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Burns: Journal of the International Society for Burn Injuries

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https://read.qxmd.com/read/30765161/in-hot-water-the-impact-of-burn-injuries-from-hot-water-bottles-experience-of-a-uk-burns-unit-and-review-of-the-literature
#1
Fahima Begum, Ankur Khajuria, Hodan Abdi, Andrew Williams, Isabel Jones, Jorge Leon-Villapalos, Declan Collins, Joanne Atkins
INTRODUCTION: Hot water bottles (HWBs) are a common domestic item in the UK. Their use is associated with burns injuries, either by contact for prolonged periods with the skin, or through the HWB leaking or bursting. METHODS: We used electronic health records to retrospectively review HWB related burns treated by the Burns Service at Chelsea and Westminster Hospital between January 2017-March 2018. We analysed the mechanism of injury, size and depth of burn, method of treatment and costs associated with HWB burns in our centre...
February 11, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30739729/partial-thickness-wound-does-mechanism-of-injury-influence-healing
#2
Shagufta Jabeen, Ethan C S Clough, Alison M Thomlinson, Sarah L Chadwick, Mark W J Ferguson, Mamta Shah
Wound healing is a complex multistep process which is temporally and spatially controlled. In partial thickness wounds, regeneration is possible from the stem cells in the edges of the wound and from the remnants of the epidermal appendages (such as hair follicles and sebaceous glands). This study examines whether the mechanism of injury influences healing of wounds of similar depth. Burn and excisional wounds were created on the back of Hampshire pigs and harvested at 7, 14, 28, 44, 57 and 70days after injury and processed for histology and immunohistochemistry...
February 7, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30732865/head-and-neck-burns-are-associated-with-long-term-patient-reported-dissatisfaction-with-appearance-a-burn-model-system-national-database-study
#3
I Sinha, M Nabi, L C Simko, A W Wolfe, S Wiechman, G Giatsidis, D Bharadia, K McMullen, N S Gibran, K Kowalske, W J Meyer, L E Kazis, C M Ryan, J C Schneider
INTRODUCTION: Burns affecting the head and neck (H&N) can lead to significant changes in appearance. It is postulated that such injuries have a negative impact on patients' social functioning, quality of life, physical health, and satisfaction with appearance, but there has been little investigation of these effects using patient reported outcome measures. This study evaluates the effect of H&N burns on long-term patient reported outcomes compared to patients who sustained burns to other areas...
February 4, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30718028/work-related-burn-injuries-and-claims-for-post-traumatic-stress-disorder-in-korea
#4
Kang Soo Lee, So Young Joo, Cheong Hoon Seo, Joo-Eon Park, Boung Chul Lee
OBJECTIVE: The objective of this study is to broaden our understanding of psychiatric disorders due to work-related burn injury compensated by the Industrial Accident Compensation Insurance operated by the Korea Workers' Compensation and Welfare Service (KCOMWEL). METHODS: Using the KCOMWEL electronic database, we collected data on psychiatric disorders due to work-related burn injury based on workers' compensation records from 2005 to 2014 and analyzed the characteristics of the claims...
February 1, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30704798/the-scourge-of-burn-contractures-who-will-bell-the-cat
#5
Vinita Puri, Raghav Shrotriya, Manoj Bachhav
INTRODUCTION: Majority of burn injuries occur in developing world. There have been many advances in burn care management. But this advance comes at a price of ever increasing burn sequel of scarring. Burn scar contractures, in spite of being preventable, continue to be a common reality in our world. This paper aims to evaluate the lacunae in burn care leading to formation of contractures, to evaluate common sites of contractures, practice of advising splintage and anti-deformity positioning...
January 28, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30691929/dysphagia-in-the-burn-patient-experience-in-a-national-burn-reference-centre
#6
Axel Pavez R, Macarena P Martínez
INTRODUCTION: Major burn patients are exposed to different invasive procedures for wound management or medical stabilization. Dysphagia is a frequent adverse effect of burns in the presence of invasive airway procedures and facial wounds. OBJECTIVE: To estimate the prevalence of dysphagia, to determine the degree of severity, and to report clinical characteristics that could contribute to the appearance of dysphagia in patients admitted to a National Burn Reference Centre...
January 25, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30686698/hospitalisations-with-burns-in-children-younger-than-five-years-in-portugal-2011-2015
#7
João Vasco Santos, João Viana, Andreia Oliveira, André Ramalho, Joana Sousa-Teixeira, Janine Duke, José Amarante, Alberto Freitas
INTRODUCTION: Paediatric population still represents a high burden of hospitalisations among burns inpatients. Children under five years old have a distinct aetiology distribution comparing to other age groups, representing in Portugal a fifth of all hospitalisations with burns. We aimed to describe the demographic and clinical burden of burns requiring hospitalization, as well as hospitalization charges, among this age group in Portugal. METHODS: We performed a retrospective study including inpatients younger than five years-old and discharged between 2011 and 2015 in a public Portuguese hospital with a main or secondary diagnosis of burns (ICD-9-CM: 940...
January 24, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30686697/new-fluid-therapy-protocol-in-acute-burn-from-a-tertiary-burn-care-centre
#8
Maninder Kaur Bedi, Sujata Sarabahi, Karoon Agrawal
BACKGROUND: Ringer lactate is the main fluid for resuscitation of acute burns. However it is not a complete fluid alone, as it does not take care of sugar and electrolyte balance adequately. This study has been carried out to compare the use of Ringer lactate (RL) alone and combination of RL with Dextrose Normal Saline (DNS) as fluid replacement therapy in acute burn. OBJECTIVE: To assess the biochemical parameters with the use of DNS as maintenance fluid in combination with Ringer lactate as resuscitation fluid in acute burns resuscitation...
January 24, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30686696/the-association-of-patient-and-burn-characteristics-with-itching-and-pain-severity
#9
Atulya Prasad, Henry C Thode, Steven Sandoval, Adam J Singer
INTRODUCTION: Itch after burn injury causes significant distress to patients and can hamper functional recovery. Itching can persist on a time scale ranging from several weeks to even years after injury. In this study, we sought to determine predictors of itching after burn injury. METHODS: We compared itch and pain severity among patients included in a burn registry at a level 1 trauma center. Both itch and pain severity was based on a 5-point scale. ANOVA, chi-squared, and multivariate analyses were performed to determine predictors of itch and pain severity...
January 24, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30686695/red-blood-cell-distribution-width-is-an-independent-risk-factor-in-the-prediction-of-acute-respiratory-distress-syndrome-after-severe-burns
#10
Chun-Hong Xiao, Jia Wan, Hui Liu, Le Qiu, Fei Wang, Sheng Liu, Xiong-Wen Lü, Xu-Lin Chen
BACKGROUND: The occurrence of acute respiratory distress syndrome (ARDS) significantly increases the mortality and morbidity of major burns; there are few laboratory markers that predict the development of ARDS in severe burns. This study was to investigate the relationship between complete blood count (CBC) parameters and the incidence of ARDS in severe burn patients. METHODS: An eight-year retrospective study was performed on 610 severe burn patients who were admitted to the First Affiliated Hospital of Anhui Medical University and Rui Jin Hospital of Shanghai Jiao Tong University from January 2008 to December 2015...
January 24, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30686694/opioid-creep-in-burn-center-discharge-regimens-doubled-amounts-and-complexity-of-narcotic-prescriptions-over-seven-years
#11
Andy Tully, Lillian Anderson, William Adams, Michael J Mosier
Prescription opioid misuse is an epidemic international health crisis. Although burn providers are increasingly mindful of balancing pain relief with risk of opioid dependence, several burn centers have noticed their patients are still receiving an increased amount of opioids, termed "opioid creep." We examined discharge narcotic prescriptions at a single burn center in the Midwest United States and found that patients discharged in 2015 received nearly twice the amount of narcotics (mean=600 morphine equivalents [ME]) than those discharged in 2008 (mean=350 ME), with a significantly increased likelihood of a more complex narcotic discharge regimen...
January 24, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30686693/platelet-rich-fibrin-as-an-alternative-adjunct-to-tendon-exposed-wound-healing-a-randomized-controlled-clinical-trial
#12
Shuang Zhang, DongSheng Cao, Juan Xie, HongHong Li, ZengHong Chen, Qiong Bao
BACKGROUND: The use of platelet-rich fibrin (PRF) has attracted great interest in the treatment of oral and maxillofacial procedures, gingival recessions, and bone healing. However, PRF has been reported hardly to prepare wound bed before skin grafting. This randomized clinical study sought to identify the effect of PRF as an alternative adjunct to tendon-exposed wound healing. METHODS: Thirty-six patients with tendon-exposed wounds were treated by applying Integra or PRF (n=18 per group)...
January 24, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30686692/candidemia-in-major-burn-patients-and-its-possible-risk-factors-a-6-year-period-retrospective-study-at-a-burn-icu
#13
Junyi Zhou, Jianglin Tan, Yali Gong, Ning Li, Gaoxing Luo
OBJECTIVE: The aims of this study were to evaluate the epidemiological and clinical characteristics of candidemia in a typical burn ICU, and to determine the risk factors associated with candidemia among major burn patients. METHOD: This retrospective observational study of candidemia from 2012 to 2017 in a burn ICU was conducted in the Department of Burn, Southwest hospital, Chongqing, China. RESULTS: The study included 410 major burn patients (≥40% total body surface area), 39 (9...
January 24, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30685190/tissue-expanders-review-of-indications-results-and-outcome-during-15-years-experience
#14
Hamid Karimi, Noor-Ahmad Latifi, Mahnoush Momeni, Shahnam Sedigh-Maroufi, Ali-Mohammad Karimi, Mohammad-Reza Akhoondinasab
BACKGROUND: Tissue expanders (TE) are frequently used worldwide. In this study we surveyed outcome of our patients retrospectively during 15 years. MATERIALS AND METHODS: We had 1105 patients for whom 3059 TEs have been used. Demographic data, age, sex, indications, type of tissue expander devices, volume of devices, site of scar and site TE insertion, our technique for tissue expander insertion and flap design, complications and outcome were gathered. A complete and through technical points and tips will be discussed...
January 23, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30661716/the-role-of-recruited-minced-skin-grafting-in-improving-the-quality-of-healing-at-the-donor-site-of-split-thickness-skin-graft-a-comparative-study
#15
Radharaman, Parmod Kumar, Ajai K S, Ramesh Kumar Sharma
INTRODUCTION: The donor area of split thickness skin graft harvest usually takes 2-3 weeks to heal. A few studies have shown that application of minced skin grafting helps to reduce this time. The objective of this comparative study was to find the role of recruited minced skin grafting on the overall quality of healing at the split thickness skin graft donor area. MATERIALS AND METHODS: The study included 30 patients undergoing split thickness skin graft for acute traumatic wounds...
January 17, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30655059/social-support-and-posttraumatic-growth-in-iranian-burn-survivors-the-mediating-role-of-spirituality
#16
Fardin Ajoudani, Hossein Jafarizadeh, Jafar Kazamzadeh
BACKGROUND: Social support and spirituality are important issues among burn survivors that appear to affect their posttraumatic growth (PTG). AIM: To investigate the relationship between social support and PTG in Iranian burn survivors, as mediated by their perceptions of spiritual well-being. METHOD: This is a correlation study with a cross-sectional design, and it uses anonymous questionnaires as study instruments (i.e. Posttraumatic Growth Inventory, Spiritual Well-Being Scale and the Multidimensional Scale of Perceived Social Support)...
January 14, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30655058/reply-to-comments-on-comparison-of-efficacy-and-safety-of-intralesional-triamcinolone-and-combination-of-triamcinolone-with-5-fluorouracil-in-the-treatment-of-keloids-and-hypertrophic-scars-randomised-control-trial
#17
LETTER
Farrukh Aslam Khalid, Muhammad Younas Mehrose, Muhammad Saleem, Muhammad Amin, Abdul Malik Mujahid, Saif Ur Rehman, Sania AhmAd, Moazzam Nazeer Tarar
No abstract text is available yet for this article.
January 14, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30638667/burn-camps-for-burns-survivors-realising-the-benefits-for-early-adjustment-a-systematic-review
#18
REVIEW
Rachel Kornhaber, Denis Visentin, Deependra Kaji Thapa, Sancia West, Josef Haik, Michelle Cleary
OBJECTIVES: Child and adolescent burn survivors benefit from skills to cope with the physical and mental challenges associated with their injuries. Burn camps can offer an opportunity to build these skills. In this study, we systematically review the best available evidence on burn camps in order to better assess their impact on burn survivors. METHOD: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines...
January 8, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30638666/infant-burns-a-single-institution-retrospective-review
#19
REVIEW
C Brink, Q Isaacs, M F Scriba, M E H Nathire, H Rode, R Martinez
Thermal injuries amongst infants are common and a cause of significant mortality and morbidity in South Africa. This has been attributed to the lack of an enabling environment (poverty-related lack of safe living conditions) and the cognitive and physical developmental immaturity of infants, who depend on their surroundings and adults to keep them safe. This is a retrospective observational study of 548 infant admissions over 48 months. Infant was defined as children below 13 months of age. The 548 infants constituted 23% of all paediatric burn admissions of ages 0-12 years...
January 8, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30630635/survey-of-national-and-local-practice-of-compression-therapy-timing-for-burn-patients-in-the-united-states
#20
Saurabh Mehta, Rebecca Coffey, Larry M Jones, Heather M Powell, J Kevin Bailey
OBJECTIVE: Compression therapy (CT) has been an important, but debated, treatment for burn scars. To better understand one source of variation in observed outcomes after CT, an evaluation of CT timing of application is needed. MATERIALS AND METHODS: Following IRB approval, 126 burn centers were contacted to complete a 17-question survey regarding the center's practice pattern for compression garment therapy. Locally, study subjects were identified between March 1, 2014 and December 31, 2015 and medical records examined for timing of garment ordering, delivery and fitting...
January 7, 2019: Burns: Journal of the International Society for Burn Injuries
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