Gangemi et al developed a nomogram for predicting the risk of pathologic scarring in a burn wound. This can help identify a patient who may require more aggressive management. The authors are from the University of Turin.
Parameters:
(1) gender
(2) age in years
(3) burn site
(4) number of procedures at the site
(5) type of skin graft
points for age =
= (-0.51 * (age in years)) + 51
points for number of procedures =
= (3.1 * (number of procedures))
Parameter
Finding
Points
gender
male
0
female
8.26
burn site
perineum
0
abdomen
3.3
lower limb
47
chest
53.2
head
54.2
upper limb
60.8
neck
100
type of skin graft
sheet
4
1:2
27.3
1:4
28.75
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: around 200 points
• The higher the score the greater the risk of burn scarring.
