Journal of Burn Care & Research最新文献

{"title":"Dorsal Turnover Adipo-Fascial Homo-Digital Flap, a Versatile Coverage Solution for Exposed Finger's Dorsum.","authors":"Mohamed I Mousa, Naiem S Moiemen, Mostafa Elhadidy, Ahmed Arafat Ahmed Elready, Mahmoud Elsayed Gouda, Belal Ahmed Abdelgawad, Ahmed Gamal Hemidan, Mohamed Abdel-Wahed, Ahmed Samy Saad","doi":"10.1093/jbcr/irag106","DOIUrl":"10.1093/jbcr/irag106","url":null,"abstract":"<p><p>A cohort of 11 patients, presenting with 15 fingers exhibiting soft tissue loss subsequent to trauma or burns, was included in this study. The defects ranged from 20 to 45 mm in length and appeared at various anatomical sites on the dorsal aspect of the fingers. Coverage of exposed structures was achieved utilizing a local dorsal turnover adipo-fascial flap. Soft-tissue coverage was successfully obtained in all cases (n = 15). Minor distal partial flap necrosis developed in 20% of procedures (n = 3), which was managed effectively with conservative treatment. Partial split-thickness skin graft loss occurred in cases with minor flap necrosis and in one additional instance, resulting in an overall incidence of 27% (n = 4). All affected areas resolved without requiring secondary grafting. In summary, the dorsal turnover adipofascial flap serves as a technically straightforward reconstructive option, yielding satisfactory soft-tissue coverage and aesthetic results within this series. Although some distal flap-related complications occurred, they were limited and managed with conservative measures.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1585-1592"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308323","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":"Cardiopulmonary Hemodynamic Alterations During Early Resuscitation in Burn Patients with Inhalation Injury: Do They Impact Prognosis?","authors":"Lucía Cachafeiro Fuciños, Alexander Agrifoglio Rotaeche, Eva Flores Cabezas, Belén Estébanez Montiel, Pablo Millán Estañ, Manuel Sánchez Sánchez","doi":"10.1093/jbcr/irag096","DOIUrl":"10.1093/jbcr/irag096","url":null,"abstract":"<p><p>Inhalation injury remains a major contributor to morbidity and mortality in critically ill burn patients, although its hemodynamic impact during early resuscitation is incompletely understood. Patients with inhalation injury could exhibit distinct hemodynamic alterations compared with those without inhalation injury, potentially contributing to worse outcomes. We conducted a prospective, single-center observational study over four years including adult patients with major burns. Hemodynamic variables, fluid administration, and analytical biomarkers during initial resuscitation were analyzed according to inhalation injury. A total of 180 patients were included: 96 with ≥20% TBSA burned without inhalation injury and 84 with inhalation injury irrespective of TBSA, with similar severity scores. Patients with inhalation injury were older and had lower %TBSA burned. They exhibited reduced initial cardiac index (CI), higher lactate, increased stroke volume variation, greater late extravascular lung water index, and elevated NT-proBNP. Mechanical ventilation was more frequent (88% vs. 59%), with a non-significant trend toward higher mortality (28% vs. 18%, P = .10). Fluid requirements were comparable between groups. In a predefined 25%-75% TBSA subgroup, hemodynamic patterns were consistent with the overall cohort. Among patients with inhalation injury, non-survivors showed lower initial CI and higher lactate, troponin, extravascular lung water, and NT-proBNP, despite similar intrathoracic blood volume. These findings demonstrated that inhalation injury was associated with early reductions in CI, lower preload, and a delayed increase in extravascular lung water without higher fluid requirements; mortality correlated with greater cardiac dysfunction and elevated myocardial injury biomarkers during resuscitation.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1549-1557"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217856","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":"Nutrition Interventions in Older Adult Burn Patients: The Stratification of Albumin Level.","authors":"Marah Kays, Ashlyn Elftmann, Nicholas Larson, David M Hill, Deepak K Ozhathil, Colette Galet, Kathleen Romanowski, Alexandra Lacey","doi":"10.1093/jbcr/irag083","DOIUrl":"10.1093/jbcr/irag083","url":null,"abstract":"<p><p>Older adult patients often present with malnutrition, which is associated with increased morbidity and mortality after burn injury. This multicenter retrospective cohort study assessed outcomes in older adult burn patients (≥60 years) presenting to 12 burn centers in the US and Canada. Patients were stratified by nutritional status (nourished: admission albumin ≥3.0 g/dL; malnourished: admission albumin <3 g/dL) with further subgrouping by albumin level (1-1.9, 2-2.9, 3-3.9, 4+). A mixed effect generalized linear model controlling for admitting center was fit to assess the adjusted odds of in-hospital mortality and complications. About 712 patients met inclusion criteria, 442 in the nourished cohort and 270 in the malnourished cohort. On multivariable analysis, the binary classification of albumin was not significantly associated with morbidity or mortality. However, when treating albumin as continuous, levels were highly associated with mortality and select complications, with every one point increase in admission albumin lowering the odds of death by 54% (aOR 0.46, 95% CI, 0.26, 0.81), the odds of multiple organ failure by 59% (aOR 0.41, 95% CI, 0.20, 0.85) and the odds of intensive care unit delirium by 54% (aOR 0.46, 95% CI, 0.23, 0.95). Admission albumin levels are highly associated with morbidity and mortality in older adult burn patients and appear to be a readily available useful indicator of outcomes.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1304-1311"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054632","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":"Usability of an Artificial Intelligence-Enhanced Multispectral Imaging Tool for Burn Assessment: A Multicenter Retrospective Heuristic Evaluation.","authors":"Hajar Abdulla, Poh Tan, Sarah E Bache, Alexandra Murray, Zeeshan Sheikh, Christopher Wearn, Christopher J Lewis","doi":"10.1093/jbcr/irag087","DOIUrl":"10.1093/jbcr/irag087","url":null,"abstract":"<p><p>Accurate burn-depth assessment remains difficult. Artificial intelligence-enhanced multispectral imaging (AI-MSI) offers objective, image-based predictions, but evidence on day-to-day usability is limited. The aim of this study is to evaluate the usability of an AI-MSI device in routine practice using a multicenter, modified Nielsen heuristic framework. A retrospective, mixed-methods study was conducted across 5 UK burn services (September 2024 to August 2025). Doctors and nurses who used the device completed a 12-item Likert survey mapped to 6 domains and free-text. Outcomes include domain means ± SD, medians (IQR), and proportions of positive responses (scores ≥ 4). The Mann-Whitney U test was used to compare professions; Kruskal-Wallis tested site variability; and Dunn pairwise tests with Bonferroni correction were used where indicated. JASP 0.95.1 was used for analysis with statistical significance set at P < .05. Forty-nine burn-team members (21 doctors, 28 nurses) participated. Domain means ranged from 3.93 to 4.35; medians were ≥ 4.0; and positive responses 65.3%-87.8%. There were no significant differences between professions or centers. Effect sizes were small to moderate; Match & Standards showed the largest effect (ε2 = 0.15) with no pairwise differences after correction. Free-text highlighted speed, clarity of outputs, portability, and workflow fit, and suggested clearer on-screen cues, a lighter imaging head, longer battery life, and streamlined data entry. Artificial intelligence-enhanced multispectral imaging showed high usability across roles and centers, supporting routine use in clinics, wards, and theaters. As the first multicenter heuristic usability evaluation of AI-MSI in burns, the study provides implementation-focused evidence to guide training, pathway design, and targeted software and hardware refinements.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1524-1529"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148198950","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":"Teen Perspectives in Burn Recovery: Coproduction for a New Outcome Tool Measuring Interpersonal Relationships and Social Interactions.","authors":"Sophia J McLaughlin, Mary D Slavin, Madeleine B McGwin, Yasameen Farahvash, Khushbu F Patel, Kathleen S Romanowski, Jeffrey C Schneider, J Michael Murphy, Frederick J Stoddard, Lewis E Kazis, Colleen M Ryan","doi":"10.1093/jbcr/irag098","DOIUrl":"10.1093/jbcr/irag098","url":null,"abstract":"<p><p>Adolescence is a period of major developmental and social change, and when coupled with the challenges of burn injuries, it can significantly affect social interactions and relationships. To develop a burn-specific outcome measure for teens, the Teen-Aged Life Impact Burn Recovery Evaluation (TA-LIBRE12-19) was created. This study details the qualitative analysis of transcripts from teen burn survivors used to co-produce an item pool related to Interpersonal Interactions and Relationships (IIR). Stakeholder focus groups involving teens were conducted to identify key outcomes relevant for assessing burn recovery. Participants shared their perspectives on how burns impact their lives, with discussions continuing until thematic saturation was reached. Identified themes were assigned to pre-established domains, and new items were generated from recurring concepts not captured in existing instruments. Two focus groups were conducted with 7 teen burn survivors. The median age was 13.8 years (IQR 12.1-16.3), and 71% were female. Half of the burns were fire/flame-related, with a median time since injury of 5.5 years (IQR 0.5-12.1) and a median burn size of 20% TBSA (IQR 0.3-60). Novel concepts from teen burn survivors produced 28 new items. The final IIR subdomain is comprised of 51 items, 45.1% (n = 23) from legacy instruments and 54.9% (n = 28) newly developed from teen input. Including burn survivors' voices in developing the TA-LIBRE12-19 highlights the importance of co-production. Over half of the items originated from qualitative input, ensuring the instrument reflects relevant, patient-centered outcomes for teen burn recovery.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1558-1569"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148258214","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":"Functional Outcomes in Patients with Hand Burns Receiving Long-Term Occupational Hand Therapy: A Burn Unit's 10-Year Experience.","authors":"Artur Manasyan, Katherine J Choi, Zachary Eisner, Nisha Gupta, Michael I Kim, Christopher H Pham, Dawn Kurakazu, Zachary J Collier, Sunnie Wong, Maxwell B Johnson, Haig A Yenikomshian, T Justin Gillenwater","doi":"10.1093/jbcr/irag068","DOIUrl":"10.1093/jbcr/irag068","url":null,"abstract":"<p><p>The hand is the most commonly burned region and often leads to unique functional limitations. Here, we review the associations of long-term outpatient hand therapy (HT) on hand joint range of motion (ROM), activities of daily living (ADL) status, pain, and ability to return to work after burn injury. Adult patients with hand burns admitted to a single American Burn Association-verified burn center from January 2015 to June 2024, with properly documented outpatient HT follow-up, were included. 86 patients were identified who consistently presented for outpatient OT. 75.6% (n = 65) demonstrated improvement of ADL function, and 72.1% (n = 62) had improvement of ROM. At OT intake, 50% (n = 43) reported pain as a major limitation, but by the end of therapy, only 23% (n = 20) were limited by pain. Those with pre-existing hand pathology and older age were more likely to complete therapy to completion (OR = 1.52 and 1.01, CI, 1.1-2.2 and 1.1-1.7, P = .02 for both), and those who did not require surgery and had good compliance as rated by therapists had significantly increased likelihood of ROM improvement (OR = 1.26 and 1.27, CI, 1.0-1.6 and 1.0-1.6, P = .03 and .04). Most patients referred for HT after burn injury return to functional independence and have functional ROM. Further research should take a prospective approach to evaluate the efficacy of hand occupational therapy after burns, focusing on a wider range of functional and psychosocial outcomes.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1460-1466"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217213","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":"Measuring What Matters: Validating the HANDFULS Tool With Pediatric Burn Survivors.","authors":"Ingrid Parry, Sandra Taylor, David Greenhalgh, Michelle A James","doi":"10.1093/jbcr/irag088","DOIUrl":"10.1093/jbcr/irag088","url":null,"abstract":"<p><p>Hand and finger burns are common in children and often cause functional limitations. Despite the importance of hand function during development, few outcome measures are validated for pediatric burn survivors. Hand Accumulation and Dexterity Functional Limits-Shriners (HANDFULS) is a measure that uses marbles to measure in-hand manipulation (IHM) and palmar workspace volume (PWV)-2 frequent impairments after burn injury. This study aimed to validate HANDFULS with pediatric patients with hand burns and establish functional recovery trajectories relative to age-matched noninjured peers. This prospective longitudinal study assessed hand function in 119 children (165 hands) for 2 years postburn. Mixed-effects models with random intercepts for hand clustering evaluated change over time while controlling for confounders. Palmar workspace volume and HANDFULS scores were compared with noninjured peers and analyzed by surgical status. Palmar workspace volume scores improved by 1.5 marbles (P = .005) and HANDFULS scores by 1.2 s/marble (P = .002) over 2 years, with the greatest gains observed between 2 and 6 months. Surgical patients had lower PWV at 2 and 6 months (-2.22, P = .001; -1.28, P = .036), but no difference in HANDFULS scores (which incorporate both PWV and IHM), indicating preserved dexterity despite reduced PWV. Compared with noninjured peers, 45.2% (PWV) and 31.8% (HANDFULS) of children with hand burns were within normal limits at 2 months, increasing to 77.6% and 78.1%, respectively, by 24 months. Hand Accumulation and Dexterity Functional Limits-Shriners is a simple, feasible, and burn-specific hand outcome measure that demonstrates validity and reliability in the pediatric burn population. Hand Accumulation and Dexterity Functional Limits-Shriners provides objective outcome information about recovery from hand burns to support clinical decision-making and guide rehabilitation.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1312-1321"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421321","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":"Feasibility of an Unfunded Multicenter Trial Group for Older Adult Burn Patients: A Retrospective Study.","authors":"Ashleigh Bull, Shawn Tejiram, Lauren B Nosanov, Alisa Savetamal, Dhaval Bhavsar, Sam Miotke, David M Hill, Sara Higginson, Theresa Chin, Andrea Long, Alexandra Lacey, Rosemary E Paine, Mark J Johnston, Deepak K Ozhathil, Marc G Jeschke, Lucy A Wibbenmeyer, Colette Galet, Kathleen Skipton Romanowski","doi":"10.1093/jbcr/irag079","DOIUrl":"10.1093/jbcr/irag079","url":null,"abstract":"<p><p>Older adults make up a growing population of burn patients but pose unique physiological challenges that require specialized care. Comprehensive multicenter data are limited, and single-center studies lack the power to answer key questions for this group. This study assessed the feasibility of forming an unfunded multicenter trial group to study older burn patients and piloted a retrospective study to explore trends in their care and their clinical outcomes. After Institutional Review Board approval and executing data use agreements, 12 North American burn centers collected standardized data on patients aged 60 and older treated from 2017-2019. Demographics, burn characteristics, interventions, and outcomes were gathered from each site's burn care quality platform submissions or electronic medical record and entered in a centralized REDCap database. Among the 1632 patients included in the database, median age was 68 years; most were male (67%) and White (73%) with a median BMI of 27.5. Median burn size was 3.5% total surface area, and patients arrived a median of 4.7 hours post-injury. The median modified Baux score was 76.2. Patients typically underwent one operation within 3 days of arrival, leading to a median hospital stay of 6 days and ICU stay of 1 day. In-hospital mortality was 10.4%, and median time to wound healing was 40 days. This pilot demonstrates that an unfunded multicenter collaboration is feasible and can generate meaningful data to guide care for older burn patients. Strong inter-institutional collaboration and communication and standardized data definitions were key to success.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1286-1290"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005457","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":"Age as a Determinant: Investigating the Efficacy of Laser Treatment Outcomes for Burn Hypertrophic Scar Across Age Cohorts.","authors":"Victoria Slavinsky, Lauren Ching, Bonnie C Carney, Jennifer Huang, Davon T Lee, Rebekah R Allely, Jeffrey W Shupp, Shawn Tejiram, Taryn E Travis","doi":"10.1093/jbcr/irag085","DOIUrl":"10.1093/jbcr/irag085","url":null,"abstract":"<p><p>Evaluate the influence of patient age on laser therapy outcomes for burn hypertrophic scars (HTS), with a specific focus on assessing differences in scar quality, pain, and itch across stratified age groups. A single-institution, retrospective cohort study analyzing outcomes of fractional ablative CO2 laser treatments among patients grouped into younger, middle-aged, and older cohorts using k-means clustering. Patients (n = 119) receiving 3 or more fractional ablative CO2 laser treatments were included. Scar metrics were evaluated pretreatment and after each laser session using the Patient and Observer Scar Assessment Scale (POSAS), Vancouver Scar Scale, and durometer measurements. Statistical analyses were performed to compare within- and between-group outcomes using analysis of variance with corrections for multiple comparisons. The study cohort included 119 patients, with 49.58% female participants and an average age of 44.86 years (±16.4). The patients were predominantly African American (38.7%), followed by White (28.6%), Hispanic (10.9%), Asian (5.9%), Native American (1.7%), and 14.3% unspecified. Fitzpatrick skin type classifications were most common in types V (32.8%) and II (20.2%), with lower representation in types VI (4.2%) and I (1.7%). Laser treatment led to significant improvements across all age groups in POSAS metrics, though the timing and extent varied. The older cohort showed significant improvement in the POSAS observer pliability scale after just 1 session (P < .05), while the younger and middle-aged groups required 2 or more sessions (P < .001). Middle-aged patients reported the highest baseline pain and itch levels, with mean scores of 6.17/10 and 6.64/10, respectively, compared to younger (4.26 and 4.97) and older (4.26 and 4.74) groups (P < .05). Pain and itch significantly decreased across all groups, with the middle-aged cohort showing the most consistent improvements (P < .05). Vancouver Scar Scale scores improved significantly for all groups, while durometer measurements showed significant changes only in the middle-aged cohort (P < .05). Age significantly influences laser therapy outcomes for burn HTS, with older patients experiencing earlier and more pronounced improvements in POSAS observer scales. Different age groups also reported varying levels of pain and itch throughout their laser treatment sessions. Importantly, considerable improvements were noted postlaser treatment across all age groups. These findings emphasize the importance of personalizing laser therapy to address age-specific physiological changes to optimize treatment timelines and outcomes for patients with burn HTS.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1505-1515"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204769","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":"Verification Status, Rehabilitation Staffing, and Care Practices in US Outpatient Burn Clinics.","authors":"Audrey M O'Neil, Ingrid S Parry, Derek O Murray, Rodica I Muraru, Emma Holler, Kevin Foster, Leigh Spera, Soman Sen","doi":"10.1093/jbcr/irag101","DOIUrl":"10.1093/jbcr/irag101","url":null,"abstract":"<p><p>Skilled occupational and physical therapists (OT/PT) provide essential services during outpatient (OP) burn follow-up to support comprehensive long-term recovery. Although American Burn Association (ABA) verification promotes burn therapist (OT/PT) integration in OP burn clinics, barriers related to staffing, time, and space remain, and little is known about burn therapist integration post-discharge. This study examined the relationship between both verification status and use of burn therapy services in OP burn clinics with 3 aspects of follow-up care: clinic structure and staffing; rehabilitation access and care delivery models; and patient access, barriers, and continuity of care. A 20-question electronic survey was distributed to 125 US burn centers. Fisher's exact and chi-square tests were used for bivariate analyses, and Firth penalized logistic regression for multivariable analyses. Responses were received from 54 centers (43%). Most centers were ABA-verified (61%), and 65% reported dedicated burn therapists in the OP clinic. In multivariable analysis, therapist presence was not independently associated with verification status but was significantly associated with burn surgeon-led reconstruction programs (odds ratio [OR] = 4.19, P = .043) and presence of garment programs (OR = 8.58, P = .043). Holding verification status constant, presence of dedicated OP burn therapy staff was significantly associated with increased OP rehabilitation utilization, including higher odds of clinic-based burn therapy referrals (OR = 9.20, P = .002) and post- reconstruction burn therapy follow-up (OR = 3.66, P = .042). These findings suggest that verification supports the integration of therapists, but that therapist presence itself is a critical factor driving comprehensive long-term rehabilitation.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1366-1372"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277585","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}