The Hand Burn Severity (HABS) score: A simple tool for stratifying severity of hand burns

Bache, Sarah E.; O’Connor, Edmund Fitzgerald; Theodorakopoulou, Evgenia; Frew, Quentin; Philp, Bruce; Dziewulski, Peter

doi:10.1016/j.burns.2016.07.011

Cited by 11 publications

(5 citation statements)

References 24 publications

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“…The Hand Burn Severity score 100 identifies burns that score 6 or more (of a total of 18 points) as being more likely to require surgery, according to zones within the hand and burn depth. A study of 562 hand burns admissions underwent a 10-year follow-up, with 15% requiring secondary surgery.…”

Section: Resultsmentioning

confidence: 99%

Acute Management of Thermal Hand Burns in Adults

et al. 2021

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Introduction Advances in the evidence base of acute thermal hand burns help to guide the management of these common injuries. The aim of this literature review was to evaluate recent evidence in the field over 10 years. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols methodology was used as a guide for this literature review. PubMed, MEDLINE, EMBASE, CINAHL, and Google Scholar were searched for English language articles related to hand burns published between 2009 and 2018 inclusive, and the Cochrane Library was reviewed. Exclusion criteria were as follows: participants younger than 18 years, scar or contracture management, rehabilitation, outcomes assessment, late reconstruction, and electrical or chemical burns. Results An initial search retrieved 6493 articles, which was narrowed to 403 full-text articles that were reviewed independently by 3 of the authors and categorized. Of 202 included articles, there were 8 randomized controlled trials and 2 systematic reviews. Six evidence-based guidelines were reviewed. Referral of hand burns to specialist centers, use of telemedicine, early excision and grafting, and immediate static splintage have been recommended. Enzymatic debridement results in earlier intervention, more accurate burn assessment, preservation of vital tissue, and fewer skin grafts, and ideally requires regional anesthesia. Guidance on escharotomy emphasizes indication, technique and adequate intervention, and potential for enzymatic debridement. Inclusion of topical negative pressure, dermal regenerative templates, acellular dermal matrices, and noncellular skin substitutes in management has helped improve scar and functional outcomes. Discussion The results of this literature review demonstrate that multiple national and international societies have published burns guidelines during the decade studied, with aspects directly relevant to hand burns, including the International Society for Burn Injuries guidelines. There are opportunities for evidence-based quality improvement across the field of hand burns in many centers. Conclusions More than 200 articles globally in 10 years outline advances in the understanding of acute management of thermal hand burns. Incorporating the evidence base into practice may facilitate optimization of triage referral pathways and acute management for hand burns.

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Section: Resultsmentioning

confidence: 99%

Acute Management of Thermal Hand Burns in Adults

et al. 2021

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“…Age is also an important predictor of survival. Contractures can be caused by immobility and heterotopic ossification at elbow joints [3,12,20,41,48,[50][51][52],but are frequently caused by hypertrophic scarring [2,3,6,9,11,38,53].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Fitting Pressure Garments for Minor and Moderate Burn Patients

Huang

2017

Proceedings of the 2017 4th International Conference on Biomedical and Bioinformatics Engineering

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Aim: Burn reconstruction and rehabilitation are difficult and timeconsuming processes; a burn patient must endure a long rehabilitation process to treat burn scars. The continued proliferation of scars and anxiety engender considerable difficulties for patients. A burn scar contracture is like a burned rubber band; the skin is never restored to its original flexibility. Wearing pressure garments (PGs) is uncomfortable and challenging for patients, but constant adherence is necessary. To improve adherence, precise knowledge about the advantages and disadvantages of PG therapy (PGT) is necessary. Methods: This review examined experimental studies that have applied PGT on patients with varicose veins and burns, as well as healthy human controls. The participants answered questionnaires to determine the best or "ideal" pressure. All scars were treated under a scar management program and followed up by the treating hospital and scanned by ultrasound. Scars were assessed using the Tissue Ultrasound Palpation System (TUPS), as well as the Vancouver Scar Scale (VSS) for rating scar thickness, pliability, pigmentation, and vascularity. Scar thickness and color were objectively measured using the Pliance X system and Laser Doppler Imaging (LDI). Results: In general, the application of 15-25 mmHg pressure is most commonly used in clinical practice. Minor and moderate burn patients could wear PGs in the very beginning of the recovery process. According to guidelines, closed scars should always be reevaluated 6 months after the burn to determine whether additional scar management interventions are required or whether preventive therapy can be terminated.

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“…Too II: Hand Burn Severity (HABS) assessment scale: The HABS score is a simple tool for stratifying severity of hand burns at the time of initial patient assessment. It was developed by Bache et al, (2017) to assess degree of burn to the following; Zone (Zone A, Zone B, and Zone C). Scoring was devised whereby the hand is divided into three anatomical areas, shown in (Fig.…”

Section: Samplementioning

confidence: 99%

Effect of Physical Rehabilitation Program Based on Range of Motion Exercise on Hand Joints Function among Patients with Thermal Burn

AbdElaal

Ahmed²,

Abdelall³

et al. 2022

Assiut Scientific Nursing Journal

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Background: Hands are the most common burn injury sites. Appropriate range of motion exercise is essential to ensure good hand functional recovery. Aim: to evaluate effect of physical rehabilitation program based on range of motion exercise on hand joints function among patients with thermal burn Research design: A quasi -experimental (pre / post assessment) design. Setting: the study was conducted in Burn Department, Intermediate Care Room and Burn Outpatient Clinic at the Main Assuit University Hospital. Sample: A purposeful sample of (30) patients, their ages ranged from (20 -65) years. Tools: tool (1): Patients structured interview questionnaire. Tool (2): Hand Burn Severity assessment scale. Tool (3): Hand contracture severity rating scale. Results: More than half of the patients were males and married (56.7% & 53.3%), (80%) of them had flame thermal burn& (50%) represented by 2nd degree burn with zone A (TBSA). There was a statistical significance difference as regard patients range of motion of mean score of different hand joints mostly in flexion between pre & post (3&6 weeks after program implementation (p < 0.005). Conclusion: significant improvement in hand joints range of motion function among patients with thermal burn post physical rehabilitation program application. Recommendation: using new physical rehabilitation modalities as Smart Glove that can be operated only through active ROM movement for patients with burn hand

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The Hand Burn Severity (HABS) score: A simple tool for stratifying severity of hand burns

Cited by 11 publications

References 24 publications

Acute Management of Thermal Hand Burns in Adults

Acute Management of Thermal Hand Burns in Adults

Effectiveness of Fitting Pressure Garments for Minor and Moderate Burn Patients

Effect of Physical Rehabilitation Program Based on Range of Motion Exercise on Hand Joints Function among Patients with Thermal Burn

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