The evaluation of a clinical scar scale for porcine burn scars

Wang, Xue-Qing, Kravchuk, Olena, Liu, Pei-Yun, Kempf, Margit, Boogaard, Carolina V.D., Lau, Peter, Cuttle, Leila, Mill, Julie, & Kimble, Roy M. (2009) The evaluation of a clinical scar scale for porcine burn scars. Burns, 35(4), pp. 538-546.

View at publisher


This study describes the evaluation of a clinical scar scale for our porcine burn scars, which includes scar cosmetic outcome, colour, height and hair, supplemented with reference porcine scar photographs representing each scar outcome and scar colour scores. A total of 72 porcine burn scars at week 6 after burn were rated in vivo and/or on photographs. Good agreements were achieved for both intra-rater reliability (correlation is 0.86-0.98) and inter-rater reliability (ICC=80-85%). The results showed statistically significant correlations for each pair in this clinical scar scale (p<0.01), with the best correlation found between scar cosmetic outcome and scar colour. A multivariate principle components analysis revealed that this clinical scar assessment was highly correlated with scar histology, wound size, and re-epithelialisation data (p<0.001). More severe scars are clinically characterised by darker purple colouration, more elevation, no presence of hair, histologically by thicker scar tissue, thinner remaining normal dermis, are more likely to have worse contraction, and slower re-epithelialisation. This study demonstrates that our clinical scar scale is a reliable, independent and valuable tool for assessing porcine burn outcome and truthfully reflects scar appearance and function. To our knowledge, this is the first study demonstrating a high correlation between clinical scar assessment and scar histology, wound contraction and re-epithelialisation data on porcine burn scars. We believe that the successful use of porcine scar scales is invaluable for assessing potential human burn treatments.

Impact and interest:

10 citations in Scopus
Search Google Scholar™
9 citations in Web of Science®

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

ID Code: 67226
Item Type: Journal Article
Refereed: Yes
Keywords: Animals, Burns/*classification/pathology, Cicatrix/*classification/pathology, Esthetics, Female, Photography, Swine, Trauma Severity Indices, Wound Healing/physiology
DOI: 10.1016/j.burns.2008.10.005
ISSN: 1879-1409
Divisions: Current > Schools > School of Biomedical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Deposited On: 26 Feb 2014 00:08
Last Modified: 25 Mar 2014 03:24

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page