Table 2.
Study | Year | Study Type | No. with peripheral neuropathy (%) |
Diagnostic criteria | Findings |
---|---|---|---|---|---|
Henderson et al. | 1971 | Prospective | 36 of 249 (15%) | EMG/NCS | Polyneuropathy was more common in burns over 20% TBSA. |
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Marquez et al. | 1993 | Retrospective | 19 of 800 (2%) | Clinical assessment followed by EMG/NCS | Most patients with peripheral neuropathy had multiple nerves affected (three or more). |
Of the patients that presented with peripheral neuropathy, 69% were severely burned with TBSA greater than 20%. The number of nerves affected correlated with the full thickness burn area. | |||||
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Khedr et al. | 1997 | Prospective | 16 of 55 (29%) | EMG/NCS followed by clinical assessment | Mononeuropathy multiplex was diagnosed in 56% of patients. Generalized peripheral neuropathy was noted in 31% of patients. |
Higher prevalence of neuropathy associated with age > 20, burns involving full thickness wounds, and TBSA > 20%. | |||||
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Kowlske et al. | 2001 | Retrospective | 64 of 572 (11%) | Clinical assessment | Of the patients that presented with peripheral neuropathy, 56 patients (88%) had mononeuropathy, while 18 patients (28%) had polyneuropathy. Of these patients, 10 (16%) had both mononeuropathy and polyneuropathy. |
Higher prevalence of neuropathy associated with severe burn injury in patients who were older (>40 years), critically ill, had an electrical injury, or a history of alcohol abuse. | |||||
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Lee et al. | 2009 | Retrospective | 35 of 868 (4%) | Clinical assessment followed by EMG/NCS | Flame injuries and full thickness burn injuries were most common in patients with peripheral neuropathy. |
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Tamam et al. | 2013 | Retrospective | 47 of 648 (7%) | Clinical assessment followed by EMG/NCS | Of the patients with peripheral neuropathy, 68% of patients had mononeuropathy while 42% had polyneuropathy. |
Most frequent etiology of mononeuropathy was low-voltage electrical injury (<1000V) (50%). |
EMG, electromyography; NCS, nerve conduction study.