Journal article
Variability of pressure at the pressure garment-scar interface in children after burn: A pilot longitudinal cohort study
Burns, Vol.45(1), pp.103-113
2019
PMID: 30253960
Abstract
Background
Current consensus for the ideal pressure range at the pressure garment to scar interface is 15–25 mmHg. Interface pressure variability has been reported at new pressure garment fitting in children. Pressure reductions up to 25% have been recorded over one month in adults.
Method
A pilot longitudinal cohort study was completed with children aged less than 18 years receiving pressure garment therapy after burn. Interface pressure was measured at first pressure garment fitting, one month and three months after fitting. Analysis was conducted using Linear Mixed Models.
Results
Thirty-four children were recruited to the study, 62% were male. Participants had a median (IQR) age of 3 (6) years. At the first garment fitting, 32% of stationary and 25% of dynamic measurements were within 15–25 mmHg. Pressure variations were recorded at one and three months with scar location (p = 0.03) and %TBSA (p = 0.006) identified as predictors of stationary interface pressure. No statistically significant predictors of dynamic pressure were identified.
Discussion
Interface pressure variability was recorded over time during children’s wear of the first pressure garment after burn. Further investigation of factors contributing to pressure changes, subsequent impact on adherence and the effect of sub-optimal pressure application on burn scar outcomes is indicated.
Details
- Title
- Variability of pressure at the pressure garment-scar interface in children after burn: A pilot longitudinal cohort study
- Authors
- Jodie Wiseman (Corresponding Author) - University of QueenslandMegan Simons - Queensland Children’s HospitalRoy Kimble - University of QueenslandZephanie Tyack - University of Queensland
- Publication details
- Burns, Vol.45(1), pp.103-113
- Publisher
- Elsevier Ltd
- Date published
- 2019
- DOI
- 10.1016/j.burns.2018.08.029
- ISSN
- 1879-1409
- PMID
- 30253960
- Grant note
- This work was supported by an Australian Government Research Training Scholarship and Children’s Health Foundation Top-Up Scholarship to the PhD student (JW) as well as a research grant provided to The University of Queensland by Stratpharma.
- Organisation Unit
- School of Health - Occupational Therapy
- Language
- English
- Record Identifier
- 991113049202621
- Output Type
- Journal article
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- Domestic collaboration
- Web Of Science research areas
- Critical Care Medicine
- Dermatology
- Surgery
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