Pediatric Treadmill Friction Burns to the Hand: Outcomes of an Initial Nonoperative Approach.

Autor:	Batra N; Division of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia., Zheng Y; Division of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia., Alberto EC; Division of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia., Ahmed OZ; Division of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia., Cheng M; Division of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia., Shupp JW; Burn Center, MedStar Washington Hospital Center, Department of Surgery, Georgetown University School of Medicine, District of Columbia., Burd RS; Division of Trauma and Burn Surgery, Children's National Hospital, Washington, District of Columbia.
Jazyk:	angličtina
Zdroj:	Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2021 May 07; Vol. 42 (3), pp. 434-438.
DOI:	10.1093/jbcr/iraa178
Abstrakt:	Treadmill burns that occur from friction mechanism are a common cause of hand burns in children. These burns are deeper and more likely to require surgical intervention compared to hand burns from other mechanisms. The purpose of this study was to identify the factors associated with healing time using an initial nonoperative approach. A retrospective chart review was performed examining children (<15 years) who were treated for treadmill burns to the hand between 2012 and 2019. Patient age, burn depth, total body surface area of the hand injury, and time to healing were recorded. Topical wound management strategies (silver sheet, silver cream, non-silver sheet, and non-silver cream) and associated treatment durations were determined. For patients with burns to bilateral hands, the features, treatment, and outcomes of each hand were assessed separately. Cox regression analysis was used to evaluate the association between time to healing and patient characteristics and treatment type. Seventy-seven patients with 86 hand burns (median age 3 years, range 1-11) had a median total body surface area per hand burn of 0.8% (range 0.1-1.5%). Full-thickness burns (n = 47, 54.7%) were associated with longer time to healing compared to partial-thickness burns (HR 0.28, CI 0.15-0.54, P < .001). Silver sheet treatment was also associated with more rapid time to healing compared to treatment with a silver cream (HR 2.64, CI 1.01-6.89, P = .047). Most pediatric treadmill burns can be managed successfully with a nonoperative approach. More research is needed to confirm the superiority of treatment with silver sheets compared to treatment with silver creams. (© The Author(s) 2020. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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