TY - JOUR
T1 - The prevalence and predictors of reconstructive surgery in pediatric burn care
AU - Cuijpers, M. D.
AU - Meij - de Vries, A.
AU - Dutch Burn Repository Group
AU - van Zuijlen, P. P.M.
AU - Baartmans, M. G.A.
AU - Nieuwenhuis, M.
AU - van Baar, M. E.
AU - Pijpe, A.
N1 - Publisher Copyright:
© 2024 The Author(s)
PY - 2024/12
Y1 - 2024/12
N2 - Objective: This study aimed to examine the prevalence and predictors of reconstructive surgery among pediatric burn patients in the Netherlands. Methods: Pediatric burn patients were identified through the Dutch Burn Repository R3. Eligibility criteria included a burn requiring hospital admission or surgical treatment at one of the Dutch burn centers in 2009–2019. First, patient, burn, and treatment characteristics were summarized using descriptive statistics. Second, time to the first reconstructive surgery was modelled using Kaplan Meier curves. Third, a prediction model was developed using univariate and multivariate logistic regression. The model's performance was assessed using calibration, discrimination, and explained variance. Fourth, internal validation was performed using bootstrapping. Results: Approximately three percent (n = 84) of pediatric patients (n = 3072) required reconstructive surgery between the initial burn-related hospital admission and September 2021. Median time to the first reconstructive surgery was 1.2 (0.7–1.6) years. Most surgeries were performed on the face, arm, neck, hand, or anterior trunk, owing to contractures or hypertrophic scarring. Predictors of reconstruction included the etiology, anatomical site, extent of full-thickness burn, surgical treatment in the acute phase, and length of hospital stay. Conclusion: Our study provided an overview of the prevalence and independent predictors of reconstructive surgery in the pediatric burn population.
AB - Objective: This study aimed to examine the prevalence and predictors of reconstructive surgery among pediatric burn patients in the Netherlands. Methods: Pediatric burn patients were identified through the Dutch Burn Repository R3. Eligibility criteria included a burn requiring hospital admission or surgical treatment at one of the Dutch burn centers in 2009–2019. First, patient, burn, and treatment characteristics were summarized using descriptive statistics. Second, time to the first reconstructive surgery was modelled using Kaplan Meier curves. Third, a prediction model was developed using univariate and multivariate logistic regression. The model's performance was assessed using calibration, discrimination, and explained variance. Fourth, internal validation was performed using bootstrapping. Results: Approximately three percent (n = 84) of pediatric patients (n = 3072) required reconstructive surgery between the initial burn-related hospital admission and September 2021. Median time to the first reconstructive surgery was 1.2 (0.7–1.6) years. Most surgeries were performed on the face, arm, neck, hand, or anterior trunk, owing to contractures or hypertrophic scarring. Predictors of reconstruction included the etiology, anatomical site, extent of full-thickness burn, surgical treatment in the acute phase, and length of hospital stay. Conclusion: Our study provided an overview of the prevalence and independent predictors of reconstructive surgery in the pediatric burn population.
UR - http://www.scopus.com/inward/record.url?scp=85204742225&partnerID=8YFLogxK
U2 - 10.1016/j.burns.2024.07.017
DO - 10.1016/j.burns.2024.07.017
M3 - Article
C2 - 39317543
AN - SCOPUS:85204742225
SN - 0305-4179
VL - 50
JO - Burns
JF - Burns
IS - 9
M1 - 107213
ER -