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Incidence and prevalence of lymphede...

Hettrick, Heather Leigh.

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Incidence and prevalence of lymphedema in patients following burn injury: A five-year retrospective and three-month prospective study.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Incidence and prevalence of lymphedema in patients following burn injury: A five-year retrospective and three-month prospective study./
Author:	Hettrick, Heather Leigh.
Description:	88 p.
Notes:	Source: Dissertation Abstracts International, Volume: 64-05, Section: B, page: 2155.
Contained By:	Dissertation Abstracts International64-05B.
Subject:	Health Sciences, Rehabilitation and Therapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3089865
ISBN:	0496375903

Incidence and prevalence of lymphedema in patients following burn injury: A five-year retrospective and three-month prospective study.
Hettrick, Heather Leigh.

Incidence and prevalence of lymphedema in patients following burn injury: A five-year retrospective and three-month prospective study. - 88 p.

Source: Dissertation Abstracts International, Volume: 64-05, Section: B, page: 2155.

Thesis (Ph.D.)--Nova Southeastern University, 2003.

Purpose. The purpose of this research study was to determine the incidence and prevalence of lymphedema after burn injury. In addition, the tests and measures used to diagnose lymphedema were evaluated for their effectiveness in diagnosing lymphedema in the burn patient population, and burn characteristics were reviewed to determine which were potential risk factors for the development of lymphedema. Subjects. 5,640 inpatient charts were queried and 564 patients were evaluated to determine if lymphedema is a significant problem in patients following burn injury. Methods. The incidence of lymphedema was explored by conducting a retrospective chart review of all patients admitted to the New York Presbyterian Hospital's Burn Center from September 1, 1996 through September 1, 2001. Specific queries were run on edema related ICD-9 codes. The prevalence of lymphedema was explored by conducting a prospective study assessing all patients in the outpatient burn clinic who presented to clinic with edema. The techniques used to diagnose lymphedema: history, inspection, and physical examination, were utilized on all patients presenting to clinic with extremity edema. The prospective analysis reviewed the lymphedema tests and measures and burn characteristics to determine those that were appropriate to diagnose or predict the risk of lymphedema in a burn patient. A 6-month follow-up study was conducted by another investigator to re-examine subjects initially diagnosed with lymphedema. Findings. The retrospective chart queries did not reveal significant findings to determine incidence of lymphedema following burn injury. The prospective study identified eight patients with a clinical diagnosis of lymphedema. Two of the eight subjects had a previous diagnosis of lymphedema prior to the burn injury. The six remaining subjects represent a prevalence of 1.0%. Specific tests and measures, Stemmer Sign, deepening of skin folds, and the lack of venous alterations were found to be appropriate measures to diagnose lymphedema in the burn patient population. Specific burn characteristics, circumferential extremity involvement and fascial excision were also determined to identify burn patients who may be at risk for developing lymphedema. Lastly, the results of the 6-month re-evaluation confirmed the original diagnoses.

ISBN: 0496375903Subjects--Topical Terms:

1017926
Health Sciences, Rehabilitation and Therapy.

Incidence and prevalence of lymphedema in patients following burn injury: A five-year retrospective and three-month prospective study.
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