A comparison between the effectiveness of lycra and silon pressure garments for treatment of hypertrophic scar in burns
Bibliographic record
Abstract
Introduction Hypertrophic scarring after burns remains a major challenge for burn care providers. Pressure garments and silicone sheets have been the mainstay of hypertrophic scar treatment. This study was to compare the effectiveness of the traditional Lycra pressure garment and the silicone incorporated pressure garment (Silon) and also to determine patients’ satisfaction with pressure garment among burns patients in Hospital Universiti Sains Malaysia. Methodology This is was a two-phased study. Phase I was a retrospective study, which involved patients who were treated with the Lycra pressure garments from June 2007 until Jun 2009. Meanwhile, phase II was a prospective study, involving patients who were treated with the Silon pressure garments from June 2008 until June 2010. Demographic details collected included age, type and depth of burn, total burn surface area (TBSA) and cause of injury. The effectiveness of the treatment was determined based on the Vancouver Scar Scale score. Patients’ scars were assessed 2 weeks after complete wound healing, and every 4 months, for up to 1 year. Results Repeated measures ANOVA showed significant improvement in terms of scar vascularity, itch and pain within each study group (p < 0.05). However, there was no statistical difference between the two pressure garment groups (p > 0.05). Meanwhile, there was no significant difference within and between the 2 study groups in terms of scar height, pigmentation and pliability. Majority of the patient complained of itch, sweating, discomfort and tightness upon wearing the pressure garments. In addition to interfering with their daily activities, they also reported no improvement of their scar appearance. Nevertheless, they still believe that compliance with the treatment is of great importance in order to gain optimal result. Conclusion We cannot conclude that the combined pressure garment and silicone therapy (Silon) was more effective than the traditional pressure garment (Lycra). Hypertrophic scars following burns injuries can take up to 2 years to reach maturity. Thus, it is recommended that scars should be monitored and pressure garment treatment should be carried out for at least 2 years.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".