Reconstructive surgery after burns: A 10-year follow-up study

• Published in: Burns Vol. 40; no. 8; pp. 1544 - 1551
• Main Authors: Hop, M.J, Langenberg, L.C, Hiddingh, J, Stekelenburg, C.M, van der Wal, M.B.A, Hoogewerf, C.J, van Koppen, M.L.J, Polinder, S, van Zuijlen, P.P.M, van Baar, M.E, Middelkoop, E
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01-12-2014
• Subjects: Adolescent; Adult; Burn; Burns - complications; Burns - surgery; Child; Child, Preschool; Cicatrix - etiology; Cicatrix - surgery; Cohort Studies; Contracture - etiology; Contracture - surgery; Costs; Critical Care; Epidemiology; Facial Injuries - complications; Facial Injuries - surgery; Female; Follow-Up Studies; Hand Injuries - complications; Hand Injuries - surgery; Health Care Costs; Humans; Infant; Infant, Newborn; Male; Middle Aged; Neck Injuries - complications; Neck Injuries - surgery; Netherlands; Reconstructive surgery; Reconstructive Surgical Procedures - economics; Reconstructive Surgical Procedures - methods; Reconstructive Surgical Procedures - statistics & numerical data; Retrospective Studies; Skin Transplantation; Surgical Flaps; Young Adult; Netherlands; Burn; Costs; Epidemiology; Reconstructive surgery
• ISSN: 0305-4179; 1879-1409
• DOI: 10.1016/j.burns.2014.04.014

Abstract Background There is minimal insight into the prevalence of reconstructive surgery after burns. The objective of this study was to analyse the prevalence, predictors, indications, techniques and medical costs of reconstructive surgery after burns. Methods A retrospective cohort study was conducted in the three Dutch burn centres. Patients with acute burns, admitted from January 1998 until December 2001, were included. Data on patient and injury characteristics and reconstructive surgery details were collected in a 10-year follow-up period. Results In 13.0% ( n = 229/1768) of the patients with burns, reconstructive surgery was performed during the 10-year follow-up period. Mean number of reconstructive procedure per patient were 3.6 (range 1–25). Frequently reconstructed locations were hands and head/neck. The most important indication was scar contracture and the most applied technique was release plus random flaps/skin grafting. Mean medical costs of reconstructive surgery per patient over 10-years were €8342. Conclusions With this study we elucidated the reconstructive needs of patients after burns. The data presented can be used as reference in future studies that aim to improve scar quality of burns and decrease the need for reconstructive surgery.