Patterns and predictors of burn scar outcome in the first 12 months after burn: The patient's perspective. Issue 6 (September 2019)

• Record Type: Journal Article
• Authors: Rashaan, Z.M.; Kwa, K.A.A.; van der Wal, M.B.A.; Tuinebreijer, W.E.; van Zuijlen, P.P.M.; Breederveld, R.S.
• Is Part Of: Burns. Volume 45:Issue 6(2019)
• Page Start: 1283
• Page End: 1290
• Publication Date: 2019-09
• Subjects: CFI comparative fit index -- POSAS the Patient and Observer Scar Assessment Scale -- SEM structural equation modelling -- LGM latent growth curve model -- RMSEA the root mean square error of approximation; Burn wounds -- Burn scars -- POSAS -- Scar quality -- Predictors and patterns; Burns and scalds -- Periodicals; 617.11
• DOI: 10.1016/j.burns.2019.03.025
• Languages: English
• ISSNs: 0305-4179

Abstract

Highlights: The POSAS patient scores showed a statistically significant improvement in the first 12 months after burn. Sex, age, wound depth, % of TBSA and flame burns were predictors of various POSAS patient items at 3, 6 and 12 months after burn. The effect of the predictors was not the same on the individual POSAS patient items. Abstract: Objective: This study aimed to provide insight into the patterns and factors that predict burn scar outcomes at 3, 6 and 12 months after burn. Methods: The Patient and Observer Scar Assessment Scale (POSAS) was used to assess the scar formation of each patient. Structural equation modelling was used. The predictor variables used in this study were sex, three age categories, TBSA, depth of the wound and cause of the burn. Results: The POSAS patient total and individual item scores demonstrated a statistically significant decrease in the first 12 months after burn, except for the relief item. Male patients had a lower total and items scores (better scar quality) for pain and pruritus compared with female patients. Full thickness burns had a higher scores for pruritus, pliability, thickness and relief compared to the partial-thickness burns. Ages younger than 5 years, higher TBSA values and flame burns were predictors of various POSAS items at 3 and 6 months after burn. Conclusion: The POSAS patient total and individual item scores demonstrated a statistically significant improvement in the scar quality in the first 12 months after burn, except for the relief. Sex, age, depth of the wound, the percentage of TBSA and flame burns were predictors of various POSAS patient items at 3, 6 and 12 months after burn.