Journal of Burn Care & Research最新文献

Diverting Ostomy Practices in Burn Surgeons Treating Full-Thickness Perianal Injuries. 转移造口术治疗全层肛周损伤。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-15 DOI: 10.1093/jbcr/iraf141

Annie Cate Schmidt, Anne Seyferth, Michelle Hughes, William Hughes

{"title":"Diverting Ostomy Practices in Burn Surgeons Treating Full-Thickness Perianal Injuries.","authors":"Annie Cate Schmidt, Anne Seyferth, Michelle Hughes, William Hughes","doi":"10.1093/jbcr/iraf141","DOIUrl":"https://doi.org/10.1093/jbcr/iraf141","url":null,"abstract":"Burns to the perianal region pose specific challenges in management due to the complex structure of the surrounding tissue, bacterial contamination, and repetitive stress. Fecal diversion via diverting ostomy may be elected in these injuries because of its potential to enhance wound healing and skin graft adherence; however, its use introduces alternative risks such as prolonged ileus, fistula, leakage, and failure of reversal. This study aimed to determine the perspectives of burn surgeons regarding the use of diverting ostomy for perianal burn injuries. We conducted a survey of 12 physicians who are burn center directors in the Northeast Region of the American Burn Association (ABA) regarding their practices for patients with full-thickness perianal burn injuries requiring a skin graft. Response rate was 11/12 (92%). 6 individuals (54.5%) reported \"Never (0%)\" to performing a diverting ostomy in this context; the remaining 5 individuals responded \"Rarely (<10%).\" Reasons stated for performing a diverting ostomy in the \"Rarely\" group included cases where the patient suffered an intra-anal or anorectal injury. These results were summarized with a relevant review of the literature and experience in our clinical practice. Our findings indicate that diverting ostomy is a relatively uncommon practice for burn surgeons treating full-thickness buttocks injuries. With appropriate wound care and critical care management, good outcomes can be obtained without the need for diverting ostomy. Non-surgical alternatives to fecal diversion are commonly used by burn specialists and should be considered in perianal burn injuries.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637132","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

Demographic Patterns and Outcomes of Burn Center Versus Outside Center Outpatient Rehabilitation: A Burn Model System Database Study. 烧伤中心与非中心门诊康复的人口统计模式和结果：一项烧伤模型系统数据库研究。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-15 DOI: 10.1093/jbcr/iraf131

Dania Johnson, Trevor A Pickering, Dawn Kurakazu, Jody Sabel, Karen Kowalske, Jeffrey C Schneider, Haig A Yenikomshian

{"title":"Demographic Patterns and Outcomes of Burn Center Versus Outside Center Outpatient Rehabilitation: A Burn Model System Database Study.","authors":"Dania Johnson, Trevor A Pickering, Dawn Kurakazu, Jody Sabel, Karen Kowalske, Jeffrey C Schneider, Haig A Yenikomshian","doi":"10.1093/jbcr/iraf131","DOIUrl":"https://doi.org/10.1093/jbcr/iraf131","url":null,"abstract":"Burn recovery often requires extensive outpatient rehabilitation, with physical and occupational therapy essential for improving function and reintegration. Patients may receive care at specialized burn centers or external facilities, due to influence by factors like geography and insurance. However, limited data exist on how rehabilitation settings affect patient-reported outcomes. This retrospective study reviewed adult burn survivors (2016-2024) from a multicenter longitudinal database, identifying those who reported PT/OT use in the prior six months. Rehabilitation settings were categorized as within or outside a burn center at 6, 12, and 24 months post-discharge. Demographics and usage rates were collected, and mixed-effects models (adjusted for demographics, insurance, and TBSA) assessed functional outcomes-physical function, social roles, and community integration. Of 1520 participants, 868 had data at 6 months, 679 at 12, and 496 at 24 months. PT/OT use declined over time (48.5% at 6 months, 28.6% at 12, and 18.1% at 24), with decreasing use of burn center therapy (37.5%, 31.3%, and 25.9%, respectively). Unadjusted models showed burn center rehabilitation was associated with higher physical function (+2.3) and social role scores (+2.5), but these were not statistically significant after adjustment for demographic factors. However, burn center care was significantly associated with better community integration (p=.05). Injury severity and insurance influenced care setting, but all rehabilitation settings supported recovery. While burn center rehab may enhance community reintegration, structured physical and occupational therapy, regardless of setting, benefits burn survivors' functional outcomes.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637131","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

Circadian Rhythms and Burn Recovery: A Scoping Review of Biological Disruptions and Clinical Implications. 昼夜节律和烧伤恢复：生物干扰和临床意义的范围审查。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-15 DOI: 10.1093/jbcr/iraf138

Antoinette Nguyen, Rishika Chikoti, Derek Bell

{"title":"Circadian Rhythms and Burn Recovery: A Scoping Review of Biological Disruptions and Clinical Implications.","authors":"Antoinette Nguyen, Rishika Chikoti, Derek Bell","doi":"10.1093/jbcr/iraf138","DOIUrl":"https://doi.org/10.1093/jbcr/iraf138","url":null,"abstract":"Burn injuries present significant physiological challenges. Emerging evidence has found that circadian rhythms-the body's intrinsic 24-hour cycles-play a key role in regulating immune responses, hormonal secretion, and tissue repair, all essential for recovery. However, their specific impact on burn healing remains underexplored. This scoping review aimed to evaluate how circadian rhythms affect recovery outcomes in burn patients and animal models. PubMed, Embase, and Scopus were searched using terms including \"circadian rhythms\" and \"burn trauma\". Nine studies met inclusion criteria, comprising 516 human patients (unweighted mean age and TBSA across studies was 42.88 years and 19.7%) and several animal models. Burn-related circadian disruptions were consistently observed. Studies reported elevated daytime cortisol in burn patients, reduced nighttime melatonin, and a a reduction in PER3 expression.Burn timing impacted outcomes: nighttime burns were associated with slower healing and increased complications. Reduced light exposure was linked to delayed sleep phase syndrome. Due to heterogeneity and small sample sizes, a meta-analysis was not feasible. These findings underscore circadian biology's relevance in burn recovery. Further clinical studies are needed to explore how timing-based strategies can be effectively integrated into burn care.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637130","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

Prognostic value of serum concentrations of interleukin-6 and interleukin-8 in dermal burn injuries among pediatric patients. 白细胞介素-6和白细胞介素-8在儿童皮肤烧伤患者中的预后价值。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-14 DOI: 10.1093/jbcr/iraf136

Rok Kralj, Zoran Barčot, Mario Kurtanjek, Jasna Obuljen, Stupin Polančec Darija, Žic Rado, Višnjić Stjepan

{"title":"Prognostic value of serum concentrations of interleukin-6 and interleukin-8 in dermal burn injuries among pediatric patients.","authors":"Rok Kralj, Zoran Barčot, Mario Kurtanjek, Jasna Obuljen, Stupin Polančec Darija, Žic Rado, Višnjić Stjepan","doi":"10.1093/jbcr/iraf136","DOIUrl":"https://doi.org/10.1093/jbcr/iraf136","url":null,"abstract":"The primary aim of this study was to determine whether a significant correlation exists between the relative decline in serum concentrations of interleukin-6 (IL-6) and interleukin-8 (IL-8) between the third and eighth day post-injury and the duration of epithelialization in dermal burns among pediatric patients. Additional objectives included analyzing the correlation between total body surface area (TBSA) affected and serum IL-6 and IL-8 levels on the third day post-injury, evaluating differences in cytokine dynamics between surgically and conservatively treated patients, and assessing the influence of invasive bacterial presence on IL-6 and IL-8 concentrations. This prospective study included 36 pediatric patients with second-degree dermal burns affecting up to 20% TBSA. Serum concentrations of IL-6 and IL-8 were measured on the third, fifth, and eighth days post-injury. There was no significant correlation between the relative decline in IL-6 or IL-8 and the duration of epithelialization (p=.713). However, IL-6 levels and IL-8 levels correlated significantly with TBSA on the third day after injury (p=.037 for IL-6 and p=.001 for IL-8). No significant differences were observed in cytokine dynamics between surgical and conservative treatment groups. The presence of invasive bacteria did not significantly affect IL-6 or IL-8 concentrations.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626410","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

Homemade Steam Inhalation Therapy Devices: A Neglected Cause of Severe Pediatric Burns - an Urgent Call for Education and Safety Measures. 自制蒸汽吸入治疗装置：严重儿童烧伤的一个被忽视的原因——紧急呼吁教育和安全措施。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-14 DOI: 10.1093/jbcr/iraf135

Benjamin Tobalem, Kevin Serror, Manon Chatard, Sihem Ghezal, Rawend Merai, Olivier Mathieu, Elvira Conti, Maurice Mimoun

{"title":"Homemade Steam Inhalation Therapy Devices: A Neglected Cause of Severe Pediatric Burns - an Urgent Call for Education and Safety Measures.","authors":"Benjamin Tobalem, Kevin Serror, Manon Chatard, Sihem Ghezal, Rawend Merai, Olivier Mathieu, Elvira Conti, Maurice Mimoun","doi":"10.1093/jbcr/iraf135","DOIUrl":"https://doi.org/10.1093/jbcr/iraf135","url":null,"abstract":"Steam inhalation therapy is common practice for coryzal symptoms, especially in children. However, it can cause major scald injuries due to accidental contact with the hot water. The authors used an electronic database to retrospectively identify all children admitted with burn injuries secondary to steam inhalation therapy over a five-year period from September 2019 to August 2024 at Trousseau Hospital pediatric burn unit. Data collected included patient demographics, mechanism of burn, burn areas and extent, need of surgical treatment, type of hospitalization, length of stay, infections and other complications. The authors also conducted a brief literature review. A total of 33 children were identified over a five-year period at our center, with median age of six years old, and male predominance (60.6%). 81.8% of children were burned to perineum and/or thigh areas, with 63.6% over perinea more precisely. 51,5% were admitted in ICU, before being transferred to surgical ward, for a mean hospital stay of 18 days. Surgery was needed for 51.5% of children. Moreover, the literature review found only rare controversial benefits to this practice, and many warnings about its dangers. Burn injuries secondary to steam inhalation therapy in children are common cause of severe morbidity with long-term sequelae. They also contribute to a significant number of surgeries and extended hospital stays, therefore increasing costs for national health systems. Authors highlighted a worrying outbreak of cases linked to extensive media coverage of this practice. Better public awareness through simple public advice and prevention policies could help to reduce these injuries.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626409","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

Trends in first positive culture results in major burn center over a ten-year period. 十年来主要烧伤中心首次阳性培养结果的趋势。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-13 DOI: 10.1093/jbcr/iraf130

Gabrielle Bierlein-De La Rosa, Patrick Ten Eyck, Colette Galet, Shady Al Hayek

{"title":"Trends in first positive culture results in major burn center over a ten-year period.","authors":"Gabrielle Bierlein-De La Rosa, Patrick Ten Eyck, Colette Galet, Shady Al Hayek","doi":"10.1093/jbcr/iraf130","DOIUrl":"https://doi.org/10.1093/jbcr/iraf130","url":null,"abstract":"Patients with severe burns are more vulnerable to infection, sepsis, and death. With heavy use of antimicrobials, changes in burn wound microbial and antibiotic resistance patterns have been reported; however, the literature remains scarce. This study assessed wound colonization trends in first positive cultures in our burn unit over the last decade. This is a retrospective cohort study including all patients admitted to our burn unit from July 2013 to June 2023. Demographics, total burn surface area (TBSA), injury mechanism and admission information were obtained. Wound culture information including date of positive cultures, type of organisms, and antibiotic susceptibility data was also collected. Patients were stratified based on TBSA as small (<10%), moderate (10-19.9%), and severe burns (≥20%). Descriptive statistics were obtained. Generalized linear models were fit to assess the trends of positive cultures over time for the three TBSA strata. A total of 2755 patients were included; median age was 38 years, 72.2% were male; 74.1%, 15.9%, and 10.1% presented with small, moderate, and severe burns, respectively. Wound cultures on initial presentation were performed in 40.3% of our population with 600 cases having positive first cultures; 84.7% grew Gram positive, 35.7% Gram negative, and 9.7% fungal organisms. Data showed an increase in Gram positive and fungal species over the study period in first positive cultures of severe burn patients. We also found increasing rates of resistance for several antibiotics, including erythromycin, oxacillin, and vancomycin. Future studies are warranted to evaluate changes in microorganism growth throughout the hospital course of severe burn patients.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144618120","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

Social Determinants of Health Affect Long Term Burn Care in Pediatric Patients. 影响儿童烧伤患者长期护理的社会因素

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-13 DOI: 10.1093/jbcr/iraf139

Katherine Bergus, Sydney Castellanos, Taha Akbar, Heather Cassill, Myra Gray, Shruthi Srinivas, Rajan Thakkar, Dana Schwartz

{"title":"Social Determinants of Health Affect Long Term Burn Care in Pediatric Patients.","authors":"Katherine Bergus, Sydney Castellanos, Taha Akbar, Heather Cassill, Myra Gray, Shruthi Srinivas, Rajan Thakkar, Dana Schwartz","doi":"10.1093/jbcr/iraf139","DOIUrl":"https://doi.org/10.1093/jbcr/iraf139","url":null,"abstract":"For pediatric burn patients, outpatient follow-up is essential to optimize outcomes. Social determinants of health (SDH) influence families' ability to attend clinic follow-up appointments. We hypothesize that SDH differences are associated with missing outpatient burn follow-up and therefore inferior burn-related outcomes. We performed a retrospective cohort study of patients <18 years who were admitted to our pediatric burn center during 2021-2022. Patient demographics, injury and management details, social work SDH assessment, and postinjury complications were collected. Multivariate regression was conducted to identify independent predictors of missed follow-up. Among 322 patients, median age at injury was 2.5 years (IQR: 1.4-7.8). Most patients were male (60.2%), and most were white (56.0%). Forty-six percent of patients missed one or more appointment. Patients who missed appointments less often had a primary care provider (PCP) (91.3% vs 98.1%; p=0.007) and were more commonly exposed to tobacco/illicit substances (31.8% vs 21.3%; p=0.03). Patients who attended all appointments more often had their burns managed non-surgically (81.6% vs 62.8%, p<0.0001). Controlling for relevant clinical factors, independent predictors of missing appointments included not having a PCP (aOR 6.10; 95% CI 1.25-29.81) and requiring surgical burn management (aOR 3.13; 95% CI 1.65-5.95). Next steps include collaborating with social work to improve support and resources for patients at increased risk for letting their outpatient burn care lapse, which may include establishing a PCP prior to discharge, particularly among patients requiring more extensive burn management.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144618119","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

Hydroxyurea Therapy and Burn Wound Healing in Sickle Cell Disease: A TriNetX Database Study. 羟基脲治疗和镰状细胞病烧伤创面愈合：TriNetX数据库研究。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-13 DOI: 10.1093/jbcr/iraf137

Joshua E Lewis, Austin Biscotti, Jarrell Patterson, Bryce Gantt, Kelsey M Green, Areeba Navroz, Ernst J Nicanord

{"title":"Hydroxyurea Therapy and Burn Wound Healing in Sickle Cell Disease: A TriNetX Database Study.","authors":"Joshua E Lewis, Austin Biscotti, Jarrell Patterson, Bryce Gantt, Kelsey M Green, Areeba Navroz, Ernst J Nicanord","doi":"10.1093/jbcr/iraf137","DOIUrl":"https://doi.org/10.1093/jbcr/iraf137","url":null,"abstract":"Sickle cell disease (SCD) is an autosomal recessive disorder characterized by abnormal hemoglobin (Hb), vaso-occlusive crises, and hemolytic anemia. Hydroxyurea has been proven effective in managing SCD but is associated with non-healing skin ulcers. Additionally, its effects on wound healing in burn patients remain unclear. This study investigates the role of hydroxyurea in mortality, wound infection, wound disruption, and sepsis among SCD patients with burn injuries. Using the TriNetX database, cohorts were identified based on ICD-10 codes for adult patients aged 18 years or older diagnosed with SCD, previous burn injury, and hydroxyurea use. Propensity score matching was performed for demographics (age, sex, race, ethnicity), comorbidities that affect wound healing, and clinical variables (burn severity and SCD severity). Mortality, wound infection, wound disruption, and sepsis were assessed at 30 days, three months, and six months post-burn injury. Statistical methods such as chi-square analysis and risk ratio were used, with a statistical significance at p<.05. Hydroxyurea cohort had significantly higher risk for wound healing outcomes such as wound disruption, wound infection, and recurrent sepsis at each time outcome. However, hydroxyurea cohort had significantly lower risk of mortality compared to control group at each time outcome. This study highlights the need of considering hydroxyurea's impact on wound healing when developing treatments for SCD patients with burn injury. Further research is needed to investigate its mechanism in wound healing processes and develop safer treatment alternatives.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144618118","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

Beyond the Burn: Evaluating Insurance Support for Cosmetic Reconstruction After Burn Injury. 超越烧伤：评估烧伤后美容重建的保险支持。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-11 DOI: 10.1093/jbcr/iraf133

Anastasiya Ivanko, Athena Hoppe, Jason P Heard, Jonathan E Schoen, M Victoria P Miles, Jeffrey E Carter

{"title":"Beyond the Burn: Evaluating Insurance Support for Cosmetic Reconstruction After Burn Injury.","authors":"Anastasiya Ivanko, Athena Hoppe, Jason P Heard, Jonathan E Schoen, M Victoria P Miles, Jeffrey E Carter","doi":"10.1093/jbcr/iraf133","DOIUrl":"https://doi.org/10.1093/jbcr/iraf133","url":null,"abstract":"Patients recovering from burn injuries face long-term psychological, physiological, and biomechanical challenges due to scarring. While interventions to address these challenges exist, insurance coverage is often limited. This study examines the insurance policies of major health insurers regarding cosmetic reconstruction (CR) following burn injuries. A comprehensive review of coverage policies was conducted for five major health insurance providers: UnitedHealth Group, Elevance Health (formerly Anthem), Humana, CVS (Aetna), and Centene Corporation. The review focused on invasive and noninvasive CR interventions for burn injuries. Data was collected from state-specific insurance documents using Microsoft Excel. As of 2024, UnitedHealth Group holds a 28% share of the Medicare Advantage market and 14% of the commercial market, serving all 50 states. Humana controls 18% of the Medicare Advantage market, while CVS (Aetna) holds 11% in both markets, with nationwide coverage. However, none provide coverage for CR unless there is documented significant functional impairment (FI). Elevance Health has limited coverage in 19 states, contingent on FI documentation, while Centene Corporation. covers CR on a case-by-case basis, leading to fragmented access across the United States. Standardized, equitable coverage for burn-related CR is needed to remove bureaucratic barriers hindering survivors' recovery. Inconsistent insurance policies prevent access to essential aftercare, exacerbating physical and emotional burdens. Policy reform is crucial to ensure all burn survivors receive the care needed for recovery and a restored quality of life.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608490","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 Analysis of Face Validity for the Mobile-App Scenario and Biomimetic Simulator in the Burns for Providers Program (BP2). 移动应用程序场景和仿生模拟器在烧伤提供者计划（BP2）中的面部有效性分析。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-07-11 DOI: 10.1093/jbcr/iraf134

Aaron K Hong, Mario Rivera-Barbosa, James E Johnson, Jeffrey E Carter, M Victoria P Miles, Dhanushka S Vitharana, Leopoldo C Cancio, Angela B Samosorn, Herb A Phelan

{"title":"An Analysis of Face Validity for the Mobile-App Scenario and Biomimetic Simulator in the Burns for Providers Program (BP2).","authors":"Aaron K Hong, Mario Rivera-Barbosa, James E Johnson, Jeffrey E Carter, M Victoria P Miles, Dhanushka S Vitharana, Leopoldo C Cancio, Angela B Samosorn, Herb A Phelan","doi":"10.1093/jbcr/iraf134","DOIUrl":"https://doi.org/10.1093/jbcr/iraf134","url":null,"abstract":"Introduction: The military funded a novel burn educational program called the Burns for Providers Program (BP2) which teaches cognitive skills via a scenario-based mobile app and psychomotor skills via biomimetic tabletop simulators. We sought to establish face validity for these prototypes.Methods: Instruments have face validity if subject matter experts (SMEs) feel they have verisimilitude for whatever they purport to represent. Booths were purchased at the 2024 American Burn Association (ABA) and Southern Region Burn meetings. Interested SMEs (defined as completion of a burn fellowship or >3 years in a practice consisting of >25% burns) engaged with prototypes depicting a patient presenting to a Role 2 or civilian emergency department (ED) with a femur fracture and a 44% burn. SMEs completed a 17-item survey consisting of positive statements about the prototypes which they rated from 1= \"Strongly disagree\" to 5= \"Strongly agree.\" These procedures were repeated for SMEs at the United States Army's Institute of Surgical Research.Results: 77 SMEs with 12.4 + 10.1 years' experience made up the study cohort (89% civilian, 11% military). The majority were nurses (43%), burn surgeons (26%), or advanced practice providers (APPs) (9%). Overall, 88% of SMEs answered 17/17 positively-phrased statements interrogating the software and model's importance, verisimilitude, and effectiveness with \"strongly agree\" or \"somewhat agree;\" 8% had at least 1 \"neutral\" response with the remainder being agreement; 4% registered at least one \"disagree\" response to the 17 positively-phrased statements.Conclusions: The resources, environment, and injuries portrayed in the prototype BP2 mobile app scenario and tabletop simulator appear to have high face validity.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608489","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