12-Year within-wound study of the effectiveness of custom pressure garment therapy

Short Title:
Model System:
Burn
Reference Type:
Journal Article
Accession No.:
Journal:
Burns
Year, Volume, Issue, Page(s):
2010, vol. 36, issue , pp 975-983
Publication Website:
Abstract:
Pressure garment therapy is standard of care for prevention and treatment of hypertrophic scarring after burn injury. Nevertheless there is little objective data that confirms effectiveness. The purpose of this study was to determine the effectiveness of pressure garment therapy with objective data obtained with a randomized within-wound comparison. We enrolled consecutive patients with forearm injuries over a 12-year period. The subjects wore custom garments with normal and low compression randomized to either the proximal or distal zones. Hardness, color and thickness of wounds were objectively measured using appropriate devices; clinical appearance was measured by a panel masked to the identity of the pressure treated area. Wounds treated with normal compression were significantly softer, thinner, and had improved clinical appearance. There was no interaction of any effect with patient ethnicity. However, these findings were clinically evident only with moderate to severe scarring. We conclude that pressure garment therapy is effective, but that the clinical benefit is restricted to those patients with moderate or severe scarring. # 2010 Elsevier Ltd and ISBI. All rights reserved.
Author(s):
Engrav, L. H.; Heimbach, D. M.; Rivara, F. P.; Moore, M. L.; Wang, J.; Carrougher, G. J.; Costa, B.; Numhom, S.; Calderon, J.; Gibran, N. S.
Author Address(es):
Participating Centers:

Some items may be available for document delivery from the National Rehabilitation Information Center. Make a note of the title and any accession number and contact NARIC at 800-346-2742 to request a copy. There is a charge for document delivery from the NARIC collection.