Burns Scar Index (Vancouver Scar Scale)

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Top Contributors - Chloe Waller, Kim Jackson and Vidya Acharya  

Introduction[edit | edit source]

Developed in 1990 by Sullivan et al[1], the Vancouver Scar Scale was the first widely used assessment to record burns scars using a semi-quantitative approach[2], in order to measure change in scar appearance during healing and treatment[3].

Intended Population
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The Vancouver Scar Scale is for use with patients with scarring from burn injuries[4]. The VSS is used in both clinical practice and research[3].

Method of Use[edit | edit source]

Four characteristics of the scar are assessed. These are: vascularity, height, pliability, and pigmentation[5]. Each characteristic is given a score, which are added together to give an overall score between 0 and 13[6].

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous
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Links[edit | edit source]

References[edit | edit source]

  1. Sullivan, T et al. Rating the burn scar. The Journal of burn care & rehabilitation. 1990;11: 256-60.
  2. Park JW, Koh YG, Shin SH, Choi Y, Kim W, Yoo HH, et al. Review of Scar Assessment Scales. Medical Lasers. 2022;11:1-7
  3. 3.0 3.1 Baryza, M J, and G A Baryza. The Vancouver Scar Scale: an administration tool and its interrater reliability. The Journal of burn care & rehabilitation. 1995; 16: 535-8.
  4. Thompson CM, Sood RF, Honari S, Carrougher GJ, Gibran NS. What score on the Vancouver Scar Scale constitutes a hypertrophic scar? Results from a survey of North American burn-care providers. Burns. 2015; 41: 1442-1448
  5. Fearmonti R., Bond J., Erdmann D., & Levinson H. A review of scar scales and scar measuring devices. Eplasty. 2010: 10; 43
  6. Nguyen T, Feldstein S, Shumaker P, Krakowski A. A review of scar assessment scales. Seminars in Cutaneous Medicine and Surgery. 2015; 34.