• M D Cuijpers, A Meij-de Vries, van ZuijlenP P MPPMAssociation of Dutch Burn Centers, Burn Center, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Location VU University Amsterdam, De Boelelaan 1117, Amsterdam, the N, BaartmansM G AMGADepartment of Pediatrics, Maasstad Hospital, Rotterdam, the Netherlands; Association of Dutch Burn Centers, Burn Center, Maasstad Hospital, Rotterdam, the Netherlands., M Nieuwenhuis, M E van Baar, A Pijpe, and Dutch Burn Repository Group.
• Association of Dutch Burn Centers, Burn Center, Red Cross Hospital, Beverwijk, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Location VU University Amsterdam, De Boelelaan 1117, Amsterdam, the Netherlands; Amsterdam Movement Sciences (AMS) Institute, Amsterdam UMC, Amsterdam, the Netherlands. Electronic address: mcuijpers@rkz.nl.
• Burns. 2024 Dec 1; 50 (9): 107213107213.

ObjectiveThis study aimed to examine the prevalence and predictors of reconstructive surgery among pediatric burn patients in the Netherlands.MethodsPediatric burn patients were identified through the Dutch Burn Repository R3. Eligibility criteria included a burn requiring hospital admission or surgical treatment at one of the Dutch burn centers in 2009-2019. First, patient, burn, and treatment characteristics were summarized using descriptive statistics. Second, time to the first reconstructive surgery was modelled using Kaplan Meier curves. Third, a prediction model was developed using univariate and multivariate logistic regression. The model's performance was assessed using calibration, discrimination, and explained variance. Fourth, internal validation was performed using bootstrapping.ResultsApproximately three percent (n = 84) of pediatric patients (n = 3072) required reconstructive surgery between the initial burn-related hospital admission and September 2021. Median time to the first reconstructive surgery was 1.2 (0.7-1.6) years. Most surgeries were performed on the face, arm, neck, hand, or anterior trunk, owing to contractures or hypertrophic scarring. Predictors of reconstruction included the etiology, anatomical site, extent of full-thickness burn, surgical treatment in the acute phase, and length of hospital stay.ConclusionOur study provided an overview of the prevalence and independent predictors of reconstructive surgery in the pediatric burn population.Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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