A Randomized Controlled Comparison of Guardian-Perceived Cosmetic Outcome of Simple Lacerations Repaired With Either Dermabond, Steri-Strips, or Absorbable Sutures.
Journal
Pediatric emergency care
ISSN: 1535-1815
Titre abrégé: Pediatr Emerg Care
Pays: United States
ID NLM: 8507560
Informations de publication
Date de publication:
15 Aug 2024
15 Aug 2024
Historique:
medline:
14
8
2024
pubmed:
14
8
2024
entrez:
14
8
2024
Statut:
aheadofprint
Résumé
The aim of this study was to compare the guardian-perceived 3-month cosmetic outcome for pediatric lacerations repaired with absorbable sutures, Dermabond, or Steri-Strips. Secondarily, pain and satisfaction with the procedure from both guardian and provider perspectives were compared. In this randomized controlled trial, we enrolled a convenience sample of children aged 0 to <18 years who presented with simple linear lacerations (≤5 cm in length, ≤0.5 cm in width, and <12 hours old) to a pediatric emergency department. Children were randomized to receive laceration repair with absorbable sutures, Dermabond, or Steri-Strips. Topical L.E.T. solution (lidocaine, epinephrine, tetracaine) was applied to wounds which were then closed by the primary team. Guardians and providers completed questionnaires regarding perceived pain and satisfaction with the procedure. Guardians were contacted 3 months after the repair and asked to email a picture of the scar with their perception of cosmesis rated on a visual analog scale from 0 to 100. Fifty-five patients were enrolled, of whom 30 completed 3-month follow-up (12 suture, 7 Dermabond, 11 Steri-strips). There was no statistical evidence of an association between scar appearance and closure method based on medians and interquartile ranges for cosmetic ratings of scar: suture median 70.5 (IQR 59.8-76.8), Dermabond median 85 (IQR 73-90), Steri-strips median 67 (IQR 55-78) (P = 0.254). Guardian satisfaction with length of stay, guardian and physician satisfaction with the procedure, and guardian and physician-perceived pain also showed no differences. No differences were observed in guardian-perceived cosmesis of simple lacerations repaired with sutures, Dermabond, or Steri-Strips when evaluated 3 months after intervention. In addition, there were no differences in guardian or physician-perceived pain or satisfaction with the closure methods. The results of this study suggest that all 3 closure methods appear to be clinically equivalent, which is largely consistent with other evidence. Further study should be expanded to a larger demographic.
Identifiants
pubmed: 39141836
doi: 10.1097/PEC.0000000000003244
pii: 00006565-990000000-00504
doi:
Banques de données
ClinicalTrials.gov
['NCT03280628']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: The authors declare no conflict of interest.
Références
Singer AJ, Thode HC, Hollander JE. National trends in ED lacerations between 1992 and 2002. Am J Emerg Med. 2006;24:183–188.
Otterness K, J Singer A. Updates in emergency department laceration management. Clin Exp Emerg Med. 2019;6:97–105.
Hollander JE, Singer AJ, Valentine S. Comparison of wound care practices in pediatric and adult lacerations repaired in the emergency department. Pediatr Emerg Care. 1998;14:15–18.
Hwang K, Huan F, Hwang PJ, et al. Facial Lacerations in Children. J Craniofac Surg. 2013;24:671–675.
Lowe DA, Monuteaux MC, Ziniel S, et al. Predictors of parent satisfaction in pediatric laceration repair: predictors of satisfaction in pediatric laceration repair. Acad Emerg Med. 2012;19:1166–1172.
From Tapes to Surgical Drapes: How One Challenge Led to Decades of Healthcare Innovations. 3 M Science Applied to Life. Available at: https://transformingoutcomes.3m.com/2019/10/14/from-tapes-to-surgical-drapes-how-one-challenge-led-to-decades-of-healthcare-innovations/. Accessed March 6, 2021.
FDA dermabond approval order. US Food and Drug Administration. Available at: http://www.accessdata.fda.gov/cdrh_docs/pdf/P960052b.pdf. Accessed March 6, 2021.
Bruns TB, Simon HK, McLario DJ, et al. Laceration repair using a tissue adhesive in a children's emergency department. Pediatrics. 1996;98(4 Pt 1):673–675.
Harman S, Zemek R, Duncan MJ, et al. Efficacy of pain control with topical lidocaine-epinephrine-tetracaine during laceration repair with tissue adhesive in children: a randomized controlled trial. CMAJ. 2013;185:E629–E634.
Lawrence LM, Wright SW. Sedation of pediatric patients for minor laceration repair: effect on length of emergency department stay and patient charges. Pediatr Emerg Care. 1998;14:393–395.
Osmond MH, Klassen TP, Quinn JV. Economic comparison of a tissue adhesive and suturing in the repair of pediatric facial lacerations. J Pediatr. 1995;126:892–895.
Priestley S, Kelly AM, Chow L, et al. Application of topical local anesthetic at triage reduces treatment time for children with lacerations: a randomized controlled trial. Ann Emerg Med. 2003;42:34–40.
Resch KL, Hick JL. Preliminary experience with 2-octylcyanoacrylate in a pediatric emergency department. Pediatr Emerg Care. 2000;16:328–331.
Zempsky WT, Parrotti D, Grem C, et al. Randomized controlled comparison of cosmetic outcomes of simple facial lacerations closed with Steri strip skin closures or Dermabond tissue adhesive. Pediatr Emerg Care. 2004;20:519–524.
Romero P, Frongia G, Wingerter S, et al. Prospective, randomized, controlled trial comparing a tissue adhesive (Dermabond™) with adhesive strips (Steri-Strips™) for the closure of laparoscopic trocar wounds in children. Eur J Pediatr Surg. 2011;21:159–162.
Beam JW. Tissue adhesives for simple traumatic lacerations. J Athl Train. 2008;43:222–224.
Farion KJ, Osmond MH, Hartling L, et al. Tissue adhesives for traumatic lacerations: a systematic review of randomized controlled trials. Acad Emerg Med. 2003;10:110–118.
Bruns TB, Worthington JM. Using tissue adhesive for wound repair: a practical guide to dermabond. Am Fam Physician. 2000;61:1383–1388.
Devrukhkar VN, Hegde RJ, Khare SS, et al. Evaluation of isoamyl 2-cyanoacrylate tissue adhesive in management of pediatric lacerations: an alternative to suturing. Ann Maxillofac Surg. 2015;5:49–54.
Hasan Z, Gangopadhyay AN, Gupta DK, et al. Sutureless skin closure with isoamyl 2-cyanoacrylate in pediatric day-care surgery. Pediatr Surg Int. 2009;25:1123–1125.
Ong CCP, Jacobsen AS, Joseph VT. Comparing wound closure using tissue glue versus subcuticular suture for pediatric surgical incisions: a prospective, randomised trial. Pediatr Surg Int. 2002;18:553–555.
Quinn JV, Drzewiecki AE, Stiell IG, et al. Appearance scales to measure cosmetic outcomes of healed lacerations. Am J Emerg Med. 1995;13:229–231.
Rajimwale A, Golden BK, Oottomasathien S, et al. Octyl-2-cyanoacrylate as a routine dressing after open pediatric urological procedures. J Urol. 2004;171(6 Pt 1):2407–2408.
Saxena AK, Willital GH. Octylcyanoacrylate tissue adhesive in the repair of pediatric extremity lacerations. Am Surg. 1999;65:470–472.
Simon HK, Zempsky WT, Bruns TB, et al. Lacerations against Langer's lines: to glue or suture? J Emerg Med. 1998;16:185–189.
Simon HK, McLario DJ, Bruns TB, et al. Long-term appearance of lacerations repaired using a tissue adhesive. Pediatrics. 1997;99:193–195.
Tandon S, Smale M, Pacilli M, et al. Tissue adhesive and adhesive tape for pediatric wound closure: a systematic review and meta-analysis. J Pediatr Surg. Published online August 5, 2020. doi: 10.1016/j.jpedsurg.2020.07.037, 1020, 1029.
doi: 10.1016/j.jpedsurg.2020.07.037
Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377–381.
Quinn JV, Wells GA. An assessment of clinical wound evaluation scales. Acad Emerg Med. 1998;5:583–586.
Mankowitz SL. Laceration management. J Emerg Med. 2017;53:369–382.
Forsch RT, Little SH, Williams C. Laceration repair: a practical approach. Am Fam Physician. 2017;95:628–636.