Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: A randomized study of cost and time benefits

J. T. Kanegaye, Cheryl Vance, L. Chan, N. Schonfeld

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Objective: To compare the total costs and the physician time requirements for suture and staple repair of pediatric scalp lacerations. Study design: Eighty-eight children, 13 months to 16 years of age, coming to a children's hospital emergency department with simple scalp lacerations were prospectively randomly selected to receive staple or suture repair. Wound lengths, times required for initial wound care and closure, and equipment use were recorded. Patients returned in 1 week for suture or staple removal and wound reevaluation. The two methods were compared in terms at both time expended and costs of equipment and physician compensation. Results: Forty- five children underwent staple repair and 43 underwent suture repair. There were no differences in age, sex, wound length, number of sutures or staples per centimeter, or physician experience. Stapling resulted in shorter wound closure times (65 vs 397 seconds; p <0.0001) and shorter overall times for wound care and closure (395 vs 752 seconds; p <0.0001). Staple repair was less expensive in terms of equipment ($12.55 vs $17.59; p <0.0001) and total cost based on equipment and physician time ($23.55 vs $38.51; p <0.0001). The follow-up rate was 91%, with no cosmetic or infectious complications in either group. Conclusions: Stapling is faster and less expensive than suturing in the repair of uncomplicated pediatric scalp lacerations, with no additional complications. Physicians who treat children with scalp lacerations should consider the use of stapling devices.

Original languageEnglish (US)
Pages (from-to)808-813
Number of pages6
JournalJournal of Pediatrics
Volume130
Issue number5
StatePublished - 1997

Fingerprint

Lacerations
Scalp
Sutures
Cost-Benefit Analysis
Pediatrics
Equipment and Supplies
Skin
Physicians
Wounds and Injuries
Costs and Cost Analysis
Hospital Departments
Compensation and Redress
Cosmetics
Hospital Emergency Service

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations : A randomized study of cost and time benefits. / Kanegaye, J. T.; Vance, Cheryl; Chan, L.; Schonfeld, N.

In: Journal of Pediatrics, Vol. 130, No. 5, 1997, p. 808-813.

Research output: Contribution to journalArticle

@article{c28389b6e1a74147afa38de77bad2818,
title = "Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: A randomized study of cost and time benefits",
abstract = "Objective: To compare the total costs and the physician time requirements for suture and staple repair of pediatric scalp lacerations. Study design: Eighty-eight children, 13 months to 16 years of age, coming to a children's hospital emergency department with simple scalp lacerations were prospectively randomly selected to receive staple or suture repair. Wound lengths, times required for initial wound care and closure, and equipment use were recorded. Patients returned in 1 week for suture or staple removal and wound reevaluation. The two methods were compared in terms at both time expended and costs of equipment and physician compensation. Results: Forty- five children underwent staple repair and 43 underwent suture repair. There were no differences in age, sex, wound length, number of sutures or staples per centimeter, or physician experience. Stapling resulted in shorter wound closure times (65 vs 397 seconds; p <0.0001) and shorter overall times for wound care and closure (395 vs 752 seconds; p <0.0001). Staple repair was less expensive in terms of equipment ($12.55 vs $17.59; p <0.0001) and total cost based on equipment and physician time ($23.55 vs $38.51; p <0.0001). The follow-up rate was 91{\%}, with no cosmetic or infectious complications in either group. Conclusions: Stapling is faster and less expensive than suturing in the repair of uncomplicated pediatric scalp lacerations, with no additional complications. Physicians who treat children with scalp lacerations should consider the use of stapling devices.",
author = "Kanegaye, {J. T.} and Cheryl Vance and L. Chan and N. Schonfeld",
year = "1997",
language = "English (US)",
volume = "130",
pages = "808--813",
journal = "Journal of Pediatrics",
issn = "0022-3476",
publisher = "Mosby Inc.",
number = "5",

}

TY - JOUR

T1 - Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations

T2 - A randomized study of cost and time benefits

AU - Kanegaye, J. T.

AU - Vance, Cheryl

AU - Chan, L.

AU - Schonfeld, N.

PY - 1997

Y1 - 1997

N2 - Objective: To compare the total costs and the physician time requirements for suture and staple repair of pediatric scalp lacerations. Study design: Eighty-eight children, 13 months to 16 years of age, coming to a children's hospital emergency department with simple scalp lacerations were prospectively randomly selected to receive staple or suture repair. Wound lengths, times required for initial wound care and closure, and equipment use were recorded. Patients returned in 1 week for suture or staple removal and wound reevaluation. The two methods were compared in terms at both time expended and costs of equipment and physician compensation. Results: Forty- five children underwent staple repair and 43 underwent suture repair. There were no differences in age, sex, wound length, number of sutures or staples per centimeter, or physician experience. Stapling resulted in shorter wound closure times (65 vs 397 seconds; p <0.0001) and shorter overall times for wound care and closure (395 vs 752 seconds; p <0.0001). Staple repair was less expensive in terms of equipment ($12.55 vs $17.59; p <0.0001) and total cost based on equipment and physician time ($23.55 vs $38.51; p <0.0001). The follow-up rate was 91%, with no cosmetic or infectious complications in either group. Conclusions: Stapling is faster and less expensive than suturing in the repair of uncomplicated pediatric scalp lacerations, with no additional complications. Physicians who treat children with scalp lacerations should consider the use of stapling devices.

AB - Objective: To compare the total costs and the physician time requirements for suture and staple repair of pediatric scalp lacerations. Study design: Eighty-eight children, 13 months to 16 years of age, coming to a children's hospital emergency department with simple scalp lacerations were prospectively randomly selected to receive staple or suture repair. Wound lengths, times required for initial wound care and closure, and equipment use were recorded. Patients returned in 1 week for suture or staple removal and wound reevaluation. The two methods were compared in terms at both time expended and costs of equipment and physician compensation. Results: Forty- five children underwent staple repair and 43 underwent suture repair. There were no differences in age, sex, wound length, number of sutures or staples per centimeter, or physician experience. Stapling resulted in shorter wound closure times (65 vs 397 seconds; p <0.0001) and shorter overall times for wound care and closure (395 vs 752 seconds; p <0.0001). Staple repair was less expensive in terms of equipment ($12.55 vs $17.59; p <0.0001) and total cost based on equipment and physician time ($23.55 vs $38.51; p <0.0001). The follow-up rate was 91%, with no cosmetic or infectious complications in either group. Conclusions: Stapling is faster and less expensive than suturing in the repair of uncomplicated pediatric scalp lacerations, with no additional complications. Physicians who treat children with scalp lacerations should consider the use of stapling devices.

UR - http://www.scopus.com/inward/record.url?scp=0030785526&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030785526&partnerID=8YFLogxK

M3 - Article

C2 - 9152292

AN - SCOPUS:0030785526

VL - 130

SP - 808

EP - 813

JO - Journal of Pediatrics

JF - Journal of Pediatrics

SN - 0022-3476

IS - 5

ER -