Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-Analysis

Silver foam dressings have been extensively used in the management of burn injuries; however, its application in children requires elucidation. A literature search was conducted from database inception to October 2023. Eligible studies reported paediatrics patients under 21 years of age receiving si...

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Main Authors: Nathanael Q. E. Yap, Dilip K. Vankayalapati, Sum-Yu C. Lee, Hafsa O. Sulaiman, Alma Sato, M Zaid Shami, Valeria Antoniou, James W. F. Burns, Hayato Nakanishi, Christian A. Than, Graeme Southwick
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Language:English
Published: MDPI AG 2025-01-01
Series:European Burn Journal
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Online Access:https://www.mdpi.com/2673-1991/6/1/3
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author Nathanael Q. E. Yap
Dilip K. Vankayalapati
Sum-Yu C. Lee
Hafsa O. Sulaiman
Alma Sato
M Zaid Shami
Valeria Antoniou
James W. F. Burns
Hayato Nakanishi
Christian A. Than
Graeme Southwick
author_facet Nathanael Q. E. Yap
Dilip K. Vankayalapati
Sum-Yu C. Lee
Hafsa O. Sulaiman
Alma Sato
M Zaid Shami
Valeria Antoniou
James W. F. Burns
Hayato Nakanishi
Christian A. Than
Graeme Southwick
author_sort Nathanael Q. E. Yap
collection DOAJ
description Silver foam dressings have been extensively used in the management of burn injuries; however, its application in children requires elucidation. A literature search was conducted from database inception to October 2023. Eligible studies reported paediatrics patients under 21 years of age receiving silver dressings for burns or scalds. This review was registered prospectively with PROSPERO (CRD42023470239). 18 studies met the inclusion criteria with a total of 701 patients. The pooled mean time to re-epithelisation (TTRE) was 12.9 days (95% CI: 11.2, 14.6, I<sup>2</sup> = 94%). The pooled mean duration of hospitalisation was 9.8 days (95% CI: 3.9, 15.7; I<sup>2</sup> = 100%). Mean number of total dressing changes per patient was 3.6 (95% CI: 2.2, 4.9; I<sup>2</sup> = 99%). There were a total of 98 complications, including 30 (30.6%) infections, 29 (29.6%) surgical requirements, 14 (14.3%) hypertrophic scarring, 17 (17.3%) escalations of care, 5 (5.1%) burn depth progression, and 3 (3.1%) others. Silver foam dressings appear as a safe and effective approach in terms of healing rate and dressing change frequency for selected paediatric patients with burn injuries. Despite the promising results, further comparative studies are required to evaluate the selection criteria and long-term effect of silver foam dressing.
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spelling doaj-art-dddb1b7865ed4459b2f92438508e32ed2025-08-20T02:42:40ZengMDPI AGEuropean Burn Journal2673-19912025-01-0161310.3390/ebj6010003Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-AnalysisNathanael Q. E. Yap0Dilip K. Vankayalapati1Sum-Yu C. Lee2Hafsa O. Sulaiman3Alma Sato4M Zaid Shami5Valeria Antoniou6James W. F. Burns7Hayato Nakanishi8Christian A. Than9Graeme Southwick10Addenbrookes, Cambridge University Hospital NHS Trust, Hills Rd., Cambridge CB2 0QQ, UKSchool of Medicine, St George’s University of London, London SW17 0RE, UKSchool of Medicine, University of Nicosia, Nicosia 2417, CyprusCleveland Clinic Foundation, Cleveland, OH 44195, USASchool of Medicine, University of Nicosia, Nicosia 2417, CyprusSchool of Medicine, St George’s University of London, London SW17 0RE, UKSchool of Medicine, University of Nicosia, Nicosia 2417, CyprusManchester Royal Infirmary, Manchester Foundation Trust, Manchester M13 9WL, UKDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USASchool of Medicine, St George’s University of London, London SW17 0RE, UKMelbourne Institute of Plastic Surgery, 253 Wattletree Road, Melbourne, VIC 3144, AustraliaSilver foam dressings have been extensively used in the management of burn injuries; however, its application in children requires elucidation. A literature search was conducted from database inception to October 2023. Eligible studies reported paediatrics patients under 21 years of age receiving silver dressings for burns or scalds. This review was registered prospectively with PROSPERO (CRD42023470239). 18 studies met the inclusion criteria with a total of 701 patients. The pooled mean time to re-epithelisation (TTRE) was 12.9 days (95% CI: 11.2, 14.6, I<sup>2</sup> = 94%). The pooled mean duration of hospitalisation was 9.8 days (95% CI: 3.9, 15.7; I<sup>2</sup> = 100%). Mean number of total dressing changes per patient was 3.6 (95% CI: 2.2, 4.9; I<sup>2</sup> = 99%). There were a total of 98 complications, including 30 (30.6%) infections, 29 (29.6%) surgical requirements, 14 (14.3%) hypertrophic scarring, 17 (17.3%) escalations of care, 5 (5.1%) burn depth progression, and 3 (3.1%) others. Silver foam dressings appear as a safe and effective approach in terms of healing rate and dressing change frequency for selected paediatric patients with burn injuries. Despite the promising results, further comparative studies are required to evaluate the selection criteria and long-term effect of silver foam dressing.https://www.mdpi.com/2673-1991/6/1/3paediatricburnssilversilver foam dressingmeta-analysis
spellingShingle Nathanael Q. E. Yap
Dilip K. Vankayalapati
Sum-Yu C. Lee
Hafsa O. Sulaiman
Alma Sato
M Zaid Shami
Valeria Antoniou
James W. F. Burns
Hayato Nakanishi
Christian A. Than
Graeme Southwick
Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-Analysis
European Burn Journal
paediatric
burns
silver
silver foam dressing
meta-analysis
title Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-Analysis
title_full Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-Analysis
title_fullStr Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-Analysis
title_full_unstemmed Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-Analysis
title_short Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and Meta-Analysis
title_sort healing rates and dressing frequency of silver foam dressings in paediatric burns a systemic review and meta analysis
topic paediatric
burns
silver
silver foam dressing
meta-analysis
url https://www.mdpi.com/2673-1991/6/1/3
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