Use of a copolymer dressing on superficial and partial-thickness burns in a paediatric population

Everett, M. T.; Massand, Sameer; Davis, Wellington J.; Burkey, Brooke; Glat, Paul M.

doi:10.12968/jowc.2015.24.sup7.s4

Cited by 16 publications

(17 citation statements)

References 18 publications

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“…The results regarding time to reepithelialization in our study were comparable to those of a previous non-comparative study on the treatment of partial thickness burns in children with Suprathel ® [6, 9]. In two recent systematic reviews on the treatment of partial thickness burns in children, the mean time to reepithelialization in randomized controlled trials (RCT) that used other (semi)synthetic dressings varied between 7.5 and 23.6 days [1, 17].…”

Section: Discussionsupporting

confidence: 87%

“…Adherence of Suprathel ® was achieved when the Versajet ® system had been used, while no adherence was seen in most cases when superficial debridement had been performed. Three studies reported on the adherence of Suprathel ® to the wound bed in the treatment of partial thickness wounds and found excellent material adherence [6, 7, 9]. However, the effect of the extent of wound debridement on the adherence is not clear in these studies, because either different debridement techniques were used or no information was reported on the debridement technique.…”

Section: Discussionmentioning

confidence: 99%

“…There was a statistically significant increase in COMFORT-B scores in the youngest children, but the difference in scores was minimal and may not be clinically relevant. Everett et al also found minimal pain levels after application of Suprathel ® on the wound in the treatment of partial thickness burns in children [9]. An explanation for these minimal changes between background pain and procedural pain might be that no manipulation of the wound bed occurs when Suprathel ® adheres to the wound bed.…”

Section: Discussionmentioning

confidence: 99%

“…Only two recent non-comparative studies reported good results in terms of wound healing in children with partial thickness burns [6, 9]. However, no studies reported validated data on the wound colonization, scar formation and pain after application of Suprathel ® on the wound and before and after each outer layer dressing changes.…”

Section: Introductionmentioning

confidence: 99%

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Usability and effectiveness of Suprathel® in partial thickness burns in children

Rashaan

Krijnen

Allema

et al. 2016

Eur J Trauma Emerg Surg

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PurposeEvaluation of usability and effectiveness of Suprathel® in the treatment of partial thickness burns in children.MethodsA prospective, observational study to evaluate adherence of Suprathel® to the wound bed, reepithelialization time, grafting, wound colonization and infection, pain, dressing changes, length of hospital stay (LOS) and scar formation.ResultsTwenty-one children (median age 2.4 years, range 5 months–14 years) with a median total body surface area (TBSA) of 4 % (range 1–18) were included. Median LOS was 10 days (range 3–20). Median outer layer dressing changes was 3 (range 1–14). Suprathel® was only adherent in wounds debrided with Versajet®. Median reepithelialization time was 13 days (range 7–29). Three patients needed a split skin graft. There were 7 (33 %) patients with wound colonization before application of Suprathel®. This increased to 12 (57 %) patients during treatment. One patient developed a wound infection. Median visual analog scale (VAS) scores for background and procedural pain in patients >7 years were 3.2 (range 2–5) and 3.5 (range 2–5), respectively. In younger patients, median background and procedural COMFORT-B scores were 13.8 (range 10–23) and 14.8 (range 13–23, p = 0.03), respectively. Patient and Observer Scar Assessment Scale (POSAS) scores were favorable after 3 and 6 months post burn.ConclusionsSuprathel® provides potential advantages regarding pain and scar formation, but extensive wound debridement is needed to achieve adequate adherence.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Usability and effectiveness of Suprathel® in partial thickness burns in children

Rashaan

Krijnen

Allema

et al. 2016

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…A bőrhelyettesítő anyagok területén világszerte intenzív kutatás folyik, és korábbi összefoglalónk [14] [17,18]. Kiterjedt, mély égési sérülés kezelésénél az adóterület hiánya miatt rendkívüli kihívást jelent a bőrhiány pótlása.…”

Section: Bioszintetikus Bőrpótló Anyagokunclassified