ArticleBurns & trauma2017
Identification of factors predicting scar outcome after burn injury in children: a prospective case-control study.
Article in Burns & trauma, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Use of Acellular Fish Skin Grafts in Burn Wound Management-A Systematic Review.Medicina (Kaunas, Lithuania) · 2022Pooled it
- Cost-effectiveness of scar management post-burn: a trial-based economic evaluation of three intervention models.Scientific reports · 2022Trial
- Cost-effectiveness of adjunctive negative pressure wound therapy in paediatric burn care: evidence from the SONATA in C randomised controlled trial.Scientific reports · 2021Trial
- Randomized clinical trial of negative pressure wound therapy as an adjunctive treatment for small-area thermal burns in children.The British journal of surgery · 2020Trial
- Rehabilitation Outcomes of Pediatric Burn Survivors in Saudi ArabiaSaudi medical journal · 2026Review
- Scar Quality After Burns in Relation to Skin Type, Classified by Device-Based Colour Measurement, as an Alternative for the Fitzpatrick Questionnaire.International wound journal · 2025Article
- Chronic Malnutrition Increases the Risk of Nosocomial Infections in Pediatric Burn Patients: A Retrospective Cohort from the National Institute of Child Health.Annals of burns and fire disasters · 2025Article
- Evidence Supporting Conservative Scar Management Interventions Following Burn Injury: A Review Article.Journal of burn care & research : official publication of the American Burn Association · 2025Review
- Evaluating scar outcomes in pediatric burn patients following skin grafting.Scientific reports · 2025Article
- What Outcomes Matter Most to Paediatric Burn Patients and Their Caregivers: A Comparison of Short-Term and Long-Term Priorities.European burn journal · 2024Article
- Scar outcomes for conservatively managed children post burn injury: A retrospective study.International wound journal · 2024Article
- Unremitting pro-inflammatory T-cell phenotypes, and macrophage activity, following paediatric burn injury.Clinical & translational immunology · 2024Article
- Implementation of negative pressure for acute pediatric burns (INPREP): A stepped-wedge cluster randomized controlled trial protocol.PloS one · 2024Article
- Article
- Children's post-burn scars in Mongolia.International wound journal · 2023Article
- Article
- Scar quality in children with burns 5-7 years after injury: A cross-sectional multicentre study.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2021Article
- Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries.Archives of plastic surgery · 2021Article
- Longitudinal monitoring and prediction of long-term outcome of scar stiffness on pediatric patients.Burns & trauma · 2021Article
- Hypertrophic Scarring: Current Knowledge of Predisposing Factors, Cellular and Molecular Mechanisms.Journal of burn care & research : official publication of the American Burn Association · 2020Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a lack of rigorous research investigating the factors that influence scar outcome in children. Improved clinical decision-making to reduce the health burden due to post-burn scarring in children will be guided by evidence on risk factors and risk stratification. This study aimed to examine the association between selected patient, injury and clinical factors and the development of raised scar after burn injury. Novel patient factors were investigated including selected immunological co-morbidities (asthma, eczema and diabetes type 1 and type 2) and skin pigmentation (Fitzpatrick skin type).
methodsA prospective case-control study was conducted among 186 children who sustained a burn injury in Western Australia. Logistic regression was used to explore the relationship between explanatory variables and a defined outcome measure: scar height measured by a modified Vancouver Scar Scale (mVSS).
resultsThe overall correct prediction rate of the model was 80.6%; 80.9% for children with raised scars (>1 mm) and 80.4% for children without raised scars (≤1 mm). After adjustment for other variables, each 1% increase in % total body surface area (%TBSA) of burn increased the odds of raised scar by 15.8% (95% CI = 4.4-28.5%). Raised scar was also predicted by time to healing of longer than 14 days (OR = 11.621; 95% CI = 3.727-36.234) and multiple surgical procedures (OR = 11.521; 1.994-66.566).
conclusionsGreater burn surface area, time to healing of longer than 14 days, and multiple operations are independently associated with raised scar in children after burn injury. Scar prevention strategies should be targeted to children with these risk factors.
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