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Comparison of the Results of Early Excision and Grafting between Children and Adults; A Prospective Comparative Study
Mehdi Ayaz1, Abdolkhalegh Keshavarzi1, Hamid Bahadoran1
1Amiralmomenin Hospital, Burn and wound healing research center, Department of Surgery, Shiraz University of Medical Science, Shiraz, Iran.
Insights
Pediatric and adult patients with deep burns (<40% TBSA) show similar outcomes after early excision and grafting. Both age groups experienced comparable graft take, scar scores, and itching, indicating effective treatment across age demographics.
Area of Science:
- Burn surgery outcomes
- Comparative clinical research
Background:
- Early excision and grafting are standard treatments for deep burns.
- Comparing outcomes between pediatric and adult burn patients is crucial for tailored care.
Purpose of the Study:
- To compare outcomes of early excision and grafting in pediatric versus adult patients with deep burns (<40% TBSA).
Main Methods:
- Prospective comparative study of 106 patients (<40% TBSA burns) undergoing excision and grafting within 14 days.
- Patients divided into pediatric (<14 years) and adult (14-65 years) groups.
- Follow-up assessed graft take, scar score, hospital stay, and itching over 6 months.
Main Results:
- No significant differences observed in graft take, total scar score, or itching score between pediatric and adult groups.
- Pediatric patients had a shorter hospital stay (12.25±9.1 days) compared to adults (16±12.9 days), though not statistically significant (p=0.091).
Conclusions:
- Adults (14-65 years) and pediatric patients (<14 years) with <40% TBSA deep burns achieve similar results after early excision and grafting.
- Outcomes including scar score, graft take, itch score, and hospital stay are comparable between age groups when surgery is performed within two weeks of injury.
Objectives:
To compare the outcomes of early excision and grafting between pediatric and adult patients with deep burns of less than 40% total body surface area burns (TBSA).
Methods:
This is a prospective comparative study. Overall, 106 patients admitted to Ghotbodin Burn Center in Shiraz, Iran from September 2012 to September 2013, were included in the study. All patients had less than 40% TBSA burn and had excision and grafting under 14 days from their injury. Patients were divided into two age groups of younger than 14 (n=49) and older than 14 (14-65) years old (n=57). During a 6-month follow-up period, the two groups were compared regarding mean percentage of graft take, total scar score, duration of hospital stay and itching score.
Results:
During follow-up, the two groups did not show a significant difference in graft take, total scar score and itching score (p=0.461, p=0.363 and p=0.637, respectively). Clinically, the pediatric group showed less hospital stay (12.25±9.1 vs. 16±12.9), however this was not statistically significant (p=0.091).
Conclusion:
Adults and elderly patients (14-65 years old) compared to pediatric patients (less than 14 years old) with less than 40% TBSA burns, can expect similar results regarding scar score, graft take, itch score and hospital stay, after excision and grafting performed less than two weeks from their initial injury.
