Prevalence and characteristics of chronic sensory problems in burn patients

Abstract

Problems of pain and paresthesia in the healed wounds of burn patients are an understudied and poorly documented phenomenon. This descriptive study was designed to examine the prevalence and characteristics of these chronic sensory problems 1 year or more postburn. Four hundred and thirty patients were sent questionnaires which assessed the frequency and intensity of the problems, influencing factors and impact on patients' lives. These problems were assessed by rating scales (visual analogue and categorical scales) and the McGill Pain Questionnaire (MPQ). The response rate was 67%. Over one-third of the participants (36.4%) complained of pain while the prevalence of paresthetic sensations was 71.2%. More than half of the symptomatic patients experienced sensory problems every week sufficient to interfere with daily living. No relationships were found between these sensory problems and the patients' age or sex, burn etiology, or length of time elapsed since injury. Burn severity was related to the frequency of the problems. Discussion emphasizes the need for adequate treatment of these problems and suggests further research issues.

A prospective study on the role of gabapentin in post-burn pruritus

“…The term 'acute' itching refers to a period from wound closure to approximately 6 months into rehabilitation, whereas the term 'chronic' itching is applied for up to 2 years after injury in survivors with deep dermal injury [3,6,21,22]. Nonetheless, even 7 years after the burn event, the pruritus incidence reportedly remains 44%, albeit decreasing further with time [19,23]. In these studies, the total burned body surface area ranged from 19% to 24%.…”

Tratamento da dor em queimados

“…%. Nonsteroidal anti-infl ammatory drugs (NSAIDs) may also reduce the adverse effects of opioids significantly 28 . The most appropriate drugs for patients with burns are paracetamol, dipyrone, and selective cyclooxygenase-2 inhibitors.…”

Underlying Causes of Paresthesia

“…• Burns: Studies of patients recovering from significant burns show that abnormal sensations such as paresthesia are frequently reported as long as several years after the injury (149,150). Furthermore long-term paresthesia is a complication reported after electrical burns (151, 152).…”