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European Journal of Trauma and Emergency Surgery

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Open Access 01-08-2017 | Original Article

Usability and effectiveness of Suprathel^® in partial thickness burns in children

Authors: Z. M. Rashaan, P. Krijnen, J. H. Allema, A. F. Vloemans, I. B. Schipper, R. S. Breederveld

Published in: European Journal of Trauma and Emergency Surgery | Issue 4/2017

Abstract

Purpose

Evaluation of usability and effectiveness of Suprathel^® in the treatment of partial thickness burns in children.

Methods

A prospective, observational study to evaluate adherence of Suprathel^® to the wound bed, reepithelialization time, grafting, wound colonization and infection, pain, dressing changes, length of hospital stay (LOS) and scar formation.

Results

Twenty-one children (median age 2.4 years, range 5 months–14 years) with a median total body surface area (TBSA) of 4 % (range 1–18) were included. Median LOS was 10 days (range 3–20). Median outer layer dressing changes was 3 (range 1–14). Suprathel^® was only adherent in wounds debrided with Versajet^®. Median reepithelialization time was 13 days (range 7–29). Three patients needed a split skin graft. There were 7 (33 %) patients with wound colonization before application of Suprathel^®. This increased to 12 (57 %) patients during treatment. One patient developed a wound infection. Median visual analog scale (VAS) scores for background and procedural pain in patients >7 years were 3.2 (range 2–5) and 3.5 (range 2–5), respectively. In younger patients, median background and procedural COMFORT-B scores were 13.8 (range 10–23) and 14.8 (range 13–23, p = 0.03), respectively. Patient and Observer Scar Assessment Scale (POSAS) scores were favorable after 3 and 6 months post burn.

Conclusions

Suprathel^® provides potential advantages regarding pain and scar formation, but extensive wound debridement is needed to achieve adequate adherence.

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Title: Usability and effectiveness of Suprathel® in partial thickness burns in children
Authors: Z. M. Rashaan
P. Krijnen
J. H. Allema
A. F. Vloemans
I. B. Schipper
R. S. Breederveld
Publication date: 01-08-2017
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 4/2017
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-016-0708-z

At a glance: The STEP trials

Springer Medicine

Usability and effectiveness of Suprathel^® in partial thickness burns in children

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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