Journal of Burn Care & Research最新文献

{"title":"Increasing pediatric cohort sizes in TriNetX.","authors":"Meing-Chung Chang, Joshua Wang","doi":"10.1093/jbcr/iraf186","DOIUrl":"https://doi.org/10.1093/jbcr/iraf186","url":null,"abstract":"","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145175587","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":"Lower Extremity Compartment Syndrome due to Capillary Leak Syndrome following 60% Total Body Surface Area burn injury.","authors":"Echeverri Cristian, Lopez-Quinones Hana, Salonen Stephanie, McNelis John","doi":"10.1093/jbcr/iraf183","DOIUrl":"https://doi.org/10.1093/jbcr/iraf183","url":null,"abstract":"<p><strong>Background: </strong>Lower extremity compartment syndrome (LECS) following burn injury in the absence of circumferential burns is rare. Capillary leak syndrome (CLS) is a condition characterized by systemic capillary hyperpermeability and can be triggered by the multisystem inflammatory response seen in extensive burns. The resulting intravascular fluid loss into the interstitial space can elevate compartment pressures and contribute to the development of compartment syndrome. In the case presented here, the patient developed LECS in the setting of severe burn injury with clinical and laboratory evidence consistent with CLS, suggesting increased capillary permeability as a key pathogenic factor.</p><p><strong>Methods: </strong>This case was managed in accordance with the Declaration of Helsinki (2013). IRB approval was not required per institutional policy. Written informed consent for treatment and publication was obtained from the patient's legal guardian, and all identifying details were removed.</p><p><strong>Summary: </strong>A 20-year-old male with a one-pack-per-day smoking history and no other medical history was admitted to the burn ICU following a house fire. He sustained 60% total body surface area (TBSA) superficial partial-thickness, deep partial-thickness, and full-thickness burns involving both upper and lower extremities, back, neck, and face, along with inhalation injury. Shortly after admission, he developed hemodynamic instability, managed with intravenous fluids, blood products, and vasopressors, resulting in initial stabilization. On hospital day three, the patient developed LECS that was successfully treated by emergent bilateral four-compartment fasciotomies.</p><p><strong>Conclusion: </strong>We describe a patient who developed LECS secondary to burn injuries, CLS, and aggressive fluid resuscitation. Patients with large TBSA burns and inhalation injury are at elevated risk for burn shock and multiorgan dysfunction, leading to significant morbidity and mortality. We explore the underlying pathophysiological mechanisms linking severe burns, CLS, and the development of compartment syndrome.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137727","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":"Revisiting the enduring principles of plastic surgery.","authors":"Alan D Rogers","doi":"10.1093/jbcr/iraf180","DOIUrl":"https://doi.org/10.1093/jbcr/iraf180","url":null,"abstract":"<p><p>The foundational principles of plastic and reconstructive surgery, from Ambroise Paré's 16th-century surgical maxims to the commandments of Gillies and the refinements of Millard, remain deeply relevant in contemporary burn and wound care. However, current trends such as algorithm-driven training, reimbursement-influenced decision-making, and a decline in regional flap use signal a drift from principle-based practice. Modern frameworks like the reconstructive elevator and matrix add nuance, but often risk overshadowing simplicity, judgment, and adaptability. Re-engaging with these time-tested philosophies may help faculty and trainees re-anchor their approach to burn surgery, complex wounds, and reconstruction, restoring the emphasis on deliberate reasoning, accurate diagnosis, and patient-centered solutions.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091780","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":"Letter to the Editor: Prophylactic Antibiotics are Unnecessary for Routine CO2 Laser Burn Scar Treatments.","authors":"Rami Paul Dibbs, Ludmila Rodrigues Ribeiro Da Silva, Ludwik Branski, Ramon L Zapata-Sirvent","doi":"10.1093/jbcr/iraf085","DOIUrl":"10.1093/jbcr/iraf085","url":null,"abstract":"","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1150"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078247","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":"A Pilot Study of Microcolumn Skin Grafting in Full-thickness Burns.","authors":"Martin R Buta, Matthew Supple, Sean Hickey, Jonathan S Friedstat, John T Schulz, Edward A Bittner, Joshua Tam, Jeremy Goverman","doi":"10.1093/jbcr/iraf075","DOIUrl":"10.1093/jbcr/iraf075","url":null,"abstract":"<p><p>This pilot study evaluated the feasibility of treating third-degree, full-thickness burn wounds with both split-thickness skin grafts (STSGs) and micro skin tissue columns (MSTC). Donor sites for both grafting techniques were also assessed. Patients aged ≥18 years with ≤60% TBSA third-degree, full-thickness burns were enrolled. One 2.5 × 2.5 cm2 wound area was treated in each subject, with the remaining portion of the wound used as an internal control. The target wound was treated with MSTCs + STSG while the control site was treated with STSG. Patients were followed for up to 9 months after wound closure. Primary endpoints included re-epithelialization rate, scarring (VSS, Patient and Observer Scar Assessment Scale), and donor site pain (visual analogue scale). Ten patients were enrolled. Overall, MSTC donor sites were less painful, epithelialized faster, and resulted in improved Patient Observer Scar Assessment Scale and Vancouver Scar Scale (VSS) scores than STSG donor sites. For all endpoints, there were no differences in the recipient wounds grafted with or without MSTCs. Intraoperative MSTC grafting is feasible and results in minimal donor site morbidity. This pilot study was unable to demonstrate enhanced wound healing or reduced scar formation when MSTCs were applied simultaneously with STSGs to burn wounds. Larger clinical studies are needed to assess the utility of MSTCs in conjunction with STSGs.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1141-1147"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010882","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":"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":"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":"975-979"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","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":"Correction to: Burn Injury Severity in Adults: Proposed Definitions Based on the National Burn Research Dataset.","authors":"","doi":"10.1093/jbcr/iraf109","DOIUrl":"10.1093/jbcr/iraf109","url":null,"abstract":"","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1152"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505821","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":"A Comprehensive Tool to Support Family Physicians and Burn Survivors in the Provision of Long-term Burn Survivor Care.","authors":"Anna Tian, Stephanie Chan, Marguerite Nolin, Béatrice Hébert-Sirard, Zoë Edger-Lacoursière, Elisabeth Marois-Pagé, Stephanie Jean, Bernadette Nedelec","doi":"10.1093/jbcr/iraf062","DOIUrl":"10.1093/jbcr/iraf062","url":null,"abstract":"<p><p>Healthcare professionals increasingly recognize major burn injuries as a chronic condition due to their persistent and long-term health implications. The increasing survival rates and longer lifespans of burn survivors (BS) require general practitioners (GPs) to meet their long-term, potentially complex care. This project investigated the perceived need for a knowledge translation (KT) tool, and the content required, to optimize long-term support for BS by making best practices resources more accessible to their GPs. This mixed-method study assessed the perceived needs of BS and the current GP practices regarding BS follow-up. Survey data were gathered from GPs and BS. Additionally, a focus group was held with expert burn care clinicians. The results were analyzed using descriptive quantitative and qualitative methods, and the findings were triangulated. The common themes revealed the need for information about holistic care for BS across their illness trajectory. Ninety-four percent of GPs reported a lack of confidence treating BS who wanted information regarding comorbidities, psychosocial support, and symptom management, particularly related to scars (79%-94%). BS reported symptoms which interfere with their daily activities (ie, scar-related [75%], pain [57.5%], stiffness [52.5%], weakness [55%], fatigue [65%], psychosocial [55%], and cognitive issues [35%]). The KT tool generation was based on the amalgamated findings. This study revealed a consensus among BS, GPs, and expert clinicians that there was a need for a learning resource for GPs to support their role in providing BS long-term follow-up care. The resulting KT tool will enable GPs to bridge their knowledge gaps through user-friendly links to BS-relevant resources.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1070-1079"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970511","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}

{"title":"Friction Burns and the E-scooter: An Evolving Trend.","authors":"Dulan A Gunawardena, Jeremy M Rawlins","doi":"10.1093/jbcr/iraf060","DOIUrl":"10.1093/jbcr/iraf060","url":null,"abstract":"<p><p>Emerging as a cost-effective, convenient, and environmentally friendly mode of transportation, electric scooters (e-scooters) have become ubiquitous across metropolitan hubs. Regulation varies between States but typically mandates helmets, complying with age-related speed limits, and not being under the influence of alcohol and illicit substances. Given the difficulty of enforcing these restrictions and the ease of maneuvering through different road infrastructure, riders, and those around them, are vulnerable to trauma. With many e-sooters reaching speeds exceeding 25 km/h, collisions can result in friction burns when riders collide with hard surfaces such as roads. The aims of this project were to describe the profile of friction burns associated with e-scooters referred to Western Australia's burns units. A retrospective review of e-scooter-related friction burns recorded within Western Australia's burns units was undertaken between January 2019 and July 2023. Data collected included demographics, injury profile, abrasion characteristics, and management. Between 2019 and 2023, 30 e-scooter-related burns were identified. Most friction burns resulted from noncollision events (76.7%) such as falls, with the upper limbs most commonly involved (31.8%). Ninety-three percent of burns involved a total body surface area of less than 5%, with most being mid-dermal in depth (63.3%). Friction burns are an emerging injury among e-scooter riders and, given the popularity of this method of transport, warrant targeted injury prevention countermeasures. While these burns are not usually severe, further prospective research is needed to understand the nature of events leading to them.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1065-1069"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005588","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":"Marijuana Use in a Nationwide Survey of Burn Survivors.","authors":"Ana M Reyes, Walter A Ramsey, Christopher F O'Neil, Michael D Cobler-Lichter, Mary Ishii, Shevonne S Satahoo, Joyce I Kaufman, Louis R Pizano, Tulay Koru-Sengul, Jose Szapocznik, Carl I Schulman","doi":"10.1093/jbcr/iraf064","DOIUrl":"10.1093/jbcr/iraf064","url":null,"abstract":"<p><p>There is growing interest in the role of marijuana and its derivatives in symptom management for chronic conditions including cancer and chronic pain. In burn survivors, marijuana use patterns are unknown. The objective of this study was to examine marijuana use in a nationwide sample of burn survivors. We hypothesized that severe symptoms or psychologic distress would be associated with marijuana use. Survivors were recruited and surveyed through the Phoenix Society for Burn Survivors from March to June 2023. The survey elicited demographics, burn characteristics, the continued impact of symptoms on quality of life, and therapies used for alleviating symptoms. Multivariable logistic regression was used to test for independent association of marijuana use with burn characteristics and symptoms. Of 178 respondents, the majority were female (59.6%), white (74.7%), ≥55 years old (51.1%), light skin toned (60.7%), >10 years removed from injury (52.8%), and had >20% total body surface area burns (75.3%). 41 survivors (23.0%) reported marijuana use. After controlling for confounding variables, having visible burns was associated with a 3.58 times increased odds of marijuana use compared to having hidden burns (95% CI 1.19-10.78). Being >10 years removed from burn injury (aOR 0.31, 95% CI 0.11-0.92) and having medium skin tone (aOR 0.32, 95% CI 0.11-0.96) were associated with reduced odds of marijuana use. On sensitivity analysis, no burn-related symptoms were consistently associated with marijuana use. In this nationwide survey, marijuana use was common and associated with visible burns. Understanding motivations for marijuana use and efficacy in this population requires further study.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"980-986"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003117","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}