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Pruritus in the Pediatric Burn Population
Jennifer Zuccaro1, Diandra Budd1, Charis Kelly1
1Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Summary
Postburn pruritus affects 37.3% of pediatric burn patients. Larger burn size, older age, fire-related injuries, and deeper burns predict its occurrence, guiding targeted treatments.
Area of Science:
- Pediatric Burn Care
- Dermatology
- Quality of Life Research
Background:
- Postburn pruritus significantly impacts patient quality of life.
- Research on pediatric postburn pruritus is limited, creating a knowledge gap.
Purpose of the Study:
- To determine the incidence of pruritus in pediatric burn patients.
- To identify predictive factors for postburn pruritus in children.
- To document commonly used treatments, including laser therapy.
Main Methods:
- Retrospective analysis of pediatric burn patients (2009-2017).
- Inclusion criteria: patients treated at a pediatric burn center.
- Outcome measure: presence or absence of pruritus post-burn.
Main Results:
- 1,783 patients analyzed; 37.3% experienced pruritus.
- Predictors identified: Total Body Surface Area (TBSA) burned, age >5 years, fire/flame burns, and burn depth.
- Treatments included antihistamines, gabapentin, massage, pressure garments, and laser therapy.
Conclusions:
- This study provides crucial data on pediatric postburn pruritus incidence and predictors.
- Findings aid in identifying at-risk children for early intervention.
- Contributes to understanding and managing pruritus in pediatric burn survivors.
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