Journal of Burn Care & Research最新文献

Unplanned Extubation in the Burn Unit: A Retrospective Review.

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-02-04 DOI: 10.1093/jbcr/iraf011

Cameron Nelson, Isaac Weigel, Colette Galet, Lucy Wibbenmeyer, Alexander Kurjatko

{"title":"Unplanned Extubation in the Burn Unit: A Retrospective Review.","authors":"Cameron Nelson, Isaac Weigel, Colette Galet, Lucy Wibbenmeyer, Alexander Kurjatko","doi":"10.1093/jbcr/iraf011","DOIUrl":"https://doi.org/10.1093/jbcr/iraf011","url":null,"abstract":"Unplanned extubation rates in burn patients were previously reported at 27% (3 cases per 100 ventilator days). As facial burns pose a unique challenge to tube securement, patients in our unit have surgically placed bite blocks to secure the endotracheal tube at the provider's discretion. Herein, we assessed unplanned extubation rates at our burn center. We performed a retrospective cohort study including burn patients who required mechanical ventilation from 7/01/2015 to 6/30/2023. Demographics, comorbidities, injuries, and hospital course information were collected and compared between patients who had an unplanned extubation and those who did not. Binary logistic regression analyses were performed to identify factors associated with unplanned extubation and ventilator-associated pneumonia (VAP) complication. P < 0.05 was considered significant. Of 360 patients, 17 (4.7%) had unplanned extubations, representing 0.7 cases per 100 ventilator days. There were no significant differences in demographics, comorbidities, or burn injury characteristics between groups. Patients with unplanned extubation were more likely to have an inhalation injury (70.6% vs. 42.6%, p=0.001), paCO2 ≥50 (70.6% vs. 39.1%, p=0.031), more ventilator days (6 [2-15] vs. 2 [1-4] days, p<0.001), and more hospital days (14 [8.5-25.5] vs. 8 [2-20], p=0.020). VAP rate tended to be higher in the unplanned extubation group (17.6% vs. 5.5%, p=0.077. On multivariate analysis, inhalation injury was associated with increased risk of unplanned extubation (Odds ratio (OR) = 4.68 [1.59-13.81], p=0.005). No patients with bite blocks had an unplanned extubation. Further study on the utility of advanced securement devices is recommended.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wildland Firefighters Suffer Increasing Risk of Job-Related Death. 野地消防员因公殉职的风险越来越高。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-28 DOI: 10.1093/jbcr/iraf010

Kelsey Glover, Rohit Mittal, Steven A Kahn

{"title":"Wildland Firefighters Suffer Increasing Risk of Job-Related Death.","authors":"Kelsey Glover, Rohit Mittal, Steven A Kahn","doi":"10.1093/jbcr/iraf010","DOIUrl":"https://doi.org/10.1093/jbcr/iraf010","url":null,"abstract":"Wildland firefighting is a niche specialization in the fire service - inherently dangerous with unique risks. Over the past decade, fatalities amongst all firefighters have decreased; however, wildland firefighter fatalities have increased. This subject has only been described in the grey literature, and a paucity of medical literature exists. The United States Fire Administration's online fatality database was queried for on duty mortality between 1990 and 2022. The year 2001 was excluded due to the 340 deaths that occurred on September 11th. Data collected included demographics, incident characteristics, and nature of fatality and was compared between the decades using a Fisher's exact test. From 1990-2000 to the decade of 2013-2022, there has been a significant increase in wildland fatalities, from 2% to 10% of total fatalities (p < 0.00001). Despite the recent wave of 2023 wildfires across North America, the average annual number of wildfires has decreased 23% (from 79,829 to 61,377) between 1990-2000 and 2013-2022. Burn related fatalities have increased over time, from 9% of fatalities to 27% (p < 0.01), while trauma related injuries decreased significantly between the second and third decade (p <0.01). MI accounted for 16% of total fatalities, with no significant change over time. Although wildfires have become less common over the past decade, there was a 5-fold increase in wildland firefighter fatalities with burn related fatalities also increasing. Further investigation, including analysis of 2023 data, is required to augment development of health and safety measures for these heroes.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence of Pneumonia Following Bronchoscopy and Bronchoalveolar Lavage in Burn Patients. 烧伤患者接受支气管镜检查和支气管肺泡灌洗后的肺炎发病率。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae198

Tyler J Murphy, Elizabeth D Krebs, Derek A Riffert, Ronnie Mubang, Mina F Nordness, Christopher Guidry, Stephen Gondek, Robel T Beyene

{"title":"Incidence of Pneumonia Following Bronchoscopy and Bronchoalveolar Lavage in Burn Patients.","authors":"Tyler J Murphy, Elizabeth D Krebs, Derek A Riffert, Ronnie Mubang, Mina F Nordness, Christopher Guidry, Stephen Gondek, Robel T Beyene","doi":"10.1093/jbcr/irae198","DOIUrl":"10.1093/jbcr/irae198","url":null,"abstract":"The standard modality for diagnosis of smoke inhalational injury in burn patients is bronchoscopy with or without bronchoalveolar lavage (BAL). However, the risks associated with these procedures are poorly described in established literature. We sought to investigate the association between diagnostic BAL at admission and the development of pneumonia in burn patients. This retrospective analysis of intubated burn patients studied those who underwent bronchoscopy on admission, comparing patients who received BAL to those who did not. Demographics and baseline characteristics were analyzed using chi-squared or Student's t-test. Unadjusted and multivariable logistic regression studies assessed the effect of admission BAL on the development of pneumonia. Out of the 196 patients who underwent bronchoscopy, 98 met our criteria for analysis. The BAL group was more likely to be male and have a higher grade of abbreviated injury score. Patients who received BAL were more likely to develop pneumonia during the admission in both unadjusted and multivariable logistic regression models. These patients also had a longer hospital length of stay, greater number of ventilator days, and were more likely to undergo second bronchoscopy. These findings associate admission BAL with increased risk of pneumonia during the index hospitalization, suggesting a judicious use of BAL during admission bronchoscopy in burn patients.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"61-66"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Systematic Review of Simulation in Burn Care: Education, Assessment, and Management. 烧伤护理模拟系统回顾：教育、评估和管理。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae084

Tayla Moshal, Devon O'Brien, Idean Roohani, Christian Jimenez, Katelyn Kondra, Zachary J Collier, Joseph N Carey, Haig A Yenikomshian, Justin Gillenwater

{"title":"A Systematic Review of Simulation in Burn Care: Education, Assessment, and Management.","authors":"Tayla Moshal, Devon O'Brien, Idean Roohani, Christian Jimenez, Katelyn Kondra, Zachary J Collier, Joseph N Carey, Haig A Yenikomshian, Justin Gillenwater","doi":"10.1093/jbcr/irae084","DOIUrl":"10.1093/jbcr/irae084","url":null,"abstract":"Assessment and management of burns require nuanced, timely interventions in high-stake settings, creating challenges for trainees. Simulation-based education has become increasingly popular in surgical and nonsurgical subspecialties to supplement training without compromising patient safety. This study aimed to systematically review the literature on existing burn management-related simulations. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Articles describing burn-specific surgical and nonsurgical simulation models were included. The model type, study description, simulated skills, assessment methods, fidelity, cost, and outcomes were collected. Of 3472 articles, 31 met the inclusion criteria. The majority of simulations were high-fidelity (n = 17, 54.8%). Most were immersive (n = 17, 54.8%) and used synthetic benchtop models (n = 13, 41.9%), whereas none were augmented reality (AR)/virtual reality (VR). Simulations of acute and early surgical intervention techniques (n = 16, 51.6%) and burn wound assessments (n = 15, 48.4%) were the most common, whereas burn reconstruction was the least common (n = 3, 9.7%). Technical skills were taught more often (n = 29, 93.5%) than nontechnical skills (n = 15, 48.4%). Subjective assessments (n = 18, 58.1%) were used more often than objective assessments (n = 23, 74.2%). Of the studies that reported costs, 91.7% (n = 11) reported low costs. This review identified the need to expand burn simulator options, especially for burn reconstruction, and highlighted the paucity of animal, cadavers, and AR/VR models. Developing validated, accessible burn simulations to supplement training may improve education, patient safety, and outcomes.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"154-165"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

FireSync EMS: A Novel Mobile Application for Burn Surface Area Calculation. FireSync EMS：用于烧伤面积计算的新型移动应用程序。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae117

Nicolas Malkoff, Brigette Cannata, Sarah Wang, Artur Manasyan, Joseph Maestas, Trevor A Pickering, Lyle Koegler, Saman Kashani, Maxwell B Johnson, Haig A Yenikomshian, T Justin Gillenwater

{"title":"FireSync EMS: A Novel Mobile Application for Burn Surface Area Calculation.","authors":"Nicolas Malkoff, Brigette Cannata, Sarah Wang, Artur Manasyan, Joseph Maestas, Trevor A Pickering, Lyle Koegler, Saman Kashani, Maxwell B Johnson, Haig A Yenikomshian, T Justin Gillenwater","doi":"10.1093/jbcr/irae117","DOIUrl":"10.1093/jbcr/irae117","url":null,"abstract":"The percent total body surface area (TBSA) burned is a critical determinant of the required level of care, initial management, and prognosis in patients with burns. The current gold standard for estimating this measurement, the Lund-Browder (LB) chart, requires familiarity with its construction and may not be practical for use by first responders in the field. In this study, we present a novel burn surface area calculator mobile application developed for first responders and validate its accuracy. Infant, pediatric, and adult manikins were fabricated with 8 simulated burns of varying sizes and distributions. In total, 42 preclinical medical students and firefighters were tasked with estimating the TBSA of each burn using both the FireSync EMS app and LB chart. Univariate analysis and mixed-effects linear regression modeling were performed to compare the accuracy of both methods in relation to user experience, manikin size, and burn size. FireSync EMS significantly reduced overestimation bias (0.11%, SD 2.33 vs 0.91%, SD 4.12, P = .002), particularly for burns on child-size manikins (P < .001) and burns involving <10% (P = .005) and >20% (P = .030) TBSA. Multivariable modeling revealed that the LB chart was an independent determinant of the magnitude of estimation error, with a 1.19 times multiplicative effect relative to FireSync EMS (P < .001). The participants overwhelmingly found FireSync EMS easier, more intuitive, faster, and preferable (P < .001 for all). FireSync EMS may be an easier, faster, and more accurate alternative to the LB chart for estimation of the TBSA burned.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"101-106"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Occupation-Based Review of Outcome Measures Used to Assess Hand Function After Burn Injury. 基于职业的烧伤后手部功能评估结果回顾。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae130

Jill M Cancio, Wendy B Stav, Donna Colaianni

{"title":"An Occupation-Based Review of Outcome Measures Used to Assess Hand Function After Burn Injury.","authors":"Jill M Cancio, Wendy B Stav, Donna Colaianni","doi":"10.1093/jbcr/irae130","DOIUrl":"10.1093/jbcr/irae130","url":null,"abstract":"While occupation began as the central concept of occupational therapy at the dawn of the profession, the use of occupation throughout the therapy process, including assessment, has wavered in recent decades. Occupation is defined as meaningful and purposeful activities that individuals do to occupy their time and attention. The use of occupation-based assessments is vital to establishing care with an occupational focus. The purpose of this article is to review the outcome assessment tools commonly used in the burn literature to evaluate hand function and critique the presence of occupation in each assessment using the Occupation-Based Practice Assessment. Knowledge of the occupational nature of assessments is important to the delivery of an occupational therapy evaluation comprised of a battery of assessments inclusive of discrete measures of movement as well as performance-based tools to represent the person from an occupational perspective. Many outcome measures used in upper extremity burn rehabilitation are discrete in nature and do not measure occupations of clients. The Suitcase Packing Activity may be a viable addition to an assessment battery to address this essential need.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"28-37"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cholecalciferol and Ergocalciferol Replacement in Critically Injured Burn Patients: An Observational Cohort Study. 钙化醇和麦角钙化醇在严重损伤的布宜诺斯艾利斯患者中的替代作用：观察性队列研究（LANTERN）。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae149

Kees Vanderwyk, Sierra Young, Erin Louie, Kristi Wong, Jessica La Force, Molly Alexander, Soman Sen, Jeremiah J Duby

{"title":"Cholecalciferol and Ergocalciferol Replacement in Critically Injured Burn Patients: An Observational Cohort Study.","authors":"Kees Vanderwyk, Sierra Young, Erin Louie, Kristi Wong, Jessica La Force, Molly Alexander, Soman Sen, Jeremiah J Duby","doi":"10.1093/jbcr/irae149","DOIUrl":"10.1093/jbcr/irae149","url":null,"abstract":"Vitamin D deficiency appears to be more prevalent than previously considered in the adult critically ill population, specifically burn-injured patients. No definitive regimen has been shown to restore vitamin D (25(OH)D) levels more effectively to therapeutic levels in the burn-injured population. The purpose of this study was to investigate the effects of either ergocalciferol (D2, 50 000 IU weekly) or cholecalciferol (D3, 6000 IU daily) in adults with burns ≥10% TBSA. This retrospective, observational study (2020-2022) included patients with vitamin D insufficiency (<30 ng/mL) who received replacement and monitoring with weekly vitamin D levels. Patients on dialysis or those with a hospital length of stay less than 2 weeks were excluded. Forty-five patients treated with ergocalciferol and 99 patients with cholecalciferol were included in the study. Patients treated with cholecalciferol were more likely to achieve 25(OH)D levels greater than 30 ng/mL compared to ergocalciferol over a 42-day period (HR 23.56, [95% CI, 12.57-44.16], P < .0001). A higher proportion of patients in the cholecalciferol group achieved vitamin D greater than 20 ng/mL (HR 6.37, [95% CI, 4.20-9.66], P < .0001). The adjusted hazard ratios (D3 vs D2) for achieving 25(OH)D levels > 30 ng/mL and > 20 ng/mL were and 23.94 (95% CI 5.09-427.6, P = .0019) and 7.32 (95% CI, 3.83-15.52, P < .0001) respectively, after controlling for TBSA and initial 25(OH)D. Cholecalciferol appears to be a more effective agent than ergocalciferol for correcting vitamin D deficiency and insufficiency in patients with burn injuries.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"171-177"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141766128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Influencing Surgical Care and Outcome of Pediatric Burn Injuries and the Use of Synthetic Skin Substitutes. 影响小儿烧伤外科护理和治疗效果的因素以及合成皮肤替代物的使用。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae106

Victoria Wachenfeld-Teschner, Justus P Beier, Anja M Boos, Benedikt Schäfer

{"title":"Factors Influencing Surgical Care and Outcome of Pediatric Burn Injuries and the Use of Synthetic Skin Substitutes.","authors":"Victoria Wachenfeld-Teschner, Justus P Beier, Anja M Boos, Benedikt Schäfer","doi":"10.1093/jbcr/irae106","DOIUrl":"10.1093/jbcr/irae106","url":null,"abstract":"Burn trauma is one of the most common causes of inpatient treatment in children and is associated with severe physical and psychological consequences. Synthetic skin substitutes are designed to reduce the risk of infection, minimize wound pain, and reduce the frequency of dressing changes. However, data regarding premature detachment of these materials is scarce. The aim of this study was to identify factors associated with early detachment and subsequent consequences for surgical treatment. A retrospective analysis of 392 children with superficial and deep partial thickness burns undergoing inpatient treatment with the application of a skin substitute (Suprathel) was performed. Patient age, wound localization and progression, as well as burned total body surface area (TBSA%) were investigated as possible risk factors for early detachment of wound dressings and surgical intervention. Premature material detachment was significantly associated with burn localization (P < .001) and correlated with burn depth progression (r = 0.23, <0.001) and patient age (r = 0.22, <0.001). Surgical revision after material detachment was required in 13% of patients. Patient age and burn localization seem to increase the risk of premature material detachment. In addition, we observed increased premature detachment of Suprathel® in areas that elicited higher wound progression rates. Identifying these areas might prove pivotal in the improvement of pediatric burn trauma management.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"94-100"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Insight on Pediatric Burn Morbidity and Mortality at a Tertiary Indian Burn Care Center: A Case for Burn Prevention. 印度三级烧伤护理中心小儿烧伤发病率和死亡率透视：烧伤预防案例。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae091

Neeraj Kumar, Zachary J Eisner, Shivangi Saha, Vinay Kumar, Maneesh Singhal

{"title":"Insight on Pediatric Burn Morbidity and Mortality at a Tertiary Indian Burn Care Center: A Case for Burn Prevention.","authors":"Neeraj Kumar, Zachary J Eisner, Shivangi Saha, Vinay Kumar, Maneesh Singhal","doi":"10.1093/jbcr/irae091","DOIUrl":"10.1093/jbcr/irae091","url":null,"abstract":"Pediatric burns pose a significant health burden in low and middle-income countries. Despite efforts to address burn prevention and management, morbidity and mortality rates remain high, particularly among children. Understanding pediatric burn epidemiology and predictors of clinical outcomes is crucial for developing effective prevention strategies and improving patient care. This retrospective cohort study analyzed pediatric burn patients admitted to a tertiary burn centre in India between March 2022 and December 2023. Demographic data, burn characteristics, treatments, complications, and outcomes were collected. Statistical analysis, including logistic and linear regression, was conducted to identify predictors of mortality, sepsis, and hospital stay length. Among 332 pediatric burn patients, the median age was 3 years, with a male predominance. Scald burns were the most common, followed by electrical and flame burns. Median total body surface area (TBSA) burned was 20%, with the upper and lower extremities most affected. The incidence of electrical burns increased with age and was associated with a longer length of stay. Mortality rate was 14.2%, with age >10 years, male gender, and TBSA >30% predicting mortality. Complications like sepsis significantly increased mortality risk, while deep burns were associated with longer hospital stays. This study underscores the importance of targeted prevention efforts and specialized care. Scald burns among young children highlight the need for safer cooking practices, while the high incidence of electrical burns in older children suggests that age-specific education interventions are necessary. Predictors of mortality identified can guide risk assessment and resource allocation, emphasizing the importance of infection control and wound management strategies in improving outcomes.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"117-122"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141097090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measuring the Social Impact of Burn Injuries in Australia: An Adaptation of the Life Impact Burn Recovery Evaluation-The Aus-LIBRE Profile. 衡量澳大利亚烧伤的社会影响：生活影响烧伤恢复评估--Aus-LIBRE Profile 的改编。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-01-24 DOI: 10.1093/jbcr/irae134

Elizabeth L Capell, Lewis E Kazis, Belinda J Gabbe, Lincoln M Tracy, Colleen M Ryan, Mary D Slavin, Yvonne Singer, Tiffany Ryan, Helen Scott, Hannah M Bailey, Ananya Vasudevan, Pengsheng Ni, Dale Edgar

{"title":"Measuring the Social Impact of Burn Injuries in Australia: An Adaptation of the Life Impact Burn Recovery Evaluation-The Aus-LIBRE Profile.","authors":"Elizabeth L Capell, Lewis E Kazis, Belinda J Gabbe, Lincoln M Tracy, Colleen M Ryan, Mary D Slavin, Yvonne Singer, Tiffany Ryan, Helen Scott, Hannah M Bailey, Ananya Vasudevan, Pengsheng Ni, Dale Edgar","doi":"10.1093/jbcr/irae134","DOIUrl":"10.1093/jbcr/irae134","url":null,"abstract":"Burn survivors can experience social participation challenges throughout their recovery. The aim of this study was to develop a novel Australian English translation of the Life Impact Burn Recovery Evaluation (LIBRE) Profile, the Aus-LIBRE Profile. This study consisted of 3 stages: (1) translation of the LIBRE Profile from American to Australian English by Australian researchers/burns clinicians, (2) piloting and cognitive evaluation of the Aus-LIBRE Profile with burn survivors to assess the clarity and consistency of the interpretation of each individual item, and (3) review of the Aus-LIBRE Profile by colleagues who identify as Aboriginal Australians for cross-cultural validation. In stage 2, investigators administered the translated questionnaire to 20 Australian patients with burn injuries in the outpatient clinic (10 patients from Victoria and 10 patients from Western Australia). Face validity of the Aus-LIBRE Profile was tested in 20 burns survivors (11 females) ranging from 21 to 74 years (median age 43 years). The total body surface area burned ranged from 1% to 50% (median 10%). Twelve language changes were made based on the feedback from the burn clinicians/researchers, study participants, and colleagues who identify as Aboriginal Australians. Using a formal translation process, the Aus-LIBRE Profile was adapted for use in the Australian burn population. The Aus-LIBRE Profile will require psychometric validation and testing in the Australian patient with burns population before broader application of the scale.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"107-112"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0