The prevalence and predictors of reconstructive surgery in pediatric burn care.

Autor: Cuijpers MD; Association of Dutch Burn Centers, Burn Center, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Location VU University Amsterdam, De Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Movement Sciences (AMS) Institute, Amsterdam UMC, Amsterdam, the Netherlands. Electronic address: mcuijpers@rkz.nl., Meij-de Vries A; Association of Dutch Burn Centers, Burn Center, Red Cross Hospital, Beverwijk, the Netherlands; Department of Surgery, Red Cross Hospital, Beverwijk, the Netherlands; Pediatric Surgical Center, Emma Children's Hospital, Amsterdam UMC, Location University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands., van Zuijlen PPM; Association of Dutch Burn Centers, Burn Center, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Location VU University Amsterdam, De Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Movement Sciences (AMS) Institute, Amsterdam UMC, Amsterdam, the Netherlands; Pediatric Surgical Center, Emma Children's Hospital, Amsterdam UMC, Location University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands; Department of Plastic, Reconstructive, and Hand Surgery, Red Cross Hospital, Beverwijk, the Netherlands., Baartmans MGA; Department of Pediatrics, Maasstad Hospital, Rotterdam, the Netherlands; Association of Dutch Burn Centers, Burn Center, Maasstad Hospital, Rotterdam, the Netherlands., Nieuwenhuis M; Department of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands; Association of Dutch Burn Centers, Burn Center, Martini Hospital, Groningen, the Netherlands; Research group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands., van Baar ME; Association of Dutch Burn Centers, Burn Center, Maasstad Hospital, Rotterdam, the Netherlands; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands., Pijpe A; Association of Dutch Burn Centers, Burn Center, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Location VU University Amsterdam, De Boelelaan 1117, Amsterdam, the Netherlands. Electronic address: apijpe@rkz.nl.
Jazyk: angličtina
Zdroj: Burns : journal of the International Society for Burn Injuries [Burns] 2024 Dec; Vol. 50 (9), pp. 107213. Date of Electronic Publication: 2024 Jul 17.
DOI: 10.1016/j.burns.2024.07.017
Abstrakt: Objective: This study aimed to examine the prevalence and predictors of reconstructive surgery among pediatric burn patients in the Netherlands.
Methods: Pediatric burn patients were identified through the Dutch Burn Repository R3. Eligibility criteria included a burn requiring hospital admission or surgical treatment at one of the Dutch burn centers in 2009-2019. First, patient, burn, and treatment characteristics were summarized using descriptive statistics. Second, time to the first reconstructive surgery was modelled using Kaplan Meier curves. Third, a prediction model was developed using univariate and multivariate logistic regression. The model's performance was assessed using calibration, discrimination, and explained variance. Fourth, internal validation was performed using bootstrapping.
Results: Approximately three percent (n = 84) of pediatric patients (n = 3072) required reconstructive surgery between the initial burn-related hospital admission and September 2021. Median time to the first reconstructive surgery was 1.2 (0.7-1.6) years. Most surgeries were performed on the face, arm, neck, hand, or anterior trunk, owing to contractures or hypertrophic scarring. Predictors of reconstruction included the etiology, anatomical site, extent of full-thickness burn, surgical treatment in the acute phase, and length of hospital stay.
Conclusion: Our study provided an overview of the prevalence and independent predictors of reconstructive surgery in the pediatric burn population.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have influenced the work reported in this paper.
(Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: