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Children’s growth and motor development following a severe burn:a systematic review

Burns & Trauma 2023年第1期11卷 349-360页

作者： Maxime D.Cuijpers Martin G.A.Baartmans Paul P.M.van Zuijlen Johannes C.F.Ket anouk pijpe Red Cross Hospital Burn Centre BeverwijkVondellaan 13BeverwijkThe Netherlands Amsterdam University Medical Centre Location VU University Medical CentreDepartment of PlasticReconstructiveand Hand SurgeryAmsterdam Movement Sciencesde Boelelaan 1117AmsterdamThe Netherlands Association of Dutch Burn Centres Zeestraat 27-29BeverwijkThe Netherlands Maasstad Hospital Department of PaediatricsMaasstadweg 21Rotterdam3079 DZThe Netherlands Red Cross Hospital Department of Plastic SurgeryReconstructive and Hand SurgeryVondellaan 13Beverwijk1942 LEThe Netherlands Paediatric Surgical Centre Emma Children’s HospitalAmsterdam UMCUniversity of AmsterdamVrije UniversiteitMeibergdreef 9Amsterdam1105 AZThe Netherlands Medical Library Vrije Universiteitde Boelelaan 1117AmsterdamThe Netherlands

Background:The epidemiological data on post-burn growth,body composition and motor devel-opment is ambiguous and *** aim of this systematic review was therefore to summarize the current body of evidence on post-burn growth,body composition and motor development in ***:A literature search was conducted in PubMed,EMBASE and Web of Science up to March *** considered observational studies that reported(1)metrics on weight,height,body composition,bone mineral content,bone mineral density or motor development,in(2)paediatric burn patients and(3)published in a peer-reviewed ***:A total of 16 studies were *** of the included studies used quantitative methods,but with differing methodology:prospective cohort studies(n=8),retrospective chart reviews(n=3),case-control studies(n=2),cross sectional studies(n=2)and a retrospective cohort study(n=1).When combined,the included studies represented 2022 paediatric burn patients,with a mean age of 7.7(±3.2)*** average burn sizewas 52.8%(±12.7)of the total body surface *** outcome measures included weight(n=12),height(n=7),muscular strength(n=4),bone mineral content(n=5),bone mineral density(n=5),body mass index(n=3),fat mass(n=5),lean body mass(n=7)and fine and gross motor development(n=1).Conclusions:Following an initial decline,patients’growth and motor development started to recover during the first or second year ***,burns may have a profound and prolonged effect on the paediatric burn patients’muscular strength,bone mineral content and lean body *** should be noted that the vast majority of studies included only patients with burns covering≥30%total body surface *** evidence presented in this review may thus not be representative of the whole paediatric burn population.

关键词： Burns Children Weight Height Bone Muscle Motor function

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