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Long-term functional sequelae after paediatric burns

R E Zeitlin1, J Järnberg, E J Somppi

  • 1Department of Surgery, Tampere University Hospital, Finland.

Burns : Journal of the International Society for Burn Injuries
|May 28, 1998
PubMed
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Long-term follow-up of burn survivors shows most experience mild functional impairments, like reduced tanning and tactile sensitivity. Early intervention for superficial burns generally leads to good outcomes, though vigilance in pediatric burn care is crucial.

Area of Science:

  • Burn scar research
  • Dermatology
  • Rehabilitation medicine

Background:

  • Long-term functional sequelae after burn injuries can impact quality of life.
  • Understanding the late effects of burn injuries is essential for improving patient care and outcomes.

Purpose of the Study:

  • To clinically re-examine patients with significant burn injuries years after the initial trauma.
  • To identify and quantify the long-term functional consequences of burn injuries, particularly superficial scalds.
  • To investigate associations between scar appearance, treatment, and functional deficits.

Main Methods:

  • Clinical re-examination of 91 patients with at least 5% total body surface area (TBSA) burns, an average of 17.3 years post-injury.
  • Assessment of functional sequelae including impaired tanning, diminished tactile sensibility, joint mobility, and scar appearance.

Related Experiment Videos

  • Statistical analysis to determine associations between scar appearance, operative treatment, and functional outcomes.

    • Main Results:

    • Most patients (77.7%) experienced impaired tanning, and 56.2% had diminished tactile sensibility.
    • Scar appearance was significantly associated with impaired tactile sense, with better scar appearance correlating with more disturbed sensation.
    • Early excision and split skin grafting were not associated with diminished touch sensation; scar appearance and poor tanning were not significantly linked.

    Conclusions:

    • Superficial scalds and smaller burn areas generally result in slight long-term functional consequences.
    • Despite generally good outcomes, nearly all burn survivors exhibit some adult signs of childhood injury, highlighting the need for improved burn care and prevention.
    • The findings underscore the importance of continued research into long-term burn sequelae and pediatric burn management.