Cited by 95Neonatal skin health careDermatologic Treatments and ResearchInfant Development and Preterm Care

The scars of newborn intensive care

Cartlidge, P.H.T., Fox, P.E., Rutter, N.·1990·Early Human Development

Abstract

Many techniques used in neonatal intensive care are invasive and the risk of producing skin damage is high. To investigate this, 100 consecutive survivors of neonatal intensive care (gestation 26-42 weeks, median 32) were examined in detail by a single observer at 16-29 months of age, and the scar severity, site and likely cause noted. Scarring was present in all infants although it was usually trivial. The total number of scars was inversely related to gestational age and directly related to the duration of intensive care. Eleven children had cosmetically or functionally significant lesions caused by chest drain insertion, extravasation of intravenous fluid or skin stripping by adhesive tape. To reduce the frequency and severity of skin damage, neonatal staff need to be aware that many routine procedures may lead to long term scarring. In particular, more careful wound closure after chest drain removal is needed.

Integrity signals

Registry

Crossref · 10.1016/0378-3782(90)90105-r

Cites

19 of 19 references verified0 citation errors · 0 not checkable

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  • The adhesives that couple wired electrodes to the fragile skin of neonates are a frequent cause of iatrogenic injuries and subsequent scarring.

    “Moreover, the adhesives that couple these wired electrodes to the fragile skin of the neonates are a frequent cause of iatrogenic injuries and subsequent scarring (2–4).”

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Authors
Cartlidge, P. H. T., Fox, P. E., & Rutter, N.
Affiliations
Nottingham City Hospital (GB)
Corresponding author
Rutter, N.
Venue
Early Human Development
Publisher
Elsevier BV
Published
1990-01
Volume
21
Issue
1
Pages
1-10
ISSN
0378-3782 (ISSN-L)
OpenAlex
W1975235719
Cited by
95
References
22
Citations by year
2026: 1 · 2025: 5 · 2024: 6 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 2 · 2016: 5 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 4
FWCI
9.04
Type
journal article
Language
en
Open access
closed
Locations
  • Early Human Development (publishedVersion)
  • PubMed (publishedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › Neonatal skin health care
  • Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
neonatal intensive care, skin damage, chest tube insertion, wound closure, gestational age
MeSH terms
Cicatrix, Gestational Age, Humans, Iatrogenic Disease, Infant, Newborn, Infant, Premature, Time Factors, Intensive Care, Neonatal

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