Long-term functional sequelae after paediatric burns. 1998

R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
Department of Surgery, Tampere University Hospital, Finland.

Ninety-one patients with at least 5 per cent (median 10 per cent, maximum 50 per cent) total body surface area (TBSA) burns were clinically re-examined on average 17.3 yr after primary injury. The patients had sustained mostly superficial dermal scalds. The most common long-term functional sequelae were impaired tanning (n = 67; 77.7 per cent), diminished tactile sensibility (n = 50; 56.2 per cent) and increased reddening (n = 14; 15.6 per cent) either in the sun or the Finnish sauna. Five patients (6.3 per cent) had limited joint mobility and one patient experienced constrictive scars on her trunk during pregnancy. Scar appearance was significantly associated with impaired tactile sense (chi 2 = 11.87, DF = 2, p < 0.01; Spearman's R = 0.27, p = 0.03). Surprisingly, better scar appearance showed more disturbed touch sensation. The primary operative treatment (early excision and split skin grafting) was not associated with diminished sense of touch (chi 2 = 1.24, DF = 1, p = 0.27). Neither were scar appearance and poor tanning significantly associated (chi 2 = 1.63, DF = 1, p = 0.4). Only three patients suffered no functional detriments. In this series the harmful functional consequences were generally slight. The aetiological background (scalds) and the relatively small, superficially burned skin area probably explains the good late outcome. However, since nearly every burn-injured child will have some signs of the injury in adulthood, children present a constant challenge in the effort for better burn care and prevention.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007592 Joint Diseases Diseases involving the JOINTS. Arthropathies,Arthropathy,Joint Disease
D008137 Longitudinal Studies Studies in which variables relating to an individual or group of individuals are assessed over a period of time. Bogalusa Heart Study,California Teachers Study,Framingham Heart Study,Jackson Heart Study,Longitudinal Survey,Tuskegee Syphilis Study,Bogalusa Heart Studies,California Teachers Studies,Framingham Heart Studies,Heart Studies, Bogalusa,Heart Studies, Framingham,Heart Studies, Jackson,Heart Study, Bogalusa,Heart Study, Framingham,Heart Study, Jackson,Jackson Heart Studies,Longitudinal Study,Longitudinal Surveys,Studies, Bogalusa Heart,Studies, California Teachers,Studies, Jackson Heart,Studies, Longitudinal,Study, Bogalusa Heart,Study, California Teachers,Study, Longitudinal,Survey, Longitudinal,Surveys, Longitudinal,Syphilis Studies, Tuskegee,Syphilis Study, Tuskegee,Teachers Studies, California,Teachers Study, California,Tuskegee Syphilis Studies
D008297 Male Males
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011248 Pregnancy Complications Conditions or pathological processes associated with pregnancy. They can occur during or after pregnancy, and range from minor discomforts to serious diseases that require medical interventions. They include diseases in pregnant females, and pregnancies in females with diseases. Adverse Birth Outcomes,Complications, Pregnancy,Adverse Birth Outcome,Birth Outcome, Adverse,Complication, Pregnancy,Outcome, Adverse Birth,Pregnancy Complication
D001830 Body Surface Area The two dimensional measure of the outer layer of the body. Area, Body Surface,Areas, Body Surface,Body Surface Areas,Surface Area, Body,Surface Areas, Body
D002056 Burns Injuries to tissues caused by contact with heat, steam, chemicals (BURNS, CHEMICAL), electricity (BURNS, ELECTRIC), or the like. Burn
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002921 Cicatrix The fibrous tissue that replaces normal tissue during the process of WOUND HEALING. Scars,Cicatrization,Scar,Scarring

Related Publications

R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
September 1997, Burns : journal of the International Society for Burn Injuries,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
November 1998, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
March 2011, Annals of burns and fire disasters,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
March 2020, Burns : journal of the International Society for Burn Injuries,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
January 2014, Brain injury,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
February 2013, Burns : journal of the International Society for Burn Injuries,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
February 2024, Burns : journal of the International Society for Burn Injuries,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
August 2014, Scottish medical journal,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
March 2008, Journal of cancer survivorship : research and practice,
R E Zeitlin, and J Järnberg, and E J Somppi, and B Sundell
February 2019, European journal of pediatrics,
Copied contents to your clipboard!