Variability of pressure at the pressure garment-scar interface in children after burn: A pilot longitudinal cohort study

Jodie Wiseman; Megan Simons; Roy Kimble; Zephanie Tyack

doi:10.1016/j.burns.2018.08.029

Variability of pressure at the pressure garment-scar interface in children after burn: A pilot longitudinal cohort study

Jodie Wiseman^*, Megan Simons, Roy Kimble, Zephanie Tyack

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

9 Citations (Scopus)

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.

Original language	English
Pages (from-to)	103-113
Number of pages	11
Journal	Burns
Volume	45
Issue number	1
DOIs	https://doi.org/10.1016/j.burns.2018.08.029
Publication status	Published - Feb 2019
Externally published	Yes

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10.1016/j.burns.2018.08.029

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@article{a008b64849f142eda5f67fb080ebd359,

title = "Variability of pressure at the pressure garment-scar interface in children after burn: A pilot longitudinal cohort study",

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.",

author = "Jodie Wiseman and Megan Simons and Roy Kimble and Zephanie Tyack",

note = "Funding Information: This work was supported by an Australian Government Research Training Scholarship and Children{\textquoteright}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. The funding bodies did not have input into the study design. The study authors report no conflicts of interest based on funding. Funding Information: The author{\textquoteright}s would like to acknowledge all the children, families and health professionals at the Pegg Leditschke Children{\textquoteright}s Burns Centre at the Lady Cilento Children{\textquoteright}s Hospital, Brisbane, Australia for their participation, support and assistance of this research. The authors would also like to acknowledge Anne Bernard of QFAB Bioinformatics, Brisbane for her statistical input. This study is funded by an Australian Government Research Training Scholarship, Children{\textquoteright}s Health Foundation Top-Up Scholarship and a grant given to The University of Queensland by Stratpharma. Publisher Copyright: {\textcopyright} 2018 Elsevier Ltd and ISBI Copyright: Copyright 2019 Elsevier B.V., All rights reserved.",

year = "2019",

month = feb,

doi = "10.1016/j.burns.2018.08.029",

language = "English",

volume = "45",

pages = "103--113",

journal = "Burns",

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T1 - Variability of pressure at the pressure garment-scar interface in children after burn: A pilot longitudinal cohort study

AU - Wiseman, Jodie

AU - Simons, Megan

AU - Kimble, Roy

AU - Tyack, Zephanie

N1 - Funding Information: 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. The funding bodies did not have input into the study design. The study authors report no conflicts of interest based on funding. Funding Information: The author’s would like to acknowledge all the children, families and health professionals at the Pegg Leditschke Children’s Burns Centre at the Lady Cilento Children’s Hospital, Brisbane, Australia for their participation, support and assistance of this research. The authors would also like to acknowledge Anne Bernard of QFAB Bioinformatics, Brisbane for her statistical input. This study is funded by an Australian Government Research Training Scholarship, Children’s Health Foundation Top-Up Scholarship and a grant given to The University of Queensland by Stratpharma. Publisher Copyright: © 2018 Elsevier Ltd and ISBI Copyright: Copyright 2019 Elsevier B.V., All rights reserved.

PY - 2019/2

Y1 - 2019/2

N2 - 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.

AB - 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.

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DO - 10.1016/j.burns.2018.08.029

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SN - 0305-4179

VL - 45

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JO - Burns

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IS - 1

ER -

Variability of pressure at the pressure garment-scar interface in children after burn: A pilot longitudinal cohort study

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