Ignace De Decker, Anse Beeckman, Henk Hoeksema, Kimberly De Mey, Jozef Verbelen, Petra De Coninck, Phillip Blondeel, Marijn M Speeckaert, Stan Monstrey, Karel E Y Claes
BACKGROUND: Hypertrophic scarring is a deviate occurrence after wound closure and is a common burn sequela. The mainstay of scar treatment consists of a trifold approach: hydration, UV-protection and the use of pressure garments with or without extra paddings or inlays to provide additional pressure. Pressure therapy has been reported to induce a state of hypoxia and to reduce the expression pattern of transforming growth factor-β1 (TGF-β1), therefore limiting the activity of fibroblasts...
March 11, 2023: Burns
Matilda Karlsson, Ingrid Steinvall, Moustafa Elmasry
AIM: The study aim was to investigate if Suprathel® can be an adequate alternative to Mepilex® Ag for the treatment of partial-thickness scalds in children. METHODS: A retrospective study including 58 children admitted to The Burn Centre in Linköping, Sweden between year 2015 and 2022. Of the 58 children, 30 were dressed with Suprathel ® and 28 with Mepilex ® Ag. Outcomes investigated were healing time, burn wound infection (BWI), need for operations and number of dressing changes...
March 11, 2023: Burns
Celine L M Roggan, Samira Akbas, Michael Arvanitakis, Lijo Mannil, Donat R Spahn, Jan A Plock, Alexander Kaserer
BACKGROUND: Severely burned patients suffer from both coagulopathy and hypothermia, with a lack of international consensus and appropriate treatment guidelines. This study examines recent developments and trends in coagulation and temperature management in European burn centers. METHODS: A survey was sent to burn centers in Switzerland, Austria and Germany in 2016 and again in 2021. The analysis was performed using descriptive statistics, with categorical data reported in absolute numbers (n) and percentages (%) and numerical data reported as mean and standard deviation...
February 24, 2023: Burns
Amanullah Haidary, Jason S Hoellwarth, Kevin Tetsworth, Atiya Oomatia, Munjed Al Muderis
OBJECTIVE: Transcutaneous osseointegration for amputees (TOFA) surgically implants a prosthetic anchor into the residual limb's bone, enabling direct skeletal connection to a prosthetic limb and eliminating the socket. TOFA has demonstrated significant mobility and quality of life benefits for most amputees, but concerns regarding its safety for patients with burned skin have limited its use. This is the first report of the use of TOFA for burned amputees. METHODS: Retrospective chart review was performed of five patients (eight limbs) with a history of burn trauma and subsequent osseointegration...
February 24, 2023: Burns
M E Carrière, Z Tyack, M J Westerman, J Pleat, A Pijpe, P P M van Zuijlen, H C W de Vet, L B Mokkink
PURPOSE: To clarify and elaborate on the choices that were made in the development of the Patient Scale of the Patient and Observer Scar Assessment Scale 3.0 (POSAS 3.0), based upon the rich information obtained from patients during focus groups and pilot tests. METHODS: The discussions described in this paper are a reflection of the focus group study and pilot tests that were conducted in order to develop the Patient Scale of the POSAS3.0. The focus groups took place in the Netherlands and Australia and included 45 participants...
February 23, 2023: Burns
Ina S A Van Ingen Schenau, Anuschka S Niemeijer, Jan-Kees Zuiker, Sonja M H J Scholten, Kirsten F Lamberts, Margriet E Van Baar, Marianne K Nieuwenhuis
AIMS: To evaluate the effect of video interaction guidance on improving the nurse-child relationship during the wound care procedures. Additionally, determine whether the interactional behavior of nurses is related to pain and distress experienced by children. METHODS: The interactional skills of seven nurses receiving video interaction guidance were compared with those of ten other nurses. The nurse-child interactions were video-taped during wound care procedures...
February 23, 2023: Burns
Mücahide Öner, Bilge Kalanlar, Sabri Demir, Neşe Özyurt, Abdurrahman Erul, Emrah Şenel
BACKGROUND: Burn injuries in childhood create serious trauma for both children and their caregivers. Burn injuries require extensive nursing care to reduce complications and to restore optimal functional health conditions. When children receive burn treatment and their caregivers are migrants with different languages, religions, and habits, nurses must adopt a cultural approach while caring for such patients. AIM: This descriptive qualitative study aimed to reveal the challenges, expectations, and cultural care experiences of nurses regarding migrant children receiving burn treatment and their caregivers...
February 23, 2023: Burns
W C Lim, A-M Hill, D W Edgar, M Elliott, L M van der Lee
BACKGROUND: Complex challenges face clinicians managing critically ill patients with burns, particularly in the context of enhancing outcomes after a stay in ICU. Compounding this, a dearth of research explores the specific and modifiable factors that impact early mobilization in the ICU environment. AIM: To explore the barriers and enablers of early functional mobilization for patients with burns in the ICU from a multidisciplinary perspective. DESIGN: A qualitative phenomenological study...
February 23, 2023: Burns
Zhe Zhu, Weishi Kong, Yahuan Lu, Ying Shi, Lanxia Gan, Hongtai Tang, Haibo Wang, Yu Sun
OBJECTIVES: To describe the epidemiological and clinical features of paediatric scar inpatients and then to facilitate therapeutic schedule for children with scars. METHODS: In this cross-sectional study, data of patients admitted for scar treatment in 1064 tertiary hospitals from 2013 to 2018 were extracted through the Hospital Quality Monitoring System (HQMS) database. Demographic and clinical features of children with scars were analysed statistically and highlighted compared with those of adults and the elderly scar cases...
February 22, 2023: Burns
Nargess Ghassempour, W Kathy Tannous, Kingsley E Agho, Gulay Avsar, Lara A Harvey
This study aims to identify residential fire risk factors and their health outcomes in terms of hospital admissions from burns and smoke inhalation together with related readmissions, length of hospital stay (LOS), costs of hospitalisation and mortality within 30 days of the fire incidence. Residential fire-related hospitalisations from 2005 to 2014 in New South Wales, Australia were identified using linked data. Univariate and multivariable Poisson regression analyses were performed to determine factors associated with residential fires on hospital admission and loss of life...
February 22, 2023: Burns
Fathollah Ahmadpour, Hamid Reza Rasouli, Samira Talebi, Diba Golchin, Mohammad Reza Esmailinejad, Ali Razie
BACKGROUND: The role of exosomes in areas, such as skin wound healing, have been of consideratble interest recently. However, the effects of exosomes derived mainly from fibroblast cells on wound healing have yet to be documented well. The study aimed to evaluate the effects of exosomes derived from fibroblast cells on wound healing in Wistar rats. METHODS: Human fetal skin was isolated afterward centrifuge, and trypsin 0.1% was added to the cells after removing DPBS from the Falcon tube, and the trypsin was removed...
February 14, 2023: Burns
Serge Le Tacon, Alexandre Falaize, Nouchan Mellati, Yoann Picard, Christophe Goetz, Sébastien Gette, Marie-Reine Losser
OBJECTIVE: To evaluate the value of hematocrit for monitoring fluid resuscitation of burn patients in the acute phase of their care. METHOD: We conducted a single-center retrospective study focused on patients admitted with a burn surface of more than 20 % of the total body surface area (TBSA) from 2014 to 2021. We investigated the relationship between the change in hematocrit and the volume administered for patient resuscitation. The change in hematocrit is the difference between an admission hematocrit and a second one taken between the eighth and twenty-fourth hour...
February 11, 2023: Burns
Thanya Sritharan, Morgan Haines, Anne Darton, Aruna Wijewardana, Diane Elfleet, Kate Welsh, Meredeth Cassidy, Bish Soliman, Shane O'Neill, Jeon Cha, John Vandervord, Varun Harish
BACKGROUND: Several studies demonstrated that burn size calculations by referring clinicians are poor. The purpose of this study was to determine if inaccuracies in burn size estimation have improved with time within the same population, and whether widespread roll-out of a smartphone-based TBSA calculator (in the form of the NSW Trauma App) had an impact on accuracy. METHODS: A review of all burn-injured adult patients transferred to Burn Units from August 2015, following the roll out of the NSW Trauma App, to January 2021 was performed...
February 9, 2023: Burns
Kentaro Hayashi, Yusuke Sasabuchi, Hiroki Matsui, Mikio Nakajima, Masayuki Otawara, Hiroyuki Ohbe, Kiyohide Fushimi, Kazuyuki Ono, Hideo Yasunaga
The present study aimed to investigate the appropriate timing of excision or skin grafting of burn wounds in patients with severe burns. We retrospectively analyzed data from the Diagnosis Procedure Combination Database, a nationwide inpatient database in Japan. Patients with severe burns (burn index ≥10) who underwent excision or skin grafting within 7 days from September 2010 to March 2019 were included. We defined the early surgery group as patients who underwent excision or skin grafting within 2 days of admission and the delayed surgery group as those who underwent surgery within 3-7 days of admission...
February 3, 2023: Burns
Ming Jiang, Hongyan Qian, Qiqi Li, Yingying Han, Kesu Hu
BACKGROUND: Extensive burns are devastating trauma. This study aimed to explore the predictive value of early lactate dehydrogenase (LDH) level, the abbreviated burn severity index (ABSI) and their combination on acute kidney injury (AKI) and mortality after severe burns. METHODS AND RESULTS: 194 severe burn patients (TBSA ≥ 30%) were included. After multivariate analyses, early LDH value (first 24 h after admission) was an independent risk factor for early AKI (OR=1...
January 31, 2023: Burns
Kelli N Patterson, Tariku J Beyene, Katherine Lehman, Sarah N VerLee, Dana Schwartz, Renata Fabia, Rajan K Thakkar
OBJECTIVES: The purpose of this study was to evaluate pediatric burn patients' and caregivers' quality of life (QoL), while identifying clinical characteristics correlated with psychological stress. METHODS: Pediatric burn patients at an ABA-verified institution from November 2019-January 2021 were included. Caregivers of patients 0-4 years completed the Infant's Dermatology QoL Index (IDQOL). Patients> 4-16 years completed the Children's Dermatology Life Quality Index (CDLQI)...
January 31, 2023: Burns
Yu-Ren Duan, Xiao-Bing Wang, Bao-Lin Zhang
No abstract text is available yet for this article.
January 31, 2023: Burns
Beth A Shields, Sandrine O Fossati, Renee E Cole, Adam J Kieffer, Saul J Vega, James K Aden, Alicia M Williams, Leopoldo C Cancio
Weight loss is difficult to quantify in critically ill burn patients, as the presence of edema can mask changes in dry body weight. We sought to estimate dry body weight using measured weights adjusted for reported extremity edema. We evaluated patients with at least 20% total body surface area (TBSA) burns admitted to our intensive care unit over a 3½-year period. Body weights were collected for this analysis from admission to the time of a recorded dry weight after wound healing. Extremity edema was collected at the time of each weight measurement and was categorized into three groups: (1) no edema, (2) 1 + pitting edema, (3) 2 + or 3 + pitting edema...
January 27, 2023: Burns
Tomer Lagziel, Christopher D Lopez, Kimberly H Khoo, Carrie A Cox, Alejandro V Garcia, Carisa M Cooney, Robin Yang, Julie A Caffrey, C Scott Hultman, Richard J Redett
INTRODUCTION: Children are uniquely vulnerable to injury because of near-complete dependence on caregivers. Unintentional injury is leading cause of death in children under the age of 14. Burns are one of the leading causes of accidental and preventable household injuries, with scald burns most common in younger children and flame burns in older ones. Education is a key tool to address burn prevention, but unfortunately these injuries persist. Critically, there is a paucity of literature investigating adult comprehension with respect to potential risks of household burns...
January 27, 2023: Burns
Daljit Kaur, Neha Sharma, Asir John Samuel
INTRODUCTION: Physiotherapy practices in pediatric burns involves relaxation techniques and exercise training for attaining physical fitness, improving quality of life and, thereby to prevent primary and secondary complications. Physical activity and exercise act as a meaningful and purposeful tool for attaining physical fitness after burn injury. AIM: The aim of this e-survey is to identify the current practices of physiotherapy interventions in pediatric burn rehabilitation among physiotherapy students and professionals...
January 25, 2023: Burns
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