Identification of factors predicting scar outcome after burn in adults: A prospective case-control study.

Burns 2017 Sep 15;43(6):1271-1283. Epub 2017 Apr 15.

Burn Injury Research Unit, Faculty of Health and Medial Sciences, University of Western Australia, Perth, Western Australia, Australia; Burns Service of Western Australia, Fiona Stanley Hospital, Perth, Western Australia, Australia. Electronic address:

This study examined influences on scarring after burn in a prospective study using a defined outcome measure: scar height measured by a modified Vancouver Scar Scale (mVSS). A prospective case-control study was conducted among 616 adult subjects who sustained a burn in Western Australia. Patient factors influencing scar outcome including gender, Fitzpatrick skin type and selected co-morbidities were explored, as well as injury and clinical factors. A logistic regression model for raised scar after burn was developed which achieved an overall correct prediction rate of 81.1%; 74.8% for those with raised scar and 86.0% for those without raised scar. From this study, injury and clinical predictors for raised scar after adjustment for other variables are: increasing %TBSA, greater burn depth as indicated by level of surgical intervention, wound complications and prolonged hospital stay. Intrinsic patient predictors for raised scar in patients with comparable injuries are: young age (≤30 years), female gender and Fitzpatrick skin types 4-6. The strength of association statistics (odds ratios and 95% confidence intervals) reported will be of practical benefit for clinical decision-making and counselling of patients, and plausible biological explanations for the findings support the validity of the results.

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Source
https://linkinghub.elsevier.com/retrieve/pii/S03054179173018
Publisher Site
http://dx.doi.org/10.1016/j.burns.2017.03.017DOI Listing
September 2017
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