Epidemiology and trend of US pediatric burn hospitalizations, 2003–2016

Armstrong, Megan; Wheeler, Krista K.; Shi, Junxin; Thakkar, Rajan K.; Fabia, Renata; Groner, Jonathan I.; Noffsinger, Dana; Giles, Sheila; Xiang, Henry

doi:10.1016/j.burns.2020.05.021

Cited by 44 publications

(34 citation statements)

References 15 publications

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“…Our study was mostly made up of male, White children with second degree burns, which is consistent with other burns studies (32). The number of subjects using pain medication for dressing changes was also consistent with our previous research (28).…”

Section: Discussionsupporting

confidence: 91%

Mobile Phone Virtual Reality Game for Pediatric Home Burn Dressing Pain Management: A Randomized Feasibility Clinical Trial

Armstrong

Lun

Groner

et al. 2022

Preprint

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Background: Virtual Reality (VR) gaming is considered a safe and effective alternative to standard pain alleviation in the hospital. This study will address the effectiveness and feasibility of a VR game that was developed by our research team for repeated at-home burn dressing changes. Methods: A randomized clinical trial was conducted among patients recruited from the outpatient burn clinic of a large American Burn Association–verified pediatric burn center between September 2019 and June 2021. We included English-speaking burn patients 5-17 years old requiring daily dressing changes for at least one week after first outpatient dressing change. One group played an interactive VR game during dressing changes, while the other utilized standard distraction techniques available in the home for up to a week. Both child and caretaker were asked to assess perceived pain on a scale of 1-10. For the VR group, patients were also asked to rate various aspects of the VR game on a scale of 1-10 and caregivers were asked questions assessing ease of use.Results: A total of 35 children were recruited for this study with 24 fully completing study measures. The majority of participants were male (54.3%), White (82.9%), and with second degree burns (94.4%). Children and caregivers in the VR group reported less pain than the control group at the 4th dressing change. Participants in the VR group showed a clinically meaningful (≥30%) reduction in child reported overall pain (33.3%) and caregiver reported worst pain (31.6%). Children’s satisfaction with the VR remained at a high level across dressing changes, with reported realism and engagement increasing over time. Over half of the children (54.5%) enjoyed playing the game and did not report any challenges.Conclusions: Subjects found the VR to be a useful distraction during home dressing changes and reported no challenges. VR should be considered as a nonpharmacologic companion for pain management during at-home burn dressing changes.Trial Registration: ClinicalTrials.gov Identifier: NCT04548635. Registered September 14, 2020 – Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04548635

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Section: Discussionsupporting

confidence: 91%

Mobile Phone Virtual Reality Game for Pediatric Home Burn Dressing Pain Management: A Randomized Feasibility Clinical Trial

Armstrong

Lun

Groner

et al. 2022

Preprint

Self Cite

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“…Our study was mostly made up of male, White children with second degree burns, which is consistent with other burns studies. 1 The number of subjects using pain medication for dressing changes was also consistent with our previous research. 47 Interestingly, children using VR-PAT reported slightly more pain than those in the control group at the beginning of the week, but they reported less pain following the 4 th dressing while those in the control group stayed fairly consistent.…”

Section: Discussionsupporting

confidence: 90%

“…This is evidenced by a 48% decrease in mortality and 64% increase in patient referral to larger, more well-equipped institutions in the past 20 years. 1 However, pediatric burns continue to be a serious public health issue. In 2019, the CDC reported that burns are the fourth leading cause of death due to unintentional injury in children ages 1-14.…”

Section: Introductionmentioning

confidence: 99%

Mobile Phone Virtual Reality Game for Pediatric Home Burn Dressing Pain Management, a Randomized Clinical Trial

Armstrong

Lun

Groner

et al. 2022

Preprint

Self Cite

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Importance: Virtual Reality (VR) gaming is considered a safe and effective alternative to standard pain alleviation in the hospital, we advocate for its use during repeated redressing at home. Objective: This study will address the effectiveness and feasibility of the Virtual Reality Pain Alleviation Tool (VR-PAT) that was developed by the research team for repeated at-home burn dressing changes. Design, Setting and Participants: Randomized clinical trial among patients recruited at the Nationwide Childrens Hospital (NCH) outpatient burn clinic between September 2019 and June 2021. We included English-speaking burn patients 5-17 years old requiring daily dressing changes for at least one week after first outpatient dressing change. Interventions: One group played an interactive VR-PAT game during dressing changes, while the other utilized standard distraction techniques available in the home for a week. Both child and caretaker were later asked to assess perceived pain. Those in the intervention group were asked to evaluate convenience and enjoyment of the VR-PAT game. Outcomes: Patients were asked to rate perceived pain on a scale of 1-10, and caregivers were asked to rate observed pain on a scale of 1-10. For the VR-PAT group, patients were also asked to rate various aspects of the VR game on a scale of 1-10 and caregivers were asked questions assessing ease of use. Conclusions: Subjects found the VR-PAT to be a useful distraction during home dressing changes and reported it be easy to implement. In the VR-PAT group, child and caregiver reported pain decreased as the week of dressing changes progressed and was lower than those in the control group after the fourth dressing change. Children playing the VR-PAT reported consistent happiness and fun as the week went on and increased realism and engagement, which means our results were not just due to the novel experience of VR-PAT.

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“…Queimado (Armstrong et al, 2021). No entanto é possível identificar fragilidades como o inadequado registro de informações Research, Society and Development, v. 10, n. 15, e07101522605, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i15.22605 (Fujisawa et al, 2016;Barros et al, 2019) e a falta de recursos tecnológicos para ajudar na implementação da Sistematização da Assistência de Enfermagem -SAE (Lozano;Potterton, 2018).…”

Section: Discussionunclassified

“…• Infraestrutura física e recursos humanos adequado para atendimento a crianças vítimas de queimadura (Armstrong et al, 2021). • Tecnologia avançada para tratamento das vítimas de queimadura (Barros et al, 2019).…”

Section: Serviçosunclassified

Potencialidades, demandas e fragilidades no atendimento de enfermagem a crianças vítimas de queimaduras: revisão integrativa de literatura

Rocha

Lourdes

Pereira

et al. 2021

RSD

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Objetivo: identificar as evidências científicas nacionais e internacionais as potencialidades, demandas e fragilidades no perfil do atendimento de enfermagem a crianças vítimas de queimaduras. Método: Revisão integrativa da literatura, realizada em quatro bases de dados, com os critérios de inclusão: artigos na íntegra, acesso gratuito, disponível on-line, idiomas em inglês, espanhol e português. A amostra final foi composta por 10 estudos. Resultados: A partir da leitura e da comparação entre os resultados dos estudos, emergiram quatro categorias, organizadas em: potencialidades, demandas e fragilidades no atendimento a crianças vítimas de queimaduras. Conclusão: Nos estudos selecionados, identificamos potencialidades, fragilidades e, demandas. Ainda que potencialidades, como rede articulada, autonomia na assistência, acolhimento e empatia; existem fragilidades, como falta de estratégias para comunicação efetiva e inadequado registro de informações, que desafiam a concretização do atendimento integral.

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Epidemiology and trend of US pediatric burn hospitalizations, 2003–2016

Cited by 44 publications

References 15 publications

Mobile Phone Virtual Reality Game for Pediatric Home Burn Dressing Pain Management: A Randomized Feasibility Clinical Trial

Mobile Phone Virtual Reality Game for Pediatric Home Burn Dressing Pain Management: A Randomized Feasibility Clinical Trial

Mobile Phone Virtual Reality Game for Pediatric Home Burn Dressing Pain Management, a Randomized Clinical Trial

Potencialidades, demandas e fragilidades no atendimento de enfermagem a crianças vítimas de queimaduras: revisão integrativa de literatura

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