Epidemiology and impact of XXXX after burn injury: a systematic review of the literature.

@entity2318 @entity2805
The purpose of this study was to perform a systematic review of the existing literature on the incidence of @entity2805 . In a comprehensive literature review, the authors identified 48 articles published since 1965 and written in English which reported the incidence and risk factors for @entity2805 or assessed outcomes related to @entity2318 . Most studies had important methodological limitations limiting the generalizability of the findings. In particular, the absence of standardized valid measures of @entity2318 and other outcome variables was a major barrier to drawing strong conclusions. Among studies on @entity2805 , the prevalence rate varied between 32 and 72%. Identified risk factors included dark skin, female gender, young age, burn site on neck and upper limb, multiple surgical procedures, meshed skin graph, time to healing, and burn severity. With regard to psychosocial outcomes, two studies compared pediatric burn survivors with a nonburn comparison group on a body image measure; neither study found differences between groups. Across studies, burn severity and location had a modest relationship with psychosocial outcome variables. Psychosocial variables such as social comfort and perceived stigmatization were more highly associated with body image than burn characteristics. To advance our knowledge of the epidemiology of scars and the burden of scars, future studies need to implement more rigorous methodologies. In particular, standardized valid measures of @entity2318 and other outcomes should be developed. This process could be facilitated by an international collaboration among burn centers.
