Journal of Burn Care & Research最新文献_第10页

The 2023 American Burn Association Research and Advocacy Summit: Our Roadmap. 2023 年美国烧伤协会研究与宣传峰会：我们的路线图。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-10-24 DOI: 10.1093/jbcr/irae195

Robert Cartotto, Sue Becker, Rebecca Coffey, David M Hill, Kimberly A Hoarle, James H Holmes, John Kubasiak, Lauren Moffatt, Carl I Schulman, Ingrid Parry

{"title":"The 2023 American Burn Association Research and Advocacy Summit: Our Roadmap.","authors":"Robert Cartotto, Sue Becker, Rebecca Coffey, David M Hill, Kimberly A Hoarle, James H Holmes, John Kubasiak, Lauren Moffatt, Carl I Schulman, Ingrid Parry","doi":"10.1093/jbcr/irae195","DOIUrl":"https://doi.org/10.1093/jbcr/irae195","url":null,"abstract":"Research is one of the American Burn Association's (ABA) strategic priorities. Advocacy is required not only to promote burn research, but also, the ABA's other strategic priorities (Prevention, Quality, and Education). The ABA convened a two-day Research and Advocacy (R&A) Summit in September 2023, to develop a roadmap for the organization's research and advocacy efforts. The in-person summit identified fourteen key R&A initiatives. A multidisciplinary workgroup then developed strategies to achieve each initiative. The initiatives and strategies were then approved by the ABA's Board of Trustees as our organization's roadmap for research and advocacy. The next task will be to implement the initiatives. This will require not only oversight from the ABA's Board of Trustees, but also, effort from and collaboration between several of the ABA's committees and panels, including the Burn Science Advisory panel (BSAP), the Research Committee, the Prevention Committee, The Governmental Affairs Committee, The Organization and Delivery of Burn care Committee, the Quality and Burn Registry Committee, the ad hoc Coding Committee, and the ABA's Central Office.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501091","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

The Emerging Role of GLP-1 Agonists in Burn Care: What Do We Know? GLP-1 激动剂在烧伤护理中的新作用：我们知道什么？

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-10-15 DOI: 10.1093/jbcr/irae189

Artur Manasyan, Brigette Cannata, Erin Ross, Sasha Lasky, Eloise W Stanton, Nicolas Malkoff, Zachary Collier, Maxwell B Johnson, T Justin Gillenwater

引用次数: 0

Long Term Physical and Mental Health Outcomes of Older Adults Following a Major Burn Injury: A Burn Model System Investigation. 重大烧伤后老年人的长期身心健康结果：烧伤模型系统调查

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-10-14 DOI: 10.1093/jbcr/irae187

Aaron Hong, Barclay T Stewart, Caitlin Orton, Gretchen J Carrougher, Jeffrey C Schneider, Kyra Solis-Beach, Alyssa Bamer, Karen Kowalske, Samuel Mandell

{"title":"Long Term Physical and Mental Health Outcomes of Older Adults Following a Major Burn Injury: A Burn Model System Investigation.","authors":"Aaron Hong, Barclay T Stewart, Caitlin Orton, Gretchen J Carrougher, Jeffrey C Schneider, Kyra Solis-Beach, Alyssa Bamer, Karen Kowalske, Samuel Mandell","doi":"10.1093/jbcr/irae187","DOIUrl":"https://doi.org/10.1093/jbcr/irae187","url":null,"abstract":"Older adults are at a higher risk of complications after burn injuries since many physical and mental changes are compounded by increasing age. Few studies have targeted the long-term effects of burns on older adults. Therefore, this study will investigate the long-term physical and mental health outcomes in older adults. 3129 participants from the Burn Model System Database were divided into 3 cohorts based on their age at injury (18-54, 55-64, and 65+). Physical Component Summary (PCS) and Mental Component Summary (MCS) scores were derived from the 12-item Short Form (SF-12) and the Veterans RAND 12-item (VR-12) health surveys and analyzed to measure recovery at preinjury, discharge, 2-year follow-up, and 5-year follow-up. ANOVA, T-score analysis, and linear mixed-effects models were utilized to assess for significant differences in outcome scores. PCS scores were significantly different between the 18-54 cohort and 65+ cohorts at the preinjury and 2-year time intervals (p<0.001 and p<0.001, respectively), but not at the 5-year follow up (P=0.28). MCS scores were significantly different between the 18-54 cohort and 65+ cohorts at all time intervals measured (p=0.001, p<0.001, P<0.001, and p=0.005 respectively), though the change in MCS scores over time were not significantly different between age cohorts across time (p=0.088). This supports that patients 65 years and older have a different physical function recovery trajectory when compared to patients under 64 years. These findings underscore the belief that for physical recovery after a burn injury, individualized physical rehabilitation plans will provide the most benefit for patients across all ages.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466337","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

The Need for Improved Burn Education in US Medical Schools. 美国医学院需要改进烧伤教育。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-10-04 DOI: 10.1093/jbcr/irae170

Christopher J Fedor, Hilary Y Liu, José A Arellano, Francesco M Egro

引用次数: 0

Burn Injury Severity in Adults: Proposed Definitions Based on the National Burn Research Dataset. 成人烧伤严重程度：基于国家烧伤研究数据集的拟议定义。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-25 DOI: 10.1093/jbcr/irae186

Jason Heard, Yuni Ren, Sandra L Taylor, S Sen, T Palmieri, K Romanowski, D Greenhalgh

{"title":"Burn Injury Severity in Adults: Proposed Definitions Based on the National Burn Research Dataset.","authors":"Jason Heard, Yuni Ren, Sandra L Taylor, S Sen, T Palmieri, K Romanowski, D Greenhalgh","doi":"10.1093/jbcr/irae186","DOIUrl":"https://doi.org/10.1093/jbcr/irae186","url":null,"abstract":"Previous iterations of burn severity (mild, moderate, and severe) were not data-driven and were outdated. Clustering analyses have gained popularity for identifying homogenous subgroups from heterogeneous medical conditions, such as asthma, sepsis, and lung disease. There is no consensus in burn literature regarding what constitutes massive burns. The current classification includes a 20% total body surface area (TBSA) burn and a 95% TBSA burn as severe. Latent class and hierarchical clustering analyses were applied to the American Burn Association National Burn Research Dataset. Cluster variables included length of stay, length of stay, intensive care unit length of, number and type of procedures, and number and type of complications. Non-clustering variables were evaluated after clustering, including burned TBSA, inhalation injury, mortality, discharge disposition, age, sex, and race. Latent class analysis suggested three clusters. Hierarchical clustering analysis was applied to the most severe latent class, creating four total burn severity groups. In total, 112,297 patients were included in the final analysis. The mean TBSA burned for each class is 4.26±4.91 for minor, 8.07±8.39 for moderate, 22.76±17.31 for severe and 36.72±21.61 for massive. The age and sex proportions were similar among all clusters. The clustering variables steadily increased for each severity cluster. Mortality was the highest in the massive cluster (18.2%). Data informed categories of burn severity were formed using clustering analyses, which will be helpful for triage, data-benchmarking, and class-specific research.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142347369","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

The Impact of Body Image on Physical Function and Return to Work After Burn: A Burn Model System Study. 身体形象对烧伤后身体功能和重返工作岗位的影响：烧伤模型系统研究。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-20 DOI: 10.1093/jbcr/irae182

Mashal Ali, Kara McMullen, Kyra Solis-Beach, Kimberly Roaten, Colleen M Ryan, Maiya I Pacleb, Gretchen J Carrougher, Haig A Yenikomshian, Karen Kowalske

{"title":"The Impact of Body Image on Physical Function and Return to Work After Burn: A Burn Model System Study.","authors":"Mashal Ali, Kara McMullen, Kyra Solis-Beach, Kimberly Roaten, Colleen M Ryan, Maiya I Pacleb, Gretchen J Carrougher, Haig A Yenikomshian, Karen Kowalske","doi":"10.1093/jbcr/irae182","DOIUrl":"https://doi.org/10.1093/jbcr/irae182","url":null,"abstract":"Burn injury can have a lasting impact on quality of life beyond the initial injury. The aim of this study was to examine the recovery process through analyzing the relationship between body image, physical function, and return to work. This study uses data from the Burn Model System (BMS) National Longitudinal Database and includes 1,001 participants injured between 2015 and 2023 who were measured using Patient-Reported Outcomes Measurement Information System (PROMIS-29) Physical Function, Employment Status, and the Body Image subscale. Associations were explored using multivariate linear and logistic regression analyses. Physical function was positively associated with body image and negatively associated with burn size, age, and amputation. Employment was positively correlated with body image and employment at injury, while negatively correlated with age. Other variables including burn etiology, burn center site, race, and ethnicity were significant at different time points. By understanding how these factors change and are associated with outcomes across recovery, the healthcare team can make more tailored efforts to improve the psychosocial and physical well-being of burn survivors.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288091","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

Burns During Pregnancy: Is the outcome still Gloomy? A follow-up case series 孕期烧伤：结果仍然悲观吗？后续病例系列

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae177

Adel Mabrouk, Alaa Elfeky, Mohamed Samir Badawy, Mai Raafat Hammad, Amr Mabrouk

{"title":"Burns During Pregnancy: Is the outcome still Gloomy? A follow-up case series","authors":"Adel Mabrouk, Alaa Elfeky, Mohamed Samir Badawy, Mai Raafat Hammad, Amr Mabrouk","doi":"10.1093/jbcr/irae177","DOIUrl":"https://doi.org/10.1093/jbcr/irae177","url":null,"abstract":"Background Despite the incidence of burns in pregnancy not being high, its occurrence leads to high morbidity and mortality for both mother and fetus. In 1997, we published a series of 27 cases of pregnant women who were managed and followed up for fetal and maternal outcomes at Ain Shams University's burn unit and Maternity Hospital during the period from October 1995 to September 1996. Now, two decades later, we report on seven cases of burns admitted to the Burn unit and the Maternity Hospital at Ain Shams University, during the period from January 2019 through June 2022. Methods Pregnant patients admitted to the Burn unit and the Maternity Hospital at Ain Shams University during the period from January 2019 through June 2022 were included in this case series. Demographic data and obstetric history were documented for each patient as well as total body surface area burned, degree, cause and type of burn, maternal mortalities, fetal mortalities, obstetric interventions, and surgical interventions. Conclusion The total burned surface area ranged from 12-40%; No maternal mortalities occurred in this series, three miscarriages, one preterm labor and three term pregnancies with four surviving neonates.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"29 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260960","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

Fighting A New Front On An Old Battlefield: Examining the Development of Topical Antimicrobial Care to Control Burn Wound Sepsis 在老战场上开辟新战线：研究开发局部抗菌护理以控制烧伤伤口败血症

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae178

Shawn Tejiram, Jeffrey W Shupp

{"title":"Fighting A New Front On An Old Battlefield: Examining the Development of Topical Antimicrobial Care to Control Burn Wound Sepsis","authors":"Shawn Tejiram, Jeffrey W Shupp","doi":"10.1093/jbcr/irae178","DOIUrl":"https://doi.org/10.1093/jbcr/irae178","url":null,"abstract":"Recognition of invasive burn wound sepsis as a major cause of morbidity and mortality in burn injured patients has profoundly changed the management of burn wounds and its associated complications. The development of effective topical antimicrobial therapy is one of the last major developments of modern burn care and has been driven by major world events and scientific breakthroughs. Topical antimicrobial burn care has evolved from the use of anecdotal remedies to scientific breakthroughs such as Moyer’s successful dilution of silver nitrate solution, Fox’s described benefit of silver sulfadiazine use in animal models, and Pruitt’s dramatic improvement in post-burn mortality using topical mafenide acetate in burn wounds. The objective of this manuscript is to review the definition of burn wound sepsis and highlight the major developments and breakthroughs in topical burn wound care throughout history. This includes historical events like major wars or domestic fires that have influenced or impacted the understanding and treatment of burn wounds. Newer advances in topical antimicrobial care such as nanosilvers and dressing technologies that improve the morbidity and mortality associated with burn wound sepsis and novel approaches to management will also be discussed. To improve burn care, it is prudent to look to the past and learn from the experiences of those who contributed to the control of burn wound sepsis.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260982","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

Management of Acute Hand Burns: A Survey of American Burn Association-Verified Burn Centers 急性手部烧伤的处理：美国烧伤协会认证烧伤中心调查

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae184

Hilary Y Liu, Mario Alessandri-Bonetti, Siddhi Shockey, Alain C Corcos, Jenny A Ziembicki, Guy M Stofman, Francesco M Egro

{"title":"Management of Acute Hand Burns: A Survey of American Burn Association-Verified Burn Centers","authors":"Hilary Y Liu, Mario Alessandri-Bonetti, Siddhi Shockey, Alain C Corcos, Jenny A Ziembicki, Guy M Stofman, Francesco M Egro","doi":"10.1093/jbcr/irae184","DOIUrl":"https://doi.org/10.1093/jbcr/irae184","url":null,"abstract":"Hand burns have a significant impact on the long-term function of burn patients. Recently, new protocols and technologies, such as dermal substitutes, have been introduced for the treatment of hand burns. This cross-sectional study investigates the preferred current management of acute hand burns and the role of dermal substitutes in treatment. A 10-question survey related to acute hand burns management was sent to 64 directors of American Burn Association (ABA)-verified burn centers. A total of 51.6% (n=33) directors of ABA-verified burn centers responded to the survey. For the treatment of superficial partial-thickness hand burns, 90.9% preferred a non-operative approach. Conversely, most respondents chose a single-stage excision and skin graft for deep partial-thickness hand burns (75.8%) and full-thickness hand burns (51.5%). However, for full-thickness hand burns, some surgeons prefer a two-stage reconstruction involving excision and placement of a skin substitute (27.3%) or allograft (9.1%), followed by a skin graft. Only 6.1% would utilize a three-stage reconstruction involving excision and allograft, excision and skin substitute, followed by skin grafting. Among surgeons who used skin substitutes (n=26), Integra (42.3%) and Novosorb Biodegradable Temporising Matrix (BTM) (23.1%) were preferred. The top reasons for choosing one specific dermal substitute were surgeon's preference (n=20; 76.9%) and cost (n=9; 34.6%). While a conservative non-operative approach is preferred for superficial partial-thickness hand burns, excision and skin grafting as a one-stage procedure remains the most common strategy for deep partial-thickness and full-thickness hand burns.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"26 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260959","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

Burn Care in the Street: A Survey of the Current Landscape of Burn Care Provided by Street Medicine Teams 街头烧伤护理：街头医疗队提供烧伤护理的现状调查

IF 1.4 4区医学

Journal of Burn Care & Research Pub Date : 2024-09-17 DOI: 10.1093/jbcr/irae183

Erin E Ross, Alexis Coulourides Kogan, Maxwell Johnson, Haig A Yenikomshian

{"title":"Burn Care in the Street: A Survey of the Current Landscape of Burn Care Provided by Street Medicine Teams","authors":"Erin E Ross, Alexis Coulourides Kogan, Maxwell Johnson, Haig A Yenikomshian","doi":"10.1093/jbcr/irae183","DOIUrl":"https://doi.org/10.1093/jbcr/irae183","url":null,"abstract":"People experiencing homelessness are at increased risk for serious burn injuries and face additional barriers to care such as inability to perform wound care and difficulty with follow-up. Although not burn-specific, street medicine programs provide direct medical care to people experiencing unsheltered homelessness in their own environment and may be well positioned to bridge this gap in burn care for this population. We conducted a cross-sectional survey to characterize the burn care experience of street medicine teams with providing burn care for people experiencing homelessness. The 60 respondents included 18 (30%) physicians, 15 (25%) nurse practitioners or physician assistants, 15 (25%) registered nurses, and 6 (10%) medical students, and 6 (10%) other team members. The most common reported barriers to care were prior negative experiences with emergency departments, and transportation to burn centers. There was regional variability in frequency of providing burn care, which was reflected in respondent comfort with assessing and treating burns. Burns were most often dressed with daily dressings such as a non-adherent dressing over silver sulfadiazine or bacitracin. Silver-based contact dressings were rarely used. Street medicine teams in the United States are treating burn injuries among people experiencing homelessness, though management practices and experience treating burns was variable. As street medicine programs continue to grow, burn-related education, training, and connections to local burn centers for team members is important. Through strengthened partnerships between burn centers and street medicine teams, these programs may be well positioned to bridge the gap in burn care for people experiencing homelessness.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":"210 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260963","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