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Integrated Care Planning to Improve Outcomes in Pediatric Laser Treatment of Large Facial and Cervical Birthmarks
Juan Dang1, Xiuzhi Chen1, Chi Zhang1
1Department of Dermatology, Air Force Medical Center, PLA, Beijing, 100142, People's Republic of China.
Insights
Integrated care significantly improved pain management and parental satisfaction for children with facial and cervical birthmarks after laser treatment. This approach also reduced the severity of adverse reactions, enhancing overall care outcomes.
Area of Science:
- Pediatric Dermatology
- Laser Therapy
- Integrated Care Models
Background:
- Children with facial and cervical birthmarks require complex, long-term care post-laser treatment.
- Integrated care models offer a promising framework for managing these multifaceted needs.
Purpose of the Study:
- To evaluate the effectiveness of integrated care for pediatric patients with large facial and cervical birthmarks undergoing laser treatment.
Main Methods:
- A retrospective study compared 153 children (76 integrated care, 77 conventional care).
- Outcomes included pain scores (FPS-R), medication awareness, parental satisfaction, and adverse reactions post-discharge.
Main Results:
- The integrated care group showed significantly lower pain scores (FPS-R) and higher parental satisfaction at 7 days and 3 months.
- While medication awareness was 100% in the integrated group, no significant difference was found between groups.
- Adverse reactions were milder and transient in the integrated care group compared to severe reactions in the control group.
Conclusions:
- Integrated care is effective in reducing pain and improving parental satisfaction for children with birthmarks treated with lasers.
- This approach also mitigates the severity of post-discharge adverse reactions.
- Integrated care enhances treatment outcomes and the overall care experience for affected children and their families.
Purpose:
Children with facial and cervical birthmarks display unique physical and psychological complexities that demand multifaceted, long-term care following laser treatment. Integrated care based on the integrated care models is a promising approach to address these needs. This study aimed to assess the efficacy of integrated care for children with large facial and cervical birthmarks who were undergoing laser treatment.
Patients And Methods:
This retrospective study analyzed clinical data of children who received laser treatment under general anesthesia at our clinic from March 2022 to August 2024. Children were divided into a control group, which received conventional care, and a study group, which received integrated care based on the integrated care models in addition to conventional care. Outcomes compared between the groups included the children's FPS-R and medication awareness rates on the seventh day post-discharge, parental satisfaction at seven days and three months, and the incidence of adverse reactions within three months.
Results:
A total of 153 children were enrolled in the study, with 76 in the study group and 77 in the control group. Under the premise of comparable clinical characteristics, the study group exhibited significantly lower FPS-R (P=0.012) on the seventh day and higher parental satisfaction at both seven days and three months post-discharge (P<0.001) compared to the control group. There was no significant difference in parental medication awareness rates between the groups, despite the study group achieving 100%. No significant differences were observed in the rates of adverse reactions; however, the control group reported severe local or systemic reactions, whereas the study group experienced only transient, mild adverse reactions.
Conclusion:
This study provided the first evidence of the efficacy of integrated care in laser treatment for pediatric facial and cervical birthmarks, particularly in alleviating pain levels and enhancing parental satisfaction. It also mitigated the severity of post-discharge adverse reactions. Integrated care improves treatment outcomes and the care experience for families of these special children, warranting further investigation.
