Scald management protocols - outcome differences in two different time periods using different treatment strategies.
Over the years the treatment of scalds in our centre has changed, moving more towards the use of biological dressings (xenografts). Management of scalds with mid dermal or deep dermal injuries differs among centers using different types of dressings, and recently biological membrane dressings were recommended for this type of injury. Here we describe differences in treatment outcome in different periods of time. All patients with scalds who presented to the Linkoping Burn Centre during two periods, early (1997-98) and later (2010-12) were included. Data were collected in the unit database and analyzed retrospectively. A lower proportion of autograft operations was found in the later period, falling from 32% to 19%. Hospital stay was shorter in the later period (3.5 days shorter, p=0.01) and adjusted duration of hospital stay/TBSA% was shorter (1.2 to 0.7, p=0.07). The two study groups were similar in most of the studied variables: we could not report any significant differences regarding outcome except for unadjusted duration of hospital stay. Further studies are required to investigate functional and aesthetic outcome differences between the treatment modalities.
Department of Plastic Surgery and Hand Surgery, Burn Center, Department of Clinical and Experimental Medicine, Linkoping University,Sweden; Plastic Surgery Unit, Department of Surgery, Suez Canal University, Egypt.
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M
Elmasry
Department of Plastic Surgery and Hand Surgery, Burn Center, Department of Clinical and Experimental Medicine, Linkoping University,Sweden.
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I
Steinvall
Department of Plastic Surgery and Hand Surgery, Burn Center, Department of Clinical and Experimental Medicine, Linkoping University,Sweden.
J
J
Thorfinn
Plastic Surgery Unit, Department of Surgery, Suez Canal University, Egypt.
A H
AH
Abbas
Plastic Surgery Unit, Department of Surgery, Suez Canal University, Egypt.
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OA
Adly
Department of Plastic Surgery and Hand Surgery, Burn Center, Department of Clinical and Experimental Medicine, Linkoping University,Sweden; Plastic Surgery Unit, Department of Surgery, Suez Canal University, Egypt.
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I
Abdelrahman
Plastic Surgery Unit, Department of Surgery, Suez Canal University, Egypt.
M A
MA
Nagi
Department of Plastic Surgery and Hand Surgery, Burn Center, Department of Clinical and Experimental Medicine, Linkoping University,Sweden; Department of Anesthesiology and Intensive Care, Linkoping University, Sweden.
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F
Sjoberg
burns,; duration of stay; outcome,; scalds,