Table 1.
Author | Publication year | Study design | Sample size | Study diagnosis of CNP | Prevalence of CNP | Study conclusions |
---|---|---|---|---|---|---|
Ward et al. [40] | 1989 | Retrospective | 60 | Clinical examination | 25% | Prevalence was not due to age, %TBSA or mechanism of burn etiology. No associations were found for developing CNP. |
Choiniere et al. [35] | 1991 | Retrospective | 104 | Contacting patients by phone and inquiring if they had CNP and if it was associated with the burn injury | 82% | Prevalence was not due to age, sex or etiology. CNP was associated with burn size and skin grafting. |
Margherita et al. [24] | 1995 | Prospective | 17 | Clinical examination and EDS | 41% | Burn-associated peripheral neuropathy is associated with thermal injury and may be present as early as one week on EDS. |
Malenfant et al. [39] | 1996 | Retrospective | 288 | Contacting patients to administer questionnaires and assess if they had CNP and it CNP was associated with the burn injury | 36.4% | Prevalence was not due to age, sex, burn etiology or length of time elapsed since injury. |
Khedr et al. [38] | 1997 | Prospective | 55 | Clinical examination and EDS | 29% | Prevalence was attributed to 11% of patients having signs and symptoms of peripheral neuropathy and 18% with findings on EDS. CNP was associated with age >20 years, electric burns involving full-thickness skin and a %TBSA more than 20%. |
Dauber et al. [37] | 2002 | Retrospective | 358 | Mailing patients questionnaires and inquiring if they had any pain | 52% | Only 157 questionnaires completed, 23% survey response rate from the 1551 patients mailed questionnaires. |
Schneider et al. [34] | 2006 | Retrospective | 72 | Clinical examination | 40% | The most common associated sensation was a feeling of pins and needles in 46% of patients with pain. |
Gabriel et al. [36] | 2009 | Prospective | 370 | Clinical examination and EDS | 10.2% | Eight patients completed at least one follow-up examination. On follow-up examination there was significant improvement in clinical symptoms and EDS results without intervention. Four of the 8 patients were classified as having neuropathy with an evaluation at 71 days or less. |
Brown et al. [7] | 2011 | Retrospective | 492 | Mailing patients questionnaires and inquiring if they had pain | 18% | Study had a 23% response rate. Patients with CNP recalled significantly more procedures and dressing changes on questionnaires. |
Tamam et al. [8] | 2013 | Retrospective | 648 | EDS | 7.3% | Of the 47 patients with diagnosed peripheral neuropathy from EDS, 15 patients had polyneuropathy and 32 had mononeuropathy. Polyneuropathy was associated with a greater %TBSA, thermal burns, low-voltage electrical burns and upper and lower extremity burns. |
%TBSA percent of total body surface area, EDS electro-diagnostic studies