[Evaluation of the service offer from the Centre d'expertise pour les victimes de brûlures graves de l'est du Québec (CEVBGEQ) in relation to the use of pressure garments to treat scarring in severe burn patients]
Asselin G, Cummings J, St-Jacques S, Rhainds M
Record ID 32018002274
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' recomendations: 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
- Compression Bandages
- Severe burns
- Compressive garments
- Scars treatment
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: email@example.com
Copyright: © Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, 2021
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.