Specific Aim 1: To determine if one of three burn dressings provides a less painful healing experience for partial thickness hand. Specific Aim 2: To evaluate if one of three dressings provides greater functionality during and after healing of partial thickness hand burns. Specific Aim 3: To determine if one of three burn dressings promotes aesthetically superior healing results for partial thickness hand burns.
Various products are on the market and available for use on partial thickness burns to the hand/s. Our current institutional standard of care is to use Xeroform Gauze (Coviden, Mansfield, MA) and Bacitracin Ointment (Fougera, Melville, NY) to promote a moist antibacterial healing environment with the ability to monitor the healing progress daily. However, silver (AG) based dressings that employ nanocrystalline technology with hydrofiber (Aquacel AG burn; ConvaTec, Princeton, NJ) or soft silicone foam (Mepilex AG ; Molnlycke Health Care, Dunstable, United Kingdom) have been well accepted as alternative dressing solutions. These dressings have longer interval times between changes, leading to a reported increase in patient comfort, diminished skin shearing/stripping, and rapid re-epithelialization. Given the anatomic intricacies, partial thickness burns to the hand present a challenge in dressing selection. Recently, ConvaTec unveiled the Aquacel AG Burn Glove for use on partial thickness hand burns. In line with this idea, our institution has now begun to fashion a novel burn glove out of Mepilex Transfer AG with good success. To date there are no known studies that compare Xeroform/Bacitracin, Aquacel AG burn glove or Mepilex Transfer AG dressing. The goal of this study is to compare these three burn dressings used to treat partial-thickness hand burns and their impact on pain, function, and aesthetic outcomes. We will also explore psychosocial issues related to hand burn dressing changes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Southern Illinois University School of Medicine
Springfield, Illinois, United States
pain
pain as measured by the Patient and Provider Scar Assessment Scale
Time frame: baseline to 6 months post-burn injury
pain
pain as measured by the Michigan Hand Outcomes Questionnaire (MHQ)
Time frame: baseline to 6 months post-burn injury
pain
pain as measured by the Disabilities of the Arm, Shoulder and Hand Scale, Quick (QuickDASH)
Time frame: baseline to 6 months post-burn injury
functionality
functionality as measured by the Michigan Hand Outcomes Questionnaire (MHQ)
Time frame: baseline to 6 months post-burn injury
functionality
functionality as measured by the Disabilities of the Arm, Shoulder and Hand Scale, Quick (QuickDASH)
Time frame: baseline to 6 months post-burn injury
aesthetic appearance
scar formation and aesthetic appearance measured using the Vancouver Scar Scale
Time frame: baseline to 6 months post-burn injury
aesthetic appearance
scar formation and aesthetic appearance measured using the the Patient and Provider Scar Assessment Scale
Time frame: baseline to 6 months post-burn injury
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