The prevalence and predictors of reconstructive surgery in pediatric burn care

IF 3.2 3区医学 Q2 CRITICAL CARE MEDICINE

Burns Pub Date : 2024-07-17 DOI:10.1016/j.burns.2024.07.017

M.D. Cuijpers, A. Meij - de Vries, P.P.M. van Zuijlen, M.G.A. Baartmans, M. Nieuwenhuis, M.E. van Baar, A. Pijpe, Dutch Burn Repository Group

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引用次数: 0

Abstract

This study aimed to examine the prevalence and predictors of reconstructive surgery among pediatric burn patients in the Netherlands. 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. 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. Our study provided an overview of the prevalence and independent predictors of reconstructive surgery in the pediatric burn population.

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小儿烧伤护理中整形手术的流行率和预测因素

这项研究旨在调查荷兰小儿烧伤患者接受整形手术的比例和预测因素。小儿烧伤患者是通过荷兰烧伤资料库 R3 确定的。资格标准包括 2009-2019 年期间需要在荷兰烧伤中心住院或接受手术治疗的烧伤患者。首先，通过描述性统计总结了患者、烧伤和治疗特征。其次，使用卡普兰-梅尔曲线对首次重建手术的时间进行建模。第三，利用单变量和多变量逻辑回归建立了一个预测模型。模型的性能通过校准、区分度和解释方差进行评估。第四，使用引导法进行内部验证。在首次因烧伤入院至 2021 年 9 月期间，约有 3% 的儿科患者（n = 84）（n = 3072）需要进行整形手术。首次重建手术的中位时间为 1.2 (0.7-1.6) 年。由于挛缩或增生性瘢痕，大多数手术都在面部、手臂、颈部、手部或躯干前部进行。重建的预测因素包括病因、解剖部位、全厚烧伤程度、急性期的手术治疗和住院时间。我们的研究概述了小儿烧伤人群中重建手术的发生率和独立预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.