{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:55:12Z","timestamp":1785419712577,"version":"3.56.0"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>The aim of this study was to compare the guardian-perceived 3-month cosmetic outcome for pediatric lacerations repaired with absorbable sutures, Dermabond, or Steri-Strips. Secondarily, pain and satisfaction with the procedure from both guardian and provider perspectives were compared.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>In this randomized controlled trial, we enrolled a convenience sample of children aged 0 to &lt;18 years who presented with simple linear lacerations (\u22645 cm in length, \u22640.5 cm in width, and &lt;12 hours old) to a pediatric emergency department. Children were randomized to receive laceration repair with absorbable sutures, Dermabond, or Steri-Strips. Topical L.E.T. solution (lidocaine, epinephrine, tetracaine) was applied to wounds which were then closed by the primary team. Guardians and providers completed questionnaires regarding perceived pain and satisfaction with the procedure. Guardians were contacted 3 months after the repair and asked to email a picture of the scar with their perception of cosmesis rated on a visual analog scale from 0 to 100.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Fifty-five patients were enrolled, of whom 30 completed 3-month follow-up (12 suture, 7 Dermabond, 11 Steri-strips). There was no statistical evidence of an association between scar appearance and closure method based on medians and interquartile ranges for cosmetic ratings of scar: suture median 70.5 (IQR 59.8\u201376.8), Dermabond median 85 (IQR 73\u201390), Steri-strips median 67 (IQR 55\u201378) (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.254). Guardian satisfaction with length of stay, guardian and physician satisfaction with the procedure, and guardian and physician-perceived pain also showed no differences.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>No differences were observed in guardian-perceived cosmesis of simple lacerations repaired with sutures, Dermabond, or Steri-Strips when evaluated 3 months after intervention. In addition, there were no differences in guardian or physician-perceived pain or satisfaction with the closure methods. The results of this study suggest that all 3 closure methods appear to be clinically equivalent, which is largely consistent with other evidence. Further study should be expanded to a larger demographic.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000003244","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T20:05:35Z","timestamp":1723665935000},"page":"700-704","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["A Randomized Controlled Comparison of Guardian-Perceived Cosmetic Outcome of Simple Lacerations Repaired With Either Dermabond, Steri-Strips, or Absorbable Sutures"],"prefix":"10.1097","volume":"40","author":[{"given":"Margaret S.","family":"Barton","sequence":"first","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen Saint Georges","family":"Chaumet","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Children's Hospital of Orange County"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Hayes","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra","family":"Hennessy","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Lindsell","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blair A.","family":"Wormer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Novant Health, Appel & Wormer Plastic Surgery, University of North Carolina School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salam A.","family":"Kassis","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisy","family":"Ciener","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Hanson","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Cincinnati Children's Hospital Medical Center."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,8,2]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.ajem.2005.08.021","article-title":"National trends in ED lacerations between 1992 and 2002","volume":"24","year":"2006","journal-title":"Am J Emerg 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