title: Outcome after burns: an observational study on burn scar maturation and predictors for severe scarring.
abstract: Long-term outcome of burn scars as well as the relation with clinically relevant parameters has not been studied quantitatively. Therefore, we conducted a detailed analysis on the clinical changes of burn scars in a longitudinal setup. In addition, we focused on the differences in scar quality in relation to the depth, etiology of the burn wound and age of the patient. Burn scars of 474 patients were subjected to a scar assessment protocol 3, 6, and 12 months postburn. Three different age groups were defined (≤5, 5-18, and ≥18 years). The observer part of the patient and observer scar assessment scale revealed a significant (p < 0.001) improvement in scar quality at 12 months compared with the 3- and 6-month data. Predictors for severe scarring are depth of the wound (p < 0.001) and total body surface area burned (p < 0.001). Etiology (p = 0.753) and age (p > 0.230) have no significant influence on scar quality when corrected for sex, total body surface area burned, time, and age or etiology, respectively.
authors.affiliation: Burn Center, Red Cross Hospital, Beverwijk, The Netherlands.
authors.forename: Martijn B A
authors.initials: MB
authors.lastname: van der Wal
authors.forename: Jos F P M
authors.initials: JF
authors.lastname: Vloemans
authors.forename: Wim E
authors.initials: WE
authors.lastname: Tuinebreijer
authors.forename: Peter
authors.initials: P
authors.lastname: van de Ven
authors.forename: Ella
authors.initials: E
authors.lastname: van Unen
authors.forename: Paul P M
authors.initials: PP
authors.lastname: van Zuijlen
authors.forename: Esther
authors.initials: E
authors.lastname: Middelkoop
mesh_terms: D000293:Adolescent; D000328:Adult; D000465:Algorithms; D002056:Burns / Q000150:complications / Q000473:pathology / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000473:pathology / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007223:Infant; D015601:Injury Severity Score; D008137:Longitudinal Studies; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D011788:Quality of Life; D012867:Skin / Q000473:pathology / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult