Original Title: Évaluation de l'offre de services du Centre d'expertise pour les victimes de brûlures graves de l'est du Québec (CEVBGEQ) liée à l'utilisation de vêtements compressifs pour le traitement des cicatrices chez les victimes de brûlures graves

Authors' objectives: Should the service offering from the CEVBGEQ related to pressure garments to treat scarring in severe burn patients (i.e., reaching the dermis) be modified?

Authors' results and conclusions: Despite persistent uncertainties regarding the efficiency of pressure garments to improve scars in severe burn patients, published results for certain indicators suggest some efficiency. Benefits have been observed regarding thickness, flexibility, and overall appearance of scars. Although data from the survey done with CEVBGEQ and CEBVGOQ users show satisfaction regarding services received, the analysis of the different data sources about the experience of users sheds some light on different factors that could influence compliance to wearing the pressure garments. An adherence rate of 56% was obtained with users from the two centres of expertise. Discomfort and unpleasant effects associated with pressure garments were the main deterrents reported. The factors inciting the use of pressure garments that were identified in the different data sources could guide the development of interventions favoring compliance to the treatment plan within a continuous improvement of the service offer. The use of new technology, such as an apparatus to measure the pressure exerted by the garment, could also be explored since no data from this ETMI has led to conclusions regarding the optimal properties of the garments, specifically concerning compressive pressure.

Authors' recommendations: It is recommended that the Centre d’expertise pour les victimes de brûlures graves de l’est du Québec (CEVBGEQ) keeps using pressure garments as part of their service offering, among the procedures to consider, to prevent and treat hypertrophic scars in severe burn victims. It is recommended that the Centre d’expertise pour les victimes de brûlures graves de l’est du Québec (CEVBGEQ) team explore avenues of improvement in their service offering linked to pressure garments to foster better compliance in severe burn patients.

Authors' methods: A systematic review of the literature was done to analyze available evidence up to September 1st, 2020. Study results on the efficacy of pressure garments were synthesized and analyzed according to desired therapeutic effects. Data on the safety of the treatment were analyzed according to undesirable effects caused by wearing pressure garments. Information has been collected through survey with users and interviews with occupational therapists and tailor from the CEVBGEQ.

Project Status: Completed

URL for project: https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/MissionUniversitaire/ETMISSS/SOMMAIRE-EXeCUTIF-VEeTEMENTS-COMPRESSIFS-ANGLAIS.pdf

Year Published: 2021

URL for published report: https://www.chudequebec.ca/getmedia/ea795382-d713-49d4-882c-b62987ccddff/RAP_01_21_Vetements_compressifs_compressed.aspx

Requestor: Burn treatment professionnal

English language abstract: An English language summary is available

Publication Type: Full HTA

Country: Canada

Province: Quebec

Organisation Name: Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale

Contact Address: 525, boulevard Wilfrid-Hamel, bureau A-122

Contact Name: Sylvie St-Jacques

Contact Email: uetmisss.deau.ciussscn@ssss.gouv.qc.ca

Copyright: © Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, 2021