TY - JOUR
T1 - Predictors and Correlates of Pediatric Postburn Pruritus in Preschool Children of Ages 0 to 4
AU - Stewart, Dylan
AU - Caradec, Jill
AU - Ziegfeld, Susan
AU - Reynolds, Elizabeth
AU - Ostrander, Rick
AU - Parrish, Carisa
N1 - Publisher Copyright:
© 2019 Published by Oxford University Press on behalf of the American Burn Association 2019.
PY - 2019/10/16
Y1 - 2019/10/16
N2 - Pruritus is a common problem following burn injuries; however, the literature to date has focused on adult survivors and/or pediatric survivors of large burns. The current study examines acute postburn pruritus in children under the age of 4 years (N = 256) with smaller burns (mean TBSA = 3.99%), which represents the most common type of patient typically treated in pediatric burn centers. Parents rated their child for pruritus, irritability, and sleep disturbances; additionally, parents completed a self-report of distress. Nearly half (47.3%) were rated by parents as displayed some level of pruritus, with the greatest proportion rated as mild. Regression analysis indicated that child minority status, greater burn TBSA, and more days elapsed since burn predicted higher levels of pruritus. In turn, pruritus was positively correlated with child irritability, delayed sleep onset, sleep disturbance, and parent distress. Thus, our results indicate that parent-rated pruritus in young pediatric burn patients is important to evaluate, as itch is significantly associated with other important clinical outcomes as early as the first month of the burn for pediatric patients and their parents.
AB - Pruritus is a common problem following burn injuries; however, the literature to date has focused on adult survivors and/or pediatric survivors of large burns. The current study examines acute postburn pruritus in children under the age of 4 years (N = 256) with smaller burns (mean TBSA = 3.99%), which represents the most common type of patient typically treated in pediatric burn centers. Parents rated their child for pruritus, irritability, and sleep disturbances; additionally, parents completed a self-report of distress. Nearly half (47.3%) were rated by parents as displayed some level of pruritus, with the greatest proportion rated as mild. Regression analysis indicated that child minority status, greater burn TBSA, and more days elapsed since burn predicted higher levels of pruritus. In turn, pruritus was positively correlated with child irritability, delayed sleep onset, sleep disturbance, and parent distress. Thus, our results indicate that parent-rated pruritus in young pediatric burn patients is important to evaluate, as itch is significantly associated with other important clinical outcomes as early as the first month of the burn for pediatric patients and their parents.
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U2 - 10.1093/jbcr/irz125
DO - 10.1093/jbcr/irz125
M3 - Article
C2 - 31304968
AN - SCOPUS:85073585261
SN - 1559-047X
VL - 40
SP - 930
EP - 935
JO - Journal of Burn Care and Research
JF - Journal of Burn Care and Research
IS - 6
ER -