Presence and pattern of scarring in children born very preterm
Abstract
The long-term scarring burden of preterm infants undergoing modern neonatal intensive care is not known. This observational cohort study aimed to document the presence and pattern of scarring in children born <30 weeks’ gestation or <1500 g birth weight and cared for at the National Women’s Health neonatal intensive care unit, Auckland, New Zealand. Children were examined at 7 years’ corrected age and the presence, size, number and distribution of scars documented. Scarring was seen in 90% of 129 children assessed, with 81% having multiple scars, 60% having large scars (85% of whom had no history of major neonatal surgery) and 75% having more than one body area scarred. Scarring was more common in boys and in children of non-European ethnicity. Despite modern neonatal intensive care practices, children born very preterm are frequently and extensively scarred at school age.
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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).”
From Binodal, wireless epidermal electronic systems with in-sensor analytics for neonatal intensive care (2019) · cites this paper as [4]
By age 7, more than 90% of children born preterm (<30 weeks gestation) and previously cared for in the NICU exhibit residual scars secondary to monitoring probes, adhesives, and invasive medical interventions.
“By age 7,more than 90% of children born preterm (<30 weeks gestation) and previously cared for in the NICU exhibit residual scars secondary to monitoring probes, adhesives, and invasive medical interventions (4).”
From Binodal, wireless epidermal electronic systems with in-sensor analytics for neonatal intensive care (2019) · cites this paper as [4]
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Binodal, wireless epidermal electronic systems with in-sensor analytics for neonatal intensive care
Chung, H. U., Kim, B. H., Lee, J. Y., Lee, J., Xie, Z., Ibler, E. M., Lee, K., Banks, A., Jeong, J. Y., Kim, J., et al. (2019) · Science · doi:10.1126/science.aau0780 · Cited by 807 · see citing works
Pacifier Biosensor: Toward Noninvasive Saliva Biomarker Monitoring
García-Carmona, L., Martín, A., Sempionatto, J. R., Moreto, J. R., González, M. C., Wang, J., & Escarpa, A. (2019) · Analytical Chemistry · doi:10.1021/acs.analchem.9b03379 · Cited by 230 · see citing works
- Authors
- Tottman, A. C., Alsweiler, J. M., Bloomfield, F. H., & Harding, J. E.
- Affiliations
- University of Auckland (NZ)
- Corresponding author
- Harding, Jane E
- Venue
- Archives of Disease in Childhood - Fetal and Neonatal Edition
- Publisher
- BMJ
- Published
- 2017-08-09
- Volume
- 103
- Issue
- 3
- Pages
- F277-F279
- ISSN
- 1359-2998 (ISSN-L)
- 1468-2052
- OpenAlex
- W2743930559
- Cited by
- 12
- References
- 5
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2019: 4
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Disease in Childhood Fetal & Neonatal (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- ResearchSpace (University of Auckland) (submittedVersion)
- Funders
- Health Research Council of New Zealand
- A+ Trust
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Health Sciences › Health Professions › Speech and Hearing › Neonatal skin health care
- Keywords
- scar formation, very preterm infants, neonatal intensive care, neonatal surgery, birth weight, gestational age, ethnic differences, sex differences, long-term outcomes
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