TY  - JOUR
PY  - 2017//
TI  - Identification of factors predicting scar outcome after burn in adults: a prospective case-control study
JO  - Burns: journal of the International Society for Burn Injuries
A1  - Wallace, Hilary J.
A1  - Fear, Mark W.
A1  - Crowe, Margaret M.
A1  - Martin, Lisa J.
A1  - Wood, Fiona M.
SP  - 1271
EP  - 1283
VL  - 43
IS  - 6
N2  - This study examined influences on scarring after burn in a prospective study using a defined outcome measure: scar height measured by a modified Vancouver Scar Scale (mVSS). A prospective case-control study was conducted among 616 adult subjects who sustained a burn in Western Australia. Patient factors influencing scar outcome including gender, Fitzpatrick skin type and selected co-morbidities were explored, as well as injury and clinical factors. A logistic regression model for raised scar after burn was developed which achieved an overall correct prediction rate of 81.1%; 74.8% for those with raised scar and 86.0% for those without raised scar. From this study, injury and clinical predictors for raised scar after adjustment for other variables are: increasing %TBSA, greater burn depth as indicated by level of surgical intervention, wound complications and prolonged hospital stay. Intrinsic patient predictors for raised scar in patients with comparable injuries are: young age (≤30 years), female gender and Fitzpatrick skin types 4-6. The strength of association statistics (odds ratios and 95% confidence intervals) reported will be of practical benefit for clinical decision-making and counselling of patients, and plausible biological explanations for the findings support the validity of the results.<br><br>Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0305-4179
UR  - http://dx.doi.org/10.1016/j.burns.2017.03.017
ID  - ref1
ER  -