Three patients needed a split skin graft. There were 7 (33 %) patients with wound colonization before application of Suprathel(®). This increased to 12 (57 %) patients during treatment. One patient developed a wound infection. Median visual analog scale (VAS) scores for background and procedural pain in patients >7 years were 3.2 (range 2–5) and 3.5 (range 2–5), respectively. In younger patients, median background and procedural COMFORT-B scores were 13.8 (range 10–23) and 14.8 (range 13–23, p = 0.03), respectively. Patient and Observer Scar Assessment Scale (POSAS) scores were favorable after 3 and 6 months post burn. CONCLUSIONS: Suprathel(®) provides potential advantages regarding pain and scar formation, but extensive wound debridement is needed to achieve adequate adherence. Springer Berlin Heidelberg 2016-07-18 2017 /pmc/articles/PMC5533852/ /pubmed/27432172 http://dx.doi.org/10.1007/s00068-016-0708-z Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Rashaan, Z. M.
Krijnen, P.
Allema, J. H.
Vloemans, A. F.
Schipper, I. B.
Breederveld, R. S.
Usability and effectiveness of Suprathel(®) in partial thickness burns in children
title Usability and effectiveness of Suprathel(®) in partial thickness burns in children
title_full Usability and effectiveness of Suprathel(®) in partial thickness burns in children
title_fullStr Usability and effectiveness of Suprathel(®) in partial thickness burns in children
title_full_unstemmed Usability and effectiveness of Suprathel(®) in partial thickness burns in children
title_short Usability and effectiveness of Suprathel(®) in partial thickness burns in children
title_sort usability and effectiveness of suprathel(®) in partial thickness burns in children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533852/
https://www.ncbi.nlm.nih.gov/pubmed/27432172
http://dx.doi.org/10.1007/s00068-016-0708-z
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