617 Who Benefits the Most from Burn Camps?

Abstract Introduction Burn camps provide a unique environment and activities for children that have experienced a burn-injury. Positive outcomes from attending burn camp include increased self-esteem, decreased feelings of isolation and a greater sense of self-confidence. In a 3-year retrospective review of camper evaluations from one of the largest and longest running week-long burn camps in the nation for ages 5–17, we aimed to assess if a child’s gender, age, TBSA or ethnicity affected the impact that burn camp had on a child. Methods A 3-year retrospective review of a Burn Camp’s camper evaluation forms was conducted for campers that attended burn camp between 2017–2019. Camp rosters were reviewed to determine the camper gender, age, TBSA and ethnicity. Camper self-evaluation forms completed at the end of each camp session were reviewed to record camper responses to questions regarding their opinions on the impact camp had on them as well as how camp will impact their lives once they return home. Categorical variables were summarized as frequency and percentage, and continuous variables were described as median and range. To check the relationship between two categorical variables, Chi-square test was used. To compare the continuous variable among groups, Kruskal-Wallis ANOVA was used. Statistical significance was declared based on a p value< 0.5. Results Within 2017–2019, there were 413 camper records. Participants’ demographic characteristics are summarized in Table 1. There were 208 males (50.3%) and 205 females (49.6%). The median age of campers were 11.86, 12.44 and 12.45 for 2017–2019, with the range from 5.16 years to 17.96 years. The median TBSA were 20, 20 and 18 for 2017–2019, with the range from 0.08 to 90. Collectively there were 47.7% Hispanic (n= 197); 24.2% Whites (n=100); 13.1% Black (n= 54); 4.6% Asian (n=19) and 7.7% Other (n=32). There were 395 camper self-evaluation forms submitted. Results of three questions there we were interested in are summarized collectively in Table 2. 57% of campers responded, “Yes, Definitely” to the question “After going to this event, will you feel more comfortable being around your classmates or friends?” 54% responded, “ Yes, Definitely” to the question “Do you feel more confidents in sharing your burn story with others when returning home?” and 51% responded “Yes, Definitely” to “Did you learn anything that will help you when you return home?” Conclusions In analyzing the camper responses, there was no statistically significant difference in responses comparing gender, age, TBSA or ethnicity.

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570 Who Benefits the Most from Burn Camps?

Journal of Burn Care & Research ◽

10.1093/jbcr/iraa024.197 ◽

2020 ◽

Vol 41 (Supplement_1) ◽

pp. S125-S126

Author(s):

Jennifer B Radics-Johnson ◽

Daniel W Chacon ◽

Li Zhang

Keyword(s):

Retrospective Review ◽

Statistical Significance ◽

Self Esteem ◽

Categorical Variables ◽

Self Evaluation ◽

Self Confidence ◽

Significant Difference ◽

Burn Survivors ◽

Return Home ◽

The Impact

Abstract Introduction Burn camps provide a unique environment and activities for children that have experienced a burn-injury. Positive outcomes from attending burn camp include increased self-esteem, decreased feelings of isolation and a greater sense of self-confidence. In a 3-year retrospective review of camper evaluations from one of the largest and longest running week-long burn camps in the nation for ages 5–17, we aimed to assess if a child’s gender, age, TBSA or ethnicity affected the impact that burn camp had on a child. Methods A 3-year retrospective review of a Burn Camp’s camper evaluation forms was conducted for campers that attended burn camp between 2017–2019. Camp rosters were reviewed to determine the camper gender, age, TBSA and ethnicity. Camper self-evaluation forms completed at the end of each camp session were reviewed to record camper responses to questions regarding their opinions on the impact camp had on them as well as how camp will impact their lives once they return home. Categorical variables were summarized as frequency and percentage, and continuous variables were describes as median and range. To check the relationship between two categorical variables, Chi-square test was used. To compare the continuous variable among groups, Kruskal-Wallis ANOVA was used. Statistical significance was declared based on a p value< 0.5. Results Within 2017–2019, there were 413 camper records. Participants’ demographic characteristics are summarized in Table 1. There were 208 males (50.3%) and 205 females (49.6%). The median age of campers were 11.86, 12.44 and 12.45 for 2017–2019, with the range from 5.16 years to 17.96 years. The median TBSA were 20, 20 and 18 for 2017–2019, with the range from 0.08 to 90. Collectively there were 47.7% Hispanic (n= 197); 24.2% Whites (n=100); 13.1% Black (n= 54); 4.6% Asian (n=19) and 7.7% Other (n=32). There were 395 camper self-evaluation forms submitted. Results of three questions there we were interested in are summarized collectively in Table 2. 57% of campers responded, “Yes, Definitely” to the question “After going to this event, will you feel more comfortable being around your classmates or friends?” 54% responded, “ Yes, Definitely” to the question “Do you feel more confident in sharing your burn story with others when returning home?” and 51% responded “Yes, Definitely” to “Did you learn anything that will help you when you return home?” Conclusions In analyzing the camper responses, there was no statistically significant difference in responses comparing gender, age, TBSA or ethnicity. Applicability of Research to Practice Research shows that burn camps have a positive effect on burn survivors including improving self-esteem, self-confidence and social skills. This study shows that burn camp is beneficial to burn survivors of varying gender, age, TBSA or ethnicity.

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Outcomes following operative vs. non-operative management of blunt traumatic pancreatic injuries: a retrospective multi-institutional study

Burns & Trauma ◽

10.1186/s41038-016-0065-5 ◽

2016 ◽

Vol 4 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Poppy Addison ◽

Toni Iurcotta ◽

Leo I. Amodu ◽

Geoffrey Crandall ◽

Meredith Akerman ◽

...

Keyword(s):

Retrospective Review ◽

Injury Severity ◽

Univariate Analysis ◽

Operative Management ◽

Morbidity And Mortality ◽

Categorical Variables ◽

P Value ◽

Continuous Variables ◽

Pancreatic Injuries ◽

Significant Difference

Abstract Background Traumatic pancreatic injuries are rare, and guidelines specifying management are controversial and difficult to apply in the acute clinical setting. Due to sparse data on these injuries, we carried out a retrospective review to determine outcomes following surgical or non-surgical management of traumatic pancreatic injuries. We hypothesize a higher morbidity and mortality rate in patients treated surgically when compared to patients treated non-surgically. Methods We performed a retrospective review of data from four trauma centers in New York from 1990–2014, comparing patients who had blunt traumatic pancreatic injuries who were managed operatively to those managed non-operatively. We compared continuous variables using the Mann-Whitney U test and categorical variables using the chi-square and Fisher’s exact tests. Univariate analysis was performed to determine the possible confounding factors associated with mortality in both treatment groups. Results Twenty nine patients were managed operatively and 32 non-operatively. There was a significant difference between the operative and non-operative groups in median age (37.0 vs. 16.2 years, P = 0.016), grade of pancreatic injury (grade I; 30.8 vs. 85.2%, P value for all comparisons <0.0001), median injury severity score (ISS) (16.0 vs. 4.0, P = 0.002), blood transfusion (55.2 vs. 15.6%, P = 0.0012), other abdominal injuries (79.3 vs. 38.7%, P = 0.0014), pelvic fractures (17.2 vs. 0.00%, P = 0.020), intensive care unit (ICU) admission (86.2 vs. 50.0%, P = 0.003), median length of stay (LOS) (16.0 vs. 4.0 days, P <0.0001), and mortality (27.6 vs. 3.1%, P = 0.010). Conclusions Patients with traumatic pancreatic injuries treated operatively were more severely injured and suffered greater complications than those treated non-operatively. The greater morbidity and mortality associated with these patients warrants further study to determine optimal triage strategies and which subset of patients is likely to benefit from surgery.

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92 Is Virtual Burn Camp as Effective as In-Person Burn Camp?

Journal of Burn Care & Research ◽

10.1093/jbcr/irab032.096 ◽

2021 ◽

Vol 42 (Supplement_1) ◽

pp. S63-S64

Author(s):

Jennifer B Radics-Johnson ◽

Li Zhang ◽

Anwen Huang ◽

Daniel W Chacon

Keyword(s):

Response Rate ◽

Statistical Significance ◽

The Other ◽

Categorical Variables ◽

P Value ◽

Continuous Variables ◽

The Public ◽

Self Evaluation ◽

Burn Survivors ◽

Almost All

Abstract Introduction Burn camps provide a safe haven for child burn survivors to socialize and participate in recreational activities away from the unwanted stares from the public. But when a worldwide pandemic forced one of the world’s largest burn camps to forgo an in-person camp and pivot to a virtual camp, would the virtual burn camp prove as effective as an in-person burn camp? Methods In a 4-year retrospective review of camper evaluations within 2017–2020, we aimed to assess if the campers’ evaluation responses of virtual camp were consistent with their responses from past in-person camp evaluations. Camper self-evaluation forms were reviewed to record camper responses to questions regarding their opinions on camp. Camp rosters were reviewed to determine which campers attended virtual Burn Camp in 2020 as well as in-person Burn Camp among the years 2017–2019, and matched sample comparisons were reviewed (2020 vs. 2017; 2020 vs. 2018 and 2020 vs. 2019). Categorical variables were summarized as frequency and percentage, and continuous variables were described as median and range. To assess if the responses to each question were consistent between 2020 vs. 2017, 2018 and 2019, McNemar’s test was used. Statistical significance was declared based on a p value< 0.05. Results Within 2017–2020, there were 444 camper evaluations submitted. In 2020, there were 137 registered campers. Sample size of this study was small due to a low response rate to evaluation form requests from virtual Burn Camp participants. There were 31 individual completed evaluations forms (23% response rate). Among 31 campers, 20, 22 and 20 campers attended 2017, 2018, and 2019 in-person Burn Camp, respectively. Participants’ demographic characteristics are summarized in Table 1. Comparisons between 2020 vs. 2017, 2018 and 2019, in general, the campers’ responses were consistent. However, for Question #8 (Did you learn anything new from the other burn survivors at this event?) in 2020, more people (n=8) answered Not/A little while they answered Yes/Mostly in 2019 (p=0.046). Participants’ responses to Question#8 are summarized in Tables 2 and 3. Conclusions Virtual Burn Camp was generally as effective as in-person Burn Camp in almost all areas of assessment, except for the ability for burn-injured children to learn from other burn-injured children. The virtual Burn Camp model provided some interaction between counselors and campers, but did not allow for much interaction between campers, resulting in a greater response of “A Little” or “Not at All” to the question “Did you learn anything new from the other burn survivors at this event?”

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The IC50 Assay Is Predictive of Molecular Response, and Indicative of Optimal Dose in De-Novo CML Patients.

Blood ◽

10.1182/blood.v112.11.1109.1109 ◽

2008 ◽

Vol 112 (11) ◽

pp. 1109-1109

Author(s):

Deborah L White ◽

Verity A Saunders ◽

Thea Kalebic ◽

Timothy P Hughes

Keyword(s):

De Novo ◽

Statistical Significance ◽

Continuous Variable ◽

Rank Test ◽

P Value ◽

Molecular Response ◽

Optimization Strategy ◽

Log Reduction ◽

Significant Difference ◽

The Impact

Abstract We have previously demonstrated significant interpatient variability in the IC50imatinib, a measure of the intrinsic sensitivity of a patient to imatinib induced kinase inhibition. Furthermore, this measure is predictive of the achievement of major molecular response (MMR > 3 log reduction in BCR-ABL) in de-novo CML patients treated with imatinib (n=60)1. In an expanded patient pool (n=116) we now perform an evaluation of the IC50 as a predictor of response, and address the IC50imatinib as a guide to dose selection. Samples were obtained with informed consent from de novo CML patients enrolled to either the TIDEL (600mg imatinib) or TOPS (randomised 400mg vs 800mg imatinib) trials. Blood was collected pre therapy, and the IC50 was performed as previously1. Outcome data was assessed using Kaplan Meier Analysis and the log rank test was used to assess statistical significance. In our previous analysis the IC50imatinib was divided about the median value for the cohort (0.6μM) into low and high IC50, with a significantly greater proportion of patients with low IC50imatinib achieving MMR by 12 months. In this expanded patient pool, we confirm this finding (<median of 0.7μM for this patient group) (low IC50 65% of patients achieve MMR by 12 mo vs high IC50 39% of patients p=0.014) Dividing the IC50’s into quartiles we now demonstrate that the IC50imatinib is a continuous variable with a greater proportion of patients in the lower quartile achieving MMR than those in the higher (Table 1 Total). Addressing the issue of dose we demonstrate that no patients with IC50>0.95uM achieve MMR on 400mg, and that this is statistically significantly when compared to all other groups. At 600mg while there is no overall significant difference there is a statistically relevant difference between groups 1, 2 and 4 as indicated. In contrast, at 800 mg the effect of IC50imatinib is overcome. MMR by 12 months Total 400mg 600mg 800mg p value Group1 <0.5μM 67% (27) 83% (12)* 50% (8)* 86% (7) 0.470 Group 2 >0.5<0.7μM 63% (30) 67% (6)* 53% (17)* 71% (7) 0.337 Group 3 >0.7<0.95μM 45% (31) 40%(5)* 30% (10) 56% (16) 0.139 Group 4>0.95μM 32% (28) 0% (7)* 22% (9)* 58% (12) 0.016 P value 0.042 0.018 0.108 0.778 Table 1: Dividing the patients into quartile based on the IC50 imatinib and assessing the Impact of dose on the achievement of MMR by 12 month. *p value <0.05 between groups (n). The failure to achieve a Complete Cytogenetic Response by 12 months is considered a suboptimal response. Assessing the molecular equivalent (≥2 log reduction in BCR-ABL) we demonstrate that a significantly greater proportion of patients with IC50imatinib>0.7μM fail to achieve a 2 log reduction when treated with 400mg (IC50 <0.7μM 11%: >0.7μM 33% p=0.034), and 600mg (IC50 <0.7μM 12%: >0.7μM 22% p=0.036). However, there is no significant difference in the 800mg patient cohort (IC50 <0.7μM 7%: >0.7μM 14% p=0.79). This analysis confirms that the IC50imatinib, is predictive of imatinib response. Patients with an IC50imatinib <0.7μM are likely to respond well to doses of 400mg imatinib, as suggested by evaluation of statistically relevant outcome benefit. In contrast patients with higher IC50imatinib (>0.7μM) may benefit from higher dosing regimens (p=0.012). Thus, the accurate assessment of IC50imatinib could support dose optimization strategy for patients with a suboptimal response.

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122 In Patients with Lower Extremity Burns and Osteomyelitis, Diabetes Mellitus Increases Amputation Rate

Journal of Burn Care & Research ◽

10.1093/jbcr/irab032.126 ◽

2021 ◽

Vol 42 (Supplement_1) ◽

pp. S81-S82

Author(s):

Kathleen A Iles ◽

Lori Chrisco ◽

Stephen Heisler ◽

Booker King ◽

Felicia N Williams ◽

...

Keyword(s):

Diabetes Mellitus ◽

Lower Extremity ◽

Burn Injury ◽

Healing Process ◽

Common Mechanism ◽

P Value ◽

Diabetic Patients ◽

Significant Difference ◽

History Of ◽

The Impact

Abstract Introduction Diabetes mellitus (DM) is a critical comorbidity with burn injury due to the disrupted healing process. Previous reports have confirmed the increased rate of osteomyelitis (OM) and subsequent amputation in this cohort, however this has yet to be studied in comparison to non-diabetic patients. In this retrospective analysis, we investigate OM and amputation in both the diabetic and non-diabetic lower extremity burn populations to determine the impact of DM on these outcomes. Methods The burn registry was used to identify all patients admitted to our tertiary burn center from January 1, 2014 to December 31, 2018. Only patients with lower extremity burns (foot and/or ankle) were included. Patients with burns to additional body areas were excluded. Amputations were categorized by time from injury. Statistical analysis was performed using Student’s t test, chi-squared test, and Fischer’s exact test. Results Of the 315 patients identified, 103 had a known diagnosis of DM and 212 did not. Scald injury was the most common mechanism and average TBSA was similar. Differences were observed in average length of stay (LOS) and admission cost, with diabetics demonstrating both a higher LOS (13.7 days vs 9.2 days, p-value= 0.0016) and cost ($72,883 vs $50,500, p-value= 0.0058) (Table 1). In total, 17 patients were found to have radiologically confirmed OM within three months of the burn injury. Fifteen of these patients had a history of DM and two had no history of DM (p-value= < 0.001) (Table 2). The DM OM patients were found to have a higher blood glucose level on admission (219 mg/dL vs 110 mg/dL, p-value= 0.0452). No significant difference was seen in Hgb A1c in diabetics with or without OM (9.26% vs 8.81%, p= 0.2743). Notably, when non-diabetics were diagnosed with OM, significant differences were observed in both LOS and cost in comparison to their counterparts without OM (36 days vs 9 days; p= 0.0003; $226,289 vs $48,818, p=0.0001). Of the 11 patients who required an amputation, 10 (90.9%) of these patients had comorbid DM. Conclusions DM patients with lower extremity burns are more likely to develop OM than their non-diabetic counterparts. When radiologically confirmed OM is present, DM patients have an increased rate of amputation. OM incurs significant healthcare utilization and cost in both the diabetic and non-diabetic populations.

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Comparison of Visuospatial Skill Development Between Preclinical and Clinical Undergraduate Students Using Dentinal Pin Placement Exercise

Journal of The Pakistan Dental Association ◽

10.25301/jpda.303.147 ◽

2021 ◽

Vol 30 (03) ◽

pp. 147-151

Author(s):

Alia Ahmed ◽

◽

Usman Anwer Bhatti

Keyword(s):

Undergraduate Students ◽

Dental Students ◽

Two Dimensions ◽

Categorical Variables ◽

P Value ◽

Psychomotor Skills ◽

Continuous Variables ◽

Chi Square ◽

Significant Difference ◽

Second Year

OBJECTIVE: The objective of this study was to compare visuospatial and psychomotor skills of second year pre-clinical dental students with final year dental students using an exercise in dentinal pin placement. METHODOLOGY:A total of 120 BDS undergraduate students who had completed second or final year Operative dentistry rotation were included. While students from second and final year who had not consented to participate or had missed the practical demonstration or whose dentinal pins were misplaced after becoming loose from the tooth were excluded. Participating students placed the dentinal pins, following which Adobe Photoshop (version CC 2014) was used to analyze the photographs of the taken radiographs in two dimensions. Parameters assessed were pulpal perforations, periodontal perforations and pin angulation. Independent sample t-test was used to compare continuous variables while chi-square test was used for testing association for categorical variables. RESULTS: Final year students fared better in all categories of pin placement except periodontal perforation which was the same for both years. Statistically significant difference in the angulation for pin placement were observed between the two student groups in mesiodistal direction (p value =0.001) and in buccolingual direction (p value <.001). CONCLUSION: There is a significant difference in the psychomotor and visuospatial skill of second year pre-clinical when compared with the final year clinical undergraduate students. KEYWORDS: curriculum, dental, learning, operative, students.

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A study of meibomian gland and tear film changes in patients with pterygium in a tertiary care centre

Panacea Journal of Medical Sciences ◽

10.18231/j.pjms.2021.068 ◽

2021 ◽

Vol 11 (2) ◽

pp. 336-340

Author(s):

Piyali Sarkar ◽

Shilpi Sharma ◽

Partha Pratim Pal ◽

Pinaki Sengupta

Keyword(s):

Pearson Correlation ◽

Tertiary Care ◽

Tear Film ◽

Meibomian Gland ◽

Categorical Variables ◽

Control Group ◽

P Value ◽

Continuous Variables ◽

Significant Difference ◽

Expression Score

To find out the correlation of Meibomian gland and Tear film dysfunction with pterygium. Institution based prospective cross sectional study. 70 (seventy) patients with unilateral primary progressive nasal Pterygium and 70 healthy adults without any ocular pathology were selected as comparison group from the Ophthalmology outpatient department of Calcutta National Medical College and hospital, Kolkata for a duration of 6 months from January 2020 to June 2020. Meibomian gland dysfunction was measured by meibomian gland expression score and lid margin abnormality score. Tear film changes were measured by Ocular Surface Disease Index (OSDI) Score , Tear break up time (TBUT), Tear meniscus height(TMH), Schirmer’s test 1 (ST1) and Corneal flourescein staining in both pterygium and control group and comparisons were done to find out the significance in differences. The Categorical variables were analyzed with the help of Pearson Chi square test, Spearman rho Correlation, Man Whitney U Test and the continuous variables were analyzed with the help of Independent T test and Pearson Correlation coefficient. The level of significance was considered as 95% of confidence interval i.e. P value <0.05. OSDI score, TBUT, meibomian gland expression score, lid margin abnormality score and corneal fluoresce in staining were significantly higher in pterygium group than others (p<0.05) whereas TMH values although showed differences between the two groups but were not statistically significant. ST1 were normal in pterygium group though had significant difference with control. Meibomian gland function was altered in patient with Pterygium which is also associated with uncomfortable ocular symptoms due to tear film abnormalities.

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The Impact of Covid-19 Lockdown on Metamemory among Medical Students

10.53350/pjmhs211551014 ◽

2021 ◽

Vol 15 (5) ◽

pp. 1014-1016

Author(s):

AF Anjum ◽

G Jawwad ◽

I Naiyar ◽

R Masud ◽

A Khokhar ◽

...

Keyword(s):

Medical Students ◽

Statistical Significance ◽

Phase 1 ◽

Ethical Review ◽

P Value ◽

Age And Gender ◽

Medical College ◽

Significant Difference ◽

And Gender ◽

The Impact

Background: The lockdown due to Covid-19 has impacted certain aspects of cognition among medical students. Aim: To explore the impact of the Covid-19 lockdown on metamemory among medical students studying in a private medical college in Pakistan. Study design: Experimental study. Methodology: This study with enrolled students (n=233) was carried out after ethical review committee’s (ERC) approval at CMH Kharian Medical College (CKMC), Physiology Department, Kharian-Pakistan. Both male and female medical students were enrolled. In phase 1, the students reported to the Physiology laboratory where age and gender were recorded. Metamemory was measured using the Multi-factorial Memory Questionnaire (MMQ)-Satisfaction scale using the Baycrest Centre protocols for its administration and scoring. Data was analyzed by SPSS software, version 21. MMQ-Satisfaction score was presented as mean±SD. Statistical significance was taken at p value <0.05. Results: Among males mean±SD for Pre Covid-19 MMQ was 43.24±9.58 while mean±SD for Post Covid-19 MMQ males was 55.32±6.01. Significant difference was seen between Pre & Post Covid-19 MMQ scores with p-value of <0.000. Conclusion: We concluded that significant difference was seen between Pre & Post Covid-19 MMQ scores with p-value of <0.000. However, means among all age groups were significantly equal with the others in Pre & Post COVID-19 MMQ. Similarly, means were significantly equal among both genders for Pre & Post COVID-19 MMQ. Keywords: Covid-19 lockdown, Medical students, Metamemory, Age and Gender.

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Pain and analgesics in patients with hard-to-heal ulcers: using telemedicine or standard consultations

Journal of Wound Care ◽

10.12968/jowc.2021.30.sup6.s23 ◽

2021 ◽

Vol 30 (Sup6) ◽

pp. S23-S32

Author(s):

Hanna Wickström ◽

Rut F Öien ◽

Patrik Midlöv ◽

Peter Anderberg ◽

Cecilia Fagerström

Keyword(s):

High Intensity ◽

Pain Treatment ◽

Statistical Significance ◽

Healing Time ◽

Categorical Variables ◽

Rank Test ◽

P Value ◽

Significant Difference ◽

Video Consultation ◽

Normally Distributed

Objective: To compare consultations carried out via video with those performed in person for patients with painful, hard-to-heal ulcers, with a focus on ulcer pain and pain treatment. A further aim was to investigate predictors for pain and pain treatment. Method: This was a register-based, quasi-experimental study based on data from the Swedish Registry of Ulcer Treatment (RUT). A total of 100 patients with hard-to-heal ulcers diagnosed via video consultation were compared with 1888 patients diagnosed in person with regard to pain assessment, intensity and treatment. Ulcer pain intensity was assessed by the visual analogue scale (VAS). Normally distributed variables (age, VAS) were compared between consultation groups using Student's t-test. Non-normally distributed variables (ulcer size, ulcer duration) were compared using the Mann–Whitney U-test, except for healing time, which was analysed with a log-rank test. Categorical variables (gender, ulcer aetiology and prescribed analgesics) were compared using Pearson's chi-square test (χ2). A p value of less than 0.05 was considered to indicate statistical significance. Predictors for pain and pain treatment were analysed in multiple regression analyses. Results: The results showed a high presence of pain; 71% of patients with pain reported severe ulcer pain. There was no significant difference in ability to assess pain by VAS in the group diagnosed via video consultation (90%) compared with the group diagnosed in person (86%) (χ2, p=0.233). A significantly higher amount of prescribed analgesics was found for patients diagnosed via video (84%) compared with patients diagnosed by in-person assessment (68%) (χ2, p=0.044). Predictors for high-intensity pain were female gender or ulcers due to inflammatory vessel disease, while the predictors for receiving analgesics were older age, longer healing time and being diagnosed via video consultation. Conclusion: To identify, assess and treat ulcer pain is equally possible via video as by in-person consultation. The results of this study confirm that patients with hard-to-heal ulcers suffer from high-intensity ulcer pain, with a discrepancy between pain and pain relief. Further well-designed randomised controlled studies are necessary to understand how best to deploy telemedicine in ulcer pain treatment.

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