烧伤愈合时间的延长与温哥华疤痕量表评分的提高有关。

Scars, burns & healing Pub Date : 2017-03-14 eCollection Date: 2017-01-01 DOI:10.1177/2059513117696324
Vidya Finlay, Sally Burrows, Maddison Burmaz, Hussna Yawary, Johanna Lee, Dale W Edgar, Fiona M Wood
{"title":"烧伤愈合时间的延长与温哥华疤痕量表评分的提高有关。","authors":"Vidya Finlay, Sally Burrows, Maddison Burmaz, Hussna Yawary, Johanna Lee, Dale W Edgar, Fiona M Wood","doi":"10.1177/2059513117696324","DOIUrl":null,"url":null,"abstract":"<p><p>Increased burn wound healing time has been shown to influence abnormal scarring. This study hypothesised that scar severity increases commensurate to the increase in time to healing (TTH) of the wound. Wound healing and scar data from burn patients treated by the Burn Service of Western Australia at Royal Perth Hospital were examined. The relationship between TTH and scar severity, as assessed by the modified Vancouver Scar Scale (mVSS), was modelled using regression analysis. Interaction terms evaluated the effect of surgery and total body surface area - burn (TBSA) on the main relationship. Maximum likelihood estimation was used to account for potential bias from missing independent variable data. The sample had a median age of 34 years, TTH of 24 days, TBSA of 3% and length of stay of five days, 70% were men and 71% had burn surgery. For each additional day of TTH, the mVSS score increased by 0.11 points (<i>P</i> ≤ 0.001) per day in the first 21 days and 0.02 points per day thereafter (<i>P</i> = 0.004). The relationship remained stable in spite of TBSA or surgical intervention. Investigation of the effect of missing data revealed the primary model underestimated the strength of the association. An increase in TTH within 21 days of injury is associated with an increase in mVSS or reduced scar quality. The results confirm that efforts should be directed toward healing burn wounds as early as possible.</p>","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2017-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/2f/10.1177_2059513117696324.PMC5965328.pdf","citationCount":"0","resultStr":"{\"title\":\"Increased burn healing time is associated with higher Vancouver Scar Scale score.\",\"authors\":\"Vidya Finlay, Sally Burrows, Maddison Burmaz, Hussna Yawary, Johanna Lee, Dale W Edgar, Fiona M Wood\",\"doi\":\"10.1177/2059513117696324\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Increased burn wound healing time has been shown to influence abnormal scarring. This study hypothesised that scar severity increases commensurate to the increase in time to healing (TTH) of the wound. Wound healing and scar data from burn patients treated by the Burn Service of Western Australia at Royal Perth Hospital were examined. The relationship between TTH and scar severity, as assessed by the modified Vancouver Scar Scale (mVSS), was modelled using regression analysis. Interaction terms evaluated the effect of surgery and total body surface area - burn (TBSA) on the main relationship. Maximum likelihood estimation was used to account for potential bias from missing independent variable data. The sample had a median age of 34 years, TTH of 24 days, TBSA of 3% and length of stay of five days, 70% were men and 71% had burn surgery. For each additional day of TTH, the mVSS score increased by 0.11 points (<i>P</i> ≤ 0.001) per day in the first 21 days and 0.02 points per day thereafter (<i>P</i> = 0.004). The relationship remained stable in spite of TBSA or surgical intervention. Investigation of the effect of missing data revealed the primary model underestimated the strength of the association. An increase in TTH within 21 days of injury is associated with an increase in mVSS or reduced scar quality. The results confirm that efforts should be directed toward healing burn wounds as early as possible.</p>\",\"PeriodicalId\":21495,\"journal\":{\"name\":\"Scars, burns & healing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-03-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/2f/10.1177_2059513117696324.PMC5965328.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scars, burns & healing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/2059513117696324\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2017/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scars, burns & healing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/2059513117696324","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2017/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

烧伤创面愈合时间的延长已被证明会影响异常瘢痕的形成。本研究假设疤痕的严重程度会随着伤口愈合时间(TTH)的延长而增加。研究人员对西澳大利亚皇家珀斯医院烧伤科治疗的烧伤患者的伤口愈合和疤痕数据进行了检查。采用回归分析法建立了 TTH 与疤痕严重程度(以改良温哥华疤痕量表 (mVSS) 评估)之间的关系模型。交互项评估了手术和烧伤总体表面积(TBSA)对主要关系的影响。最大似然估计法用于考虑自变量数据缺失可能造成的偏差。样本的中位年龄为 34 岁,TTH 为 24 天,TBSA 为 3%,住院时间为 5 天,70% 为男性,71% 接受过烧伤手术。在最初的 21 天内,TTH 每增加一天,mVSS 评分每天增加 0.11 分(P ≤ 0.001),之后每天增加 0.02 分(P = 0.004)。尽管存在 TBSA 或手术干预,这种关系仍然保持稳定。对缺失数据影响的调查显示,主要模型低估了关联的强度。受伤后 21 天内 TTH 的增加与 mVSS 的增加或疤痕质量的降低有关。研究结果证实,应尽早治愈烧伤创面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Increased burn healing time is associated with higher Vancouver Scar Scale score.

Increased burn healing time is associated with higher Vancouver Scar Scale score.

Increased burn healing time is associated with higher Vancouver Scar Scale score.

Increased burn healing time is associated with higher Vancouver Scar Scale score.

Increased burn wound healing time has been shown to influence abnormal scarring. This study hypothesised that scar severity increases commensurate to the increase in time to healing (TTH) of the wound. Wound healing and scar data from burn patients treated by the Burn Service of Western Australia at Royal Perth Hospital were examined. The relationship between TTH and scar severity, as assessed by the modified Vancouver Scar Scale (mVSS), was modelled using regression analysis. Interaction terms evaluated the effect of surgery and total body surface area - burn (TBSA) on the main relationship. Maximum likelihood estimation was used to account for potential bias from missing independent variable data. The sample had a median age of 34 years, TTH of 24 days, TBSA of 3% and length of stay of five days, 70% were men and 71% had burn surgery. For each additional day of TTH, the mVSS score increased by 0.11 points (P ≤ 0.001) per day in the first 21 days and 0.02 points per day thereafter (P = 0.004). The relationship remained stable in spite of TBSA or surgical intervention. Investigation of the effect of missing data revealed the primary model underestimated the strength of the association. An increase in TTH within 21 days of injury is associated with an increase in mVSS or reduced scar quality. The results confirm that efforts should be directed toward healing burn wounds as early as possible.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信