Burn Scar Assessment: A Systematic Review of Different Scar Scales

Brusselaers, Nele; Pirayesh, Ali; Hoeksema, Henk; Verbelen, Jozef; Blot, Stijn; Monstrey, Stan

doi:10.1016/j.jss.2010.05.056

Cited by 99 publications

(71 citation statements)

References 76 publications

(148 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Brusselaers and colleagues (201O), in a systematic review of different scars' scales, show some advantages in using scales, as they are the advantages in the clinical setting, given their low-cost and expenditure of time, they are easy to include in the clients' files. The s a m e a ut ho r s p o i n t e d t h e importance of their validity, reliability and practical application (38). However, the same authors in another study questioned scales as they are subjective to evaluate scars, depending on who applies them (42).…”

Section: Discussionmentioning

confidence: 99%

“…The Vancouver Scar Scale was used to evaluate scars' pigmentation, color, elasticity and height, with a total score between O and 13, lower scores representing a better macroscopic aspect (37,38).This scale was adapted and validated to the Portuguese population with a content and construct validity of Cronbach's a= O.73. VSS showed excellent intra-ratter reliabilities with an ICC (3.1) of 1.0 for the height and color, 0.93 for elasticity, O.91 for pigmentation, and O.98 for the total score.…”

Section: Figure 1 -Sample's Diagrammentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of low-level laser therapy on scar tissue

Freitas¹,

Melo²,

Alexandrino³

et al. 2013

Journal of Cosmetic and Laser Therapy

View full text Add to dashboard Cite

Back ground: Physiotherapy has a very important role in the maintenance of the integumentary system integrity. There is very few evidence in humans. Nevertheless, there are some studies about tissue regeneration using low-level laser therapy (LLLT). Aim: To analyze the effectiveness of LILT on scar tissue. Methods: Seventeen volunteers were stratified by age of their scars, and then randomly assigned to an experimental group (EG) -n = 9 -and a placebo group (PG) -n = 8. Fifteen sessions were conducted to both the groups thrice a week. However, in the PG, the laser device was switched off. Scars' thickness, length, width, macroscopic aspect, pain threshold, pain perception, and itching were measured. Results: After 5 weeks, there were no statistically significant differences in any variable between both the groups. However, analyzing independently each group, EG showed a significant improvement in macroscopic aspect (p = 0. 003) using ILLT. Taking into account the scars' age, LILT showed a tendency to decrease older scars' thickness in EG. Conclusion: The intervention with LLLT appears to have a positive effect on the macroscopic scars' appearance, and on old scars' thickness, in the studied sample. However, it cannot be said for sure that LLLT has influence on scar tissue.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Figure 1 -Sample's Diagrammentioning

confidence: 99%

Efficacy of low-level laser therapy on scar tissue

Freitas¹,

Melo²,

Alexandrino³

et al. 2013

Journal of Cosmetic and Laser Therapy

View full text Add to dashboard Cite

show abstract

“…For assessment of scar, many scales or tools have been developed during the last decades, but none appear ideal [9][10][11]. Most clinicians rely on clinical observation and palpation of the scar to monitor disease progression, but this is subjective and not quantitative.…”

Section: Introductionmentioning

confidence: 99%

Non-invasive evaluation of therapeutic response in keloid scar using diffuse reflectance spectroscopy

Hsu

Tzeng

Yang

et al. 2015

Biomed. Opt. Express

View full text Add to dashboard Cite

Abstract:The pathogenesis and ideal treatment of keloid are still largely unknown, and it is essential to develop an objective assessment of keloid severity to evaluate the therapeutic response. We previously reported that our diffuse reflectance spectroscopy (DRS) system could assist clinicians in understanding the functional and structural condition of keloid scars. The purpose of this study was to understand clinical applicability of our DRS system on evaluating the scar severity and therapeutic response of keloid. We analyzed 228 spectral data from 71 subjects with keloid scars. The scars were classified into mild (0-3), moderate (4-7) and severe (8-11) according to the Vancouver scar scale. We found that as the severity of the scar increased, collagen concentration and water content increased, and the reduced scattering coefficient at 800 nm and oxygen saturation (SaO 2 ) decreased. Using the DRS system, we found that collagen bundles aligned in a specific direction in keloid scars, but not in normal scars. Water content and SaO 2 may be utilized as reliable parameters for evaluating the therapeutic response of keloid. In conclusion, the results obtained here suggest that the DRS has potential as an objective technique with which to evaluate keloid scar severity. In addition, it may be useful as a tool with which to track longitudinal response of scars in response to various therapeutic interventions.

show abstract

“…Several measures exist for assessing scarring, but there is little consensus as to which is the optimal scale or tool to use. 178 A gold standard scar scale does not currently exist, although, ideally, such a scale should address cosmetic, functional and psychological sequelae. 179 Outcomes which involve parental evaluation, in addition to clinician evaluation, should also be considered for certain assessments, including scarring.…”

Section: Treatments Populations and Outcomesmentioning

confidence: 99%

Treatment of extravasation injuries in infants and young children: a scoping review and survey

Corbett

Marshall

Harden

et al. 2018

Health Technol Assess

View full text Add to dashboard Cite

BackgroundExtravasation injuries are caused by unintended leakages of fluids or medicines from intravenous lines, but there is no consensus on the best treatment approaches.ObjectivesTo identify which treatments may be best for treating extravasation injuries in infants and young children.DesignScoping review and survey of practice.PopulationChildren aged < 18 years with extravasation injuries and NHS staff who treat children with extravasation injuries.InterventionsAny treatment for extravasation injury.Main outcome measuresWound healing time, infection, pain, scarring, functional impairment, requirement for surgery.Data sourcesTwelve database searches were carried out in February 2017 without date restrictions, including MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature) Plus and EMBASE (Excerpta Medica dataBASE).MethodsScoping review – studies were screened in duplicate. Data were extracted by one researcher and checked by another. Studies were grouped by design, and then by intervention, with details summarised narratively and in tables. The survey questionnaire was distributed to NHS staff at neonatal units, paediatric intensive care units and principal oncology/haematology units. Summary results were presented narratively and in tables and figures.ResultsThe evidence identified in the scoping review mostly comprised small, retrospective, uncontrolled group studies or case reports. The studies covered a wide range of interventions including conservative management approaches, saline flush-out techniques (with or without prior hyaluronidase), hyaluronidase (without flush-out), artificial skin treatments, debridement and plastic surgery. Few studies graded injury severity and the results sections and outcomes reported in most studies were limited. There was heterogeneity across study populations in age, types of infusate, injury severity, location of injury and the time gaps between injury identification and subsequent treatment. Some of the better evidence related to studies of flush-out techniques. The NHS survey yielded 63 responses from hospital units across the UK. Results indicated that, although most units had a written protocol or guideline for treating extravasation injuries, only one-third of documents included a staging system for grading injury severity. In neonatal units, parenteral nutrition caused most extravasation injuries. In principal oncology/haematology units, most injuries were due to vesicant chemotherapies. The most frequently used interventions were elevation of the affected area and analgesics. Warm or cold compresses were rarely used. Saline flush-out treatments, either with or without hyaluronidase, were regularly used in about half of all neonatal units. Most responders thought a randomised controlled trial might be a viable future research design, though opinions varied greatly by setting.LimitationsPaucity of good-quality studies.ConclusionsThere is uncertainty about which treatments are most promising, particularly with respect to treating earlier-stage injuries. Saline flush-out techniques and conservative management approaches are commonly used and may be suitable for evaluation in trials.Future workConventional randomised trials may be difficult to perform, although a randomised registry trial may be an appropriate alternative.FundingThe National Institute for Health Research Health Technology Assessment programme.

show abstract

Burn Scar Assessment: A Systematic Review of Different Scar Scales

Cited by 99 publications

References 76 publications

Efficacy of low-level laser therapy on scar tissue

Efficacy of low-level laser therapy on scar tissue

Non-invasive evaluation of therapeutic response in keloid scar using diffuse reflectance spectroscopy

Treatment of extravasation injuries in infants and young children: a scoping review and survey

Contact Info

Product

Resources

About