Journal of Burn Care & Research最新文献

{"title":"Prior Organ Transplant Increases Risk of Wound Infection After Burn Injury: A National Database Study.","authors":"Rebecca Hohsfield, Hilary Y Liu, David Orozco, Mare G Kaulakis, José Antonio Arellano, Christopher J Fedor, Garth Elias, Alain Corcos, Jenny Ziembicki, Francesco M Egro","doi":"10.1093/jbcr/iraf063","DOIUrl":"https://doi.org/10.1093/jbcr/iraf063","url":null,"abstract":"<p><p>Transplant recipients face unique challenges in burn injury management due to the use of immunosuppressive therapies, which increase susceptibility to infection, impair wound healing, and heighten the risk of drug-related toxicity. This study evaluates whether a history of organ transplantation serves as an independent risk factor for wound infection in burn patients. A retrospective case-control study was conducted for burn patients from the Burn Care Quality Platform Registry from 2013 to 2022. Patients with a history of organ transplant were identified, and a matched cohort of non-transplant patients was selected based on age and total body surface area burned. The data collected included demographics, injury characteristics, surgical interventions, and clinical outcomes. Of 106 967 burn patients, 50 with a history of organ transplantation were identified. Transplant patients had a significantly higher wound infection rate compared to non-transplant patients (26% vs 6%, P = .006). No significant differences were observed in hospital length of stay (P = .65), intensive care unit length of stay (P = .74), days on a ventilator (P = .77), number of surgical operations (P = .23), or mortality rates (P > .99). Burn patients with a history of organ transplantation are at a significantly higher risk of wound infection. Tailored management strategies may be necessary to mitigate infection risk and optimize outcomes in this vulnerable population.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302122","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}

{"title":"One Team: Identifying Prehospital Provider Needs for Burn Patient Outreach and Education.","authors":"Ronnie Adams, Stephen Elmgren, Yuk Ming Liu, Laura Johnson, Lauren Nosanov","doi":"10.1093/jbcr/iraf110","DOIUrl":"https://doi.org/10.1093/jbcr/iraf110","url":null,"abstract":"<p><p>Burns are among the most common traumatic injuries and are associated with significant morbidity and mortality; however, many prehospital providers remain unfamiliar with current management algorithms. Proper resuscitation is crucial to clinical outcomes, but care guidelines vary widely. We sought to characterize and evaluate the burn care provided by emergency medical service agencies in our metropolitan region to identify opportunities for improvement and education. Surveys were distributed to prehospital professionals, and emergency medical services clinical protocols were obtained for qualitative analysis. Survey design and analysis were conducted with Qualtrics. The 38 survey responses were from providers representing 19 emergency medical service agencies; 8 protocols were obtained and analyzed. Respondents were primarily paramedics (61%), and 34 (89.5%) had renewed their license in the past two years. Notably, 35/38 (92.1%) reported transporting five or fewer burn patients within the past year, and 28/35 (80.0%) stated they were not comfortable establishing vascular access through a burn wound. Continuing education was most commonly obtained through formal courses (65.7%), podcasts (42.1%), and departmental training (34.2%). Qualitative review of the protocols revealed varied formulas for fluid resuscitation. Approved pain medications included morphine, ketamine, and fentanyl; two agencies mentioned hydroxocobalamin in their protocol. Thermoregulation measures were mentioned in three protocols. Prehospital providers lack high-volume exposure to this patient population and exhibit low comfort levels. Minimal information on burns is included in regular continuing education. Practices differ between emergency medical service agencies, even though the quality of prehospital care has a sizeable impact on outcomes.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274958","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}

{"title":"Impact of Workers' Compensation Benefits on Health-Related Quality of Life for Working Adults: A Burn Model System Investigation.","authors":"Caitlin M Orton, Xinyao deGrauw, April B Hamilton, Gretchen J Carrougher, Jeffrey Schneider, Karen Kowalske, Shelley Wiechman, Michael Choo, Barclay T Stewart","doi":"10.1093/jbcr/iraf111","DOIUrl":"https://doi.org/10.1093/jbcr/iraf111","url":null,"abstract":"<p><p>Workers' compensation (WC) includes wage replacement, medical cost coverage, and vocational rehabilitation services. We aimed to examine the impact of WC on health-related quality of life (HRQOL) scores among working adults with burn injury. The Burn Model System National Database was queried for self-reported working adult participants who answered the Veterans RAND 12-Item Health Survey (VR-12) at discharge (pre-injury recall) and 6-, 12-, and 24-months post-injury. Participants were stratified into those with and without WC. HRQOL scores were calculated by transforming VR-12 responses to Short Form-6D (SF-12). Mixed-effects linear regression modeling was used to assess impact of WC on HRQOL scores over 2-years post-injury. 495 participants were analyzed (94 with WC, 401 without WC). Males accounted for 87% of WC beneficiaries and 72% of those without WC. Mean pre-injury HRQOL scores were 0.72 for WC beneficiaries and 0.73 for those without WC (p=.99) and decreased significantly in both groups at each study timepoint post-injury. Greater HRQOL loss was seen in WC beneficiaries compared to those without WC at 6-months (p=.07), 12-months (p=.02), and 24-months (p=.03) post-injury. All workers experienced a drop in HRQOL scores post-injury. WC beneficiaries experienced greater HRQOL loss than non-WC participants. These findings align with investigations among working adults with non-burn upper extremity and back injuries, suggesting there is opportunity to improve the delivery of WC benefits for all injured workers. To enhance vocational rehabilitation service delivery, the intensity of interventions should be tailored to person-specific needs, risks of complicated return-to-work, and unique recovery journeys.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266326","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}

{"title":"Using Cutaneous Functional Units (CFUs) to understand burn characteristics associated with range of motion at hospital discharge in adult burn survivors.","authors":"Ingrid S Parry, Janice F Bell, Jeffrey C Schneider, Julie T Bidwell, Sheryl L Catz, Daniel J Tancredi","doi":"10.1093/jbcr/iraf093","DOIUrl":"https://doi.org/10.1093/jbcr/iraf093","url":null,"abstract":"<p><strong>Background: </strong>Burn injuries often lead to the development of burn scar contractures (BSC) and subsequent motion loss, which significantly impact function and quality of life for burn survivors. Understanding the relationship between burn characteristics and motion outcomes is critical to improving patient care and outcomes. We used a Cutaneous Functional Units (CFU) framework to investigate acute burn features at or near the time of injury associated with joint-level range of motion at hospital discharge.</p><p><strong>Methods: </strong>This study is an exploratory analysis of data collected as part of a previous prospective multicenter cohort study (N= 307 patients, 7441 joint motions). CFU features, including burn extent, skin grafting, burn location (proximal/ distal to joint crease), and adjacent CFU involvement, were evaluated while controlling for demographic and clinical variables. Fractional regression models evaluated associations between CFU burn features and range of motion.</p><p><strong>Results: </strong>A higher percentage of CFU burned and CFU grafted, as well as advanced age, were significantly associated with reduced range of motion (p<0.01). Burn extent in the proximal CFU areas also had a significant negative relationship with range of motion (p<0.01). Total body surface area (TBSA) burned and TBSA grafted were not associated with motion outcomes. Based on this exploratory analysis, a prediction model for BSC risk is proposed for further testing.</p><p><strong>Conclusion: </strong>Our findings highlight the significance of burn characteristics within CFUs as key factors influencing motion outcomes. The CFU framework provides a standardized and functionally relevant approach to evaluating the localized impact of burn characteristics on joint motion, addressing a critical gap in the understanding of motion loss following burn injuries.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258157","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}

{"title":"An Examination of Factors Predicting Inpatient Rehabilitation Stay After Burn Injury: A Burns Model System Study.","authors":"Vanessa Dellheim, Audrey M O'Neil, Lori Connolly, Lauren J Shepler, Kara A McMullen, Lewis E Kazis, Karen Kowalske, Oscar E Suman-Vejas, Caitlin Orton, Barclay T Stewart, Colleen M Ryan, Jeffrey C Schneider","doi":"10.1093/jbcr/iraf108","DOIUrl":"https://doi.org/10.1093/jbcr/iraf108","url":null,"abstract":"<p><p>Rehabilitation services often improve the functional recovery of people who have experienced burn injuries. However, characteristics associated with longer inpatient rehabilitation (IR) stays have not been well explored. This study aimed to examine patient and clinical factors associated with the length of IR stay. Adult participants in the Burn Model System National Database (1994-2022) discharged to IR following their hospital stay were included. A negative binomial regression analysis examined the association between IR days and demographic and injury characteristics. A p-value less than 0.05 was considered significant. The study included 585 participants who were 72% male with mean age of 46.1 years (SD 16.8), and mean burn size of 34.6% (20.5) total body surface area (TBSA). Average IR days were 22.8 (19.3). Characteristics associated with more IR days include TBSA (p-value <0.001), ventilator days (p-value <0.001), high- voltage electrical injury (p-value 0.021), ROM deficits (p-value 0.049), foot burns (0.008), and self-inflicted injury (p-value =0.002). Hand burns (p-value 0.008) and self-pay/philanthropy/other primary payor source (p-value <0.001) were the only factors in this study associated with less IR days. Study results demonstrate significant links between burn injury complexity factors and IR stay. Understanding how these factors affect length of IR stay post-burn injury will better help to inform rehabilitation care decisions. Results provide future opportunities for examination of anticipated IR LOS and factors guiding additional rehabilitation resources.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248070","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}

{"title":"Impact of Housing on Burn Injury Patterns and Outcomes: a Retrospective Cohort Study at a Canadian Burn Centre.","authors":"Justin J Lee, Izza Sattar, Sean Harrop, Trent Schimmel, Shawn X Dodd, Sharada Manchikanti, Joshua N Wong, Alexis Armour","doi":"10.1093/jbcr/iraf107","DOIUrl":"https://doi.org/10.1093/jbcr/iraf107","url":null,"abstract":"<p><p>Houselessness is an important social determinant of health, which may predispose to poor health and difficulty in recovering from new health issues. We examined the demographic variables and clinical outcomes of housed and unhoused patients experiencing thermal injuries. A retrospective chart review was performed on all patients admitted to or followed by the burn service from January 2022 to June 2024. There were 571 new thermal injuries requiring admission at our institution, including 414 patients with housing and 157 unhoused patients. Frostbite accounted for 35% of admissions among unhoused patients, which was significantly greater than the 10% of housed patient admissions for frostbite injuries (p<.0001), where thermal burns accounted for the majority of injuries requiring admission. Substance use was significantly higher in the unhoused population (p<.0001). Unhoused patients on the burn service were ten-fold more likely to leave against medical advice, compared to housed patients (p<.00001). Interestingly, the mean length of stay was not significantly different between the housed and unhoused inpatients; however, it was significantly different with the exclusion of patients who left against medical advice (18.21 ± 30.84 days vs 24.70 ± 26.30 days; p=.03). The houseless population in Canada experiences unique challenges due to the extreme cold, while their inpatient care providers are challenged by a resource-constrained system. These results suggest the need for additional support for thermal injury prevention and substance use disorder treatment among the unhoused population.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248072","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}

{"title":"Clearing the Air: Impact of COPD on Inhalation Injury Outcomes.","authors":"Christopher J Fedor, José Antonio Arellano, Hilary Y Liu, Mare G Kaulakis, Alain C Corcos, Matthew P Siedsma, Jenny A Ziembicki, Francesco M Egro","doi":"10.1093/jbcr/iraf071","DOIUrl":"https://doi.org/10.1093/jbcr/iraf071","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) involves airway obstruction and emphysema, leading to air trapping and shortness of breath. COPD may impair healing in patients with inhalation injuries, where there can be significant airway damage. This study examines the effect of COPD comorbidity on short-term clinical outcomes for patients with inhalation injuries sustained from residential or structure fires. A 12-year retrospective analysis was conducted utilizing patient records from a single burn center. Outcome variables, including hospital length of stay, ventilator days, and complications, were compared between patients with or without a prior diagnosis of COPD. One hundred eighty-four patients were diagnosed with inhalation injury via bronchoscopy, 69 (37.5%) of whom had COPD. These patients were older (P < .001) and more likely to be current smokers (P < .001). COPD did not predict a difference in hospital days (P = .060), ventilator days (P = .487), or complication rates. Moreover, COPD did not increase mortality risk (OR = 0.61, 95% CI: 0.24-1.53, P = .297). Instead, carbon monoxide poisoning arose as the predominant risk factor of mortality (OR = 3.80, 95% CI: 1.41-10.25, P = .008). Although the mortality rate was the same regardless of COPD status, among patients who died, those with obstructive disease survived 6.0 days longer (P = .007). These findings suggest that COPD does not independently worsen short-term outcomes following fire-related inhalation injuries. Rather, factors such as systemic toxicity and burn severity play a more significant role in prognosis. While COPD patients who died had a slightly longer survival period, further investigation is needed to determine whether this reflects a protective effect of COPD-related treatments or heightened medical intervention.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248071","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}

{"title":"Burn Disaster Response in 2025: Are We Still Failing at Patient Triage and Management?","authors":"Merve Akin, Ali Emre Akgün, Mehmet Sefa Çamöz, Zeynep Nur Yurdakul, Gözde İğdeci Tut, Mert Altaş, Onur Filiz, Eren Kavcı, Alperen Karacanoğlu","doi":"10.1093/jbcr/iraf106","DOIUrl":"https://doi.org/10.1093/jbcr/iraf106","url":null,"abstract":"<p><p>Burn mass casualty incidents (BMCIs) continue to pose significant challenges to global healthcare systems, particularly in countries lacking structured disaster preparedness and referral protocols. Despite advances in burn care, recent international disasters have highlighted persistent gaps in early triage, trauma recognition, and airway management. This editorial draws upon case-based observations from multiple real-life incidents, including the Lebanon tanker explosion and Macedonia nightclub fire, to critically examine the consequences of overtriage, unnecessary intubations, and misprioritized referrals. The findings emphasize the need for unified, country-adapted burn management algorithms, especially in regions where specialist burn societies or dedicated task forces are absent. The Turkish national guideline model, established in 2015, is presented as a successful example of improved coordination and survival in BMCIs. Furthermore, this article advocates for international collaboration between burn societies and global health organizations such as the WHO to develop context-specific disaster plans, educational initiatives, and financial support mechanisms. Ultimately, preparedness-through proper training, systematized triage, and evidence-based referral practices-remains the key to reducing morbidity and mortality in future burn disasters.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234237","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}

{"title":"Enoxaparin Titration for Venous Thromboembolism Prophylaxis in the Burn Injured Patient - A Single Center Experience.","authors":"Kevin Vega, Morgan Palumbo, Ke Cheng, Huaqing Zhao, Jeffrey Anderson","doi":"10.1093/jbcr/iraf104","DOIUrl":"https://doi.org/10.1093/jbcr/iraf104","url":null,"abstract":"<p><p>Burn injured patients develop altered metabolic processes predisposing them to venous thromboembolism and bleeding. Enoxaparin titration for venous thromboembolism prevention in trauma patients is safe, but this approach is not well defined in burn injured patients. We hypothesized that titration of enoxaparin in burn patients is safe and does not increase bleeding risk. We compared a fixed dose 30 mg twice-daily enoxaparin dosing regimen to anti-Xa guided, twice-daily enoxaparin titration. Trough anti-Xa levels were measured and adjusted by 10 mg intervals with repeat anti-Xa levels measured before administration of the fourth or fifth dose. Starting dose in the titrated group was determined by injury type, patient characteristics, and renal clearance as per American Association of Surgeons in Trauma guidelines. 152 patients were included. 93 received fixed dosing and 59 were titrated by anti-Xa levels. There were 16 total incidents of bleeding but no difference between the two groups (p=.67). Univariate analysis revealed no differences in patient demographics or comorbidities between those with and without bleeding. When comparing dosing trends, fourteen of twenty patients (70%) initiated at 30 mg were at goal anti-Xa level on initial check, while five (25%) were sub-therapeutic, and one (5%) was supratherapeutic. Comparatively, twenty-four of thirty-nine patients (62%) started at 40 mg were at goal anti-Xa level on initial check, while nine (23%) were subtherapeutic and six (15%) were supratherapeutic. We observed that enoxaparin titration does not significantly increase bleeding risk. Larger studies are needed to confirm these findings and determine its effect on venous thromboembolism prevention.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234238","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}

{"title":"Factors contributing to long term Medicaid sustainment among burn patients enrolled via California's Hospital Presumptive Eligibility program.","authors":"Meg Quint, Katherine Arnow, Lucy Reid, Alexander Gibson, Wesley Hendricks, Kathleen Romanowski, Clifford Sheckter, Lisa M Knowlton","doi":"10.1093/jbcr/iraf105","DOIUrl":"https://doi.org/10.1093/jbcr/iraf105","url":null,"abstract":"<p><strong>Background: </strong>Hospital Presumptive Eligibility (HPE) provides uninsured patients temporary Medicaid coverage at the time of hospitalization and offers a pathway to securing long term Medicaid coverage in California. This is of particular importance for burn survivors who have ongoing healthcare needs and may experience financial hardship due to acute and long-term recovery service utilization.</p><p><strong>Methods: </strong>Using Medicaid claims eligibility data, the California Department of Health Care Services Management Information Systems and the Decisions Support System records, patients ages 18-64 with a primary diagnosis of burn were identified. Descriptive characteristics and Pearson's χ2 tests were used to evaluate bivariate relationships between those who sustained Medicaid after 6 months and those who did not. Multivariate logistic regression was used to determine association of various factors with Medicaid sustainment.</p><p><strong>Results: </strong>Of 1382 included patients, 73% sustained Medicaid 6 months after HPE enrollment. There were significant differences in Medicaid sustainment between race/ethnicity groups, primary language, total burn surface area (TBSA), length of inpatient stay, and need for mechanical ventilation (p=.008) indicating intensive care unit (ICU) admission. For those who were discharged, multivariate analyses show Spanish speakers and those who did not disclose their language vs. English speakers (p=.020 and p<.001 respectively), those who did not disclose race/ethnicity vs. white (p=.017), those with <10% TBSA vs 20 + % TBSA (p<.001), and those who were discharged home vs. those discharged to services (p=.047) were less likely to sustain Medicare. Similar results were observed for all inpatients, except those without concurrent trauma (p=.042) were also less likely to sustain Medicaid.</p><p><strong>Conclusions: </strong>HPE enrollment at the time of burn injury hospitalization provides a viable path for patients to obtain long term Medicaid insurance, but additional support pathways must be identified to support Medicaid sustainment for those who are not English speakers and those who are less likely to require long term follow up care (i.e., those with lower TBSA and those who are discharged home).</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234239","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}