Epidemiology and Management for Pediatric Chronic Wounds: A Systematic Review of the Current Literature

IF 1.7 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2025-09-02 DOI:10.1016/j.jss.2025.07.025

Ayesha A. Qureshi MD , Catherine C. Kennedy BHSc , Seraph Han-Yin Lin BM , Alexander Vasko MBA , Gregory D. Pearson MD, FAAP, FACS , Richard E. Kirschner MD, FAAP, FACS , Jenny C. Barker MD, PhD

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引用次数: 0

Abstract

Introduction

Chronic wounds affect approximately 10.5 million individuals annually in the United States. Although recent studies have highlighted a surge in chronic wound cases among younger populations, the collective burden of pediatric chronic wounds remains understudied. This study aims to elucidate the epidemiology and management of pediatric chronic wounds.

Methods

A comprehensive literature search was conducted across Embase, PubMed, and Web of Science databases on articles published after 2000 that specified chronicity of wounds in pediatric patients. The exclusion criteria included case reports, review articles, and proceedings.

Results

Sixteen articles met the inclusion criteria. Pilonidal sinus disease emerged as the most studied chronic wound etiology (38%), followed by dermatological disorders such as epidermolysis bullosa, pyoderma gangrenosum, and cutaneous nontuberculous mycobacterium (25%). Traumatic wounds were covered in three articles (19%), whereas burns, pressure ulcers, and osteomyelitis each represented 13% of the studies. This review revealed an interdisciplinary framework, with pediatric surgery being the most common specialty, alongside dermatology and allied health professionals. Most studies examined epidemiology, assessing demographics, nutrition status, and comorbidities, including diabetes mellitus, obesity, hidradenitis suppurativa, and myelomeningocele. Management strategies frequently discussed surgical procedures and wound dressings, whereas self-management and educational initiatives were described to enhance patient care.

Conclusions

This systematic review synthesizes current evidence on epidemiology and management approaches for pediatric chronic wounds. Addressing this public health concern requires equitable allocation of resources toward research focused on prevention and enhanced treatment strategies.

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儿童慢性伤口的流行病学和管理：当前文献的系统综述

在美国，慢性伤口每年影响大约1050万人。尽管最近的研究强调了年轻人群中慢性伤口病例的激增，但儿科慢性伤口的集体负担仍未得到充分研究。本研究旨在探讨小儿慢性伤口的流行病学及治疗。方法在Embase、PubMed和Web of Science数据库中检索2000年以后发表的关于儿科创伤慢性的文章。排除标准包括病例报告、综述文章和文献记录。结果16篇文章符合纳入标准。毛窦疾病是研究最多的慢性伤口病因（38%），其次是皮肤病，如大疱性表皮松解症、坏疽性脓皮病和皮肤非结核分枝杆菌（25%）。三篇文章涉及创伤性伤口（19%），而烧伤、压疮和骨髓炎各占13%。这篇综述揭示了一个跨学科的框架，儿科外科是最常见的专业，与皮肤科和相关卫生专业人员一起。大多数研究检查了流行病学，评估了人口统计学、营养状况和合并症，包括糖尿病、肥胖、化脓性汗腺炎和脊膜膨出。管理策略经常讨论外科手术和伤口敷料，而自我管理和教育倡议被描述为加强患者护理。结论本系统综述综合了儿童慢性创伤的流行病学和治疗方法的现有证据。要解决这一公共卫生问题，就需要公平地将资源分配给侧重于预防和加强治疗战略的研究。

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

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.