Journal of Burn Care & Research最新文献

{"title":"Dilution is not always the solution: A retrospective study of pulmonary lavage in inhalation injury.","authors":"Ashleigh Bull, Colette Galet, Samuel W Jones, Alexander Kurjatko","doi":"10.1093/jbcr/iraf078","DOIUrl":"https://doi.org/10.1093/jbcr/iraf078","url":null,"abstract":"<p><p>Burned patients with inhalation injury commonly undergo bronchoscopy, at times with pulmonary lavage (PL). We characterized the outcomes of burned patients with inhalation injury who underwent PL at a single burn center in a retrospective cohort study. We included all adult patients admitted between July 1, 2015 to June 30, 2023 who were on the ventilator and diagnosed with inhalation injury. Chemical inhalation, grade 0 inhalation injury, and diagnosis of inhalation injury without bronchoscopy were excluded. Demographics, burn size and anatomic location, and hospital course information were collected. Chi-square and Fisher exact tests were used to compare categorical variables, and continuous variables were compared using the Mann-Whitney U test. Multivariate analyses were performed to identify variables associated with outcomes. P < 0.05 was considered significant. One hundred sixteen patients were included; 37 (31.9%) underwent PL. Univariate analysis showed no significant differences in age, total body surface area burned (TBSA) 2nd or 3rd degree TBSA, complication rates, or in-hospital mortality between the no-PL and PL groups. Patients in the PL group had increased ventilator days (6 [2.5-15.5] vs. 2 [1-6], p < 0.001) and hospital length of stay (LOS) (12 [4-37.5] vs. 5 [2-18], p = 0.003). Multivariate analysis showed that PL was associated with an increase in ventilator days (OR = 1.84 [1.14-2.98], p = 0.013), hospital LOS (OR = 1.717 [1.080-2.730], p = 0.022), and sepsis (OR = 7.216 [1.106-47.080], p = 0.039). In conclusion, PL was associated with longer ventilator days, longer LOS, and increased risk of sepsis.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007191","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 Surgery Bibliometric Analysis of Research Funding at American Burn Association-Verified Burn Centers.","authors":"Tiffany Jeong, Nicolas M Kass, Hilary Y Liu, Mare G Kaulakis, Christopher J Fedor, Jose Antonio Arellano, J Peter Rubin, Francesco M Egro","doi":"10.1093/jbcr/iraf072","DOIUrl":"https://doi.org/10.1093/jbcr/iraf072","url":null,"abstract":"<p><p>Evidence-based burn surgery and management rely on high-quality research to inform practice and policy. However, burn surgical research is costly, and the distribution of American Burn Association (ABA)-verified burn centers is unequal. This study examines the relationship between research funding, productivity, and ABA-verification in burn surgery. PubMed was queried for all burn surgery/reconstruction articles, collecting data on article title, funding, type, and affiliation. ABA-verified burn centers and their academic affiliations were identified via the ABA website and Google search. The query identified 16,138 burn surgery articles, with 3001 affiliated with US institutions and published in 1,785 journals. Notable journals include Burns (n=2,992) and Journal of Burn Care and Research (n=1,558). Only 16.6% of articles reported grant funding, primarily from non-U.S. government sources. High-level evidence (clinical trials and systematic reviews/meta-analyses) comprised 2.7% of articles but were more likely to be funded (32.4% vs. 16.1%, p<0.001). Articles from ABA-verified centers represented 13.5% of publications and were significantly more likely to receive funding (30.5% vs. 14.4%, p<0.001). ABA affiliation doubled the odds of research funding (OR: 2.014, p<0.001), and U.S.-based institutional affiliation increased funding odds by 122.8% (OR: 2.228, p<0.001). High level evidence comprises a minority of articles in burn surgery literature but are significantly associated with research funding. Furthermore, ABA-verified burn centers have a higher percentage of their research funded. While we are unable to elucidate whether ABA verification or research funding drives this phenomenon, it remains clear that high level burn surgery research, funding, and ABA-verification often coexist.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992908","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":"Post-burn lung inflammation is associated with induction of pulmonary cathelicidin-related antimicrobial peptide and S100a8 in mice.","authors":"Shanawaj Khair, Kevin M Najarro, Travis M Walrath, David J Orlicky, Rachel H McMahan, Elizabeth J Kovacs","doi":"10.1093/jbcr/iraf069","DOIUrl":"https://doi.org/10.1093/jbcr/iraf069","url":null,"abstract":"<p><p>Burn trauma triggers dysregulated systemic inflammation, leading to multi-organ dysfunction. Respiratory failure often follows burn injury, resulting in morbidity and mortality, in part, because of excessive and prolonged release of local and systemic pro-inflammatory mediators. One class of important mediators of inflammation at mucosal surfaces are antimicrobial peptides (AMPs), and their expression is notably altered in inflammation. We sought to determine whether pulmonary AMPs are induced in inflammatory lung after burn. C57BL/6 male mice were given a 12-15% full thickness total body surface area dorsal scald burn or sham injury. Survival rate and pulmonary function of the mice were assessed at 24 hours. Histopathological examination and quantification of pro-inflammatory mediators, IL-6 and CXCL1, in the lungs at 24 hours after burn were performed. mRNA expression of a subset of prominent lung AMPs in whole lung, alveolar macrophages, and primary lung epithelial cells were measured. Our data showed decreased survival and impaired respiratory function after burn injury. Moreover, hematoxylin and eosin-stained lung sections of burned mice showed pulmonary edema and congestion, and pulmonary IL-6 and CXCL1 were elevated. AMP analysis revealed that burn triggered a dramatic rise in lung Camp and S100a8 above that of sham mice. To our surprise, lung epithelial cells, and not alveolar macrophages, were the cellular source of burn-induced Camp and S100a8 in this murine model of burn injury. Taken together, these data reveal for the first time that lung inflammation post-burn involves a rise in AMPs, Camp and S100a8, from lung epithelial cells.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003118","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":"Sexual Function, Body Image, and Quality of Life After Genital Burns: A Burn Model System Database Study.","authors":"Dania Johnson, Andrew Humbert, Kimberly Roaten, Shelley Wiechman, Jeffrey C Schneider, Haig A Yenikomshian","doi":"10.1093/jbcr/iraf070","DOIUrl":"https://doi.org/10.1093/jbcr/iraf070","url":null,"abstract":"<p><p>Burn injuries impact both functional and psychosocial quality of life. Genital burns may uniquely affect anatomy, sensation, self-perception, yet research remains limited. This study explores the impact of genital burns on body image, sexual satisfaction, and health-related quality of life. This retrospective analysis included adults (≥18 years) from 2016-2024 in a multicenter longitudinal patient-reported outcome database. Linear mixed-effect models evaluated the impact of genital burns on Patient-Reported Outcome Measurement Information System (PROMIS-29) outcomes (anxiety, depression, fatigue, pain, function, sleep, sexual satisfaction) and Burn Specific Health Scale (BSHS) body image at 6, 12, and 24 months, adjusting for demographics, total burn size, and time. Interaction terms assessed differences in recovery trajectories. Of 4,594 participants, 649 had genital burns and 3,945 did not. After adjustment, no significant differences were observed in baseline PROMIS-29 or BSHS outcomes. Longitudinal analyses revealed significant differences in recovery trajectories for depression, sleep disturbance, and body image. At 24 months, participants with genital burns had increased depression scores (+1.22) compared to a reduction (-0.60) in those without (p = 0.036). Sleep disturbance improvements at 12 months were smaller for those with genital burns (0.9 vs. 1.88-point reduction, p = 0.042). Body image scores declined for participants with genital burns, while improving for those without, with significant differences at 12 months (p = 0.026) and 24 months (p = 0.001). No significant differences were observed for anxiety, fatigue, pain interference, physical function, or sexual satisfaction. Genital burns significantly impact recovery, particularly depression, sleep, and body image.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026175","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":"Hypermetabolism exacerbation with increased white blood cell counts in patients with severe burns.","authors":"Beth A Shields, Alexis D Caponera, Jasmine D Geromiller, Julianne M Koenigsberg, James K Aden, Beatriz George, Leopoldo C Cancio","doi":"10.1093/jbcr/iraf061","DOIUrl":"https://doi.org/10.1093/jbcr/iraf061","url":null,"abstract":"<p><p>Severe weight loss after large burns has been previously described when the hypermetabolic response is not met with adequate nutritional provisions. Clinically, we have been able to minimize this weight loss in most patients admitted to our burn center but have identified unexpected weight loss in some. The goal of this analysis was to identify predictors of this weight loss. This retrospective descriptive study included adult patients with at least 20% TBSA burns admitted between September 2017 and February 2023. There were 63 patients who met the criteria for this study: median of 35% TBSA burn (IQR: 27-51), 44 years old (IQR: 31-55), 21% women. These patients experienced a median weight loss of 3 kg (IQR: 1-8) over 31 days (IQR: 22-50). Most (78%) patients experienced ≤10% weight loss, whereas 2% sustained >20% weight loss. The final factors significant in the multivariate analysis evaluating weight loss included days from injury to lowest weight, average WBC x days, and caloric deficit (p <0.01). The resulting equation is: weight loss (in kg) = 1.1 + 0.0121 x average WBC in 103/uL x days + 0.0001 x caloric deficit - 0.1432 x days from injury to lowest weight (R2=0.54). This indicates a further increase in metabolism above the expected hypermetabolic response when there is an elevation in WBC, likely reflecting concurrent sepsis or other processes driving systemic inflammation. Further research should focus on frequent metabolic cart study measurements in patients with elevated WBC counts to further elucidate this relationship.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992404","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":"Burns with Intent: A Retrospective Analysis of Self-Inflicted Burn Injuries.","authors":"Vishal Bandaru, Vivie Tran, Brandon Youssi, Coltyn Wagnon, Lauren Conkin, Rohan Pendse, Kaylen Meers, Alex Trindade, Chip Shaw, John Griswold, Alan Pang","doi":"10.1093/jbcr/iraf074","DOIUrl":"https://doi.org/10.1093/jbcr/iraf074","url":null,"abstract":"<p><p>Self-inflicted burns (SIB) comprise a significant and yet minimally researched area within burn injuries and are often associated with complex psychiatric conditions, high morbidity and mortality. SIB are often associated with higher total body surface area (TBSA) burns, inhalational injuries, and length of stay. This study seeks to investigate the demographics, clinical outcomes, and psychiatric comorbidities of SIB patients treated at a tertiary care burn center between 2011 and 2021. We analyzed a total of 49 SIB and 28 assault burns out of 1293 total burn patients. Findings revealed that adult SIB, assault burns, and non-intentional burns in our region primarily affects white middle-aged men, but minority ethnic groups were afflicted at a higher rate in the intentional burn groups. The difference between the non-intentional and SIB group was significant for some burn severity and outcome variables: total TBSA, second-degree burn, third-degree burn, length of stay, facial burn, inhalation injury and mortality when not compared with other variables. total TBSA, second-degree TBSA, third-degree TBSA and inhalation injury were found to be associated with intentionality, but neither of the outcome variables were found to be correlated when analyzed with other variables. The following past medical history and history of present illness correlated as well: history of mental illness, history of drug abuse, history of self-harm, history of mental hospitalization, history of self-harm hospitalization, history of abuse, history of burn hospitalization, and burn symmetry. The probability of SIB was well modeled by a function of total TBSA and presence of a history of drug abuse. An analysis of psychiatric ailments revealed that patients with certain medical conditions had significantly higher odds of having committed a self-inflicted burn injury - depression was 9 times more likely, acute schizophrenia was 10 times more likely, and borderline personality disorder was 25 times more likely. Most self-inflicted burns were suicide attempts (67%) with the most common known etiology being gasoline (35%) and most common prior life event was a dispute with another person (27%). While self-inflicted burns constitute a small number of patients in the hospital, the proportional mortality is greater due to the frequency of SIB patients with larger burn injury. Our findings demonstrate that while LOS and mortality occur at a higher rate, that these variables are not indicators of SIB. As burn care continues to improve, the steps to decrease morbidity and mortality of burn care may need to shift to preventative measures and collaboration with municipal districts to identify and diffuse high-risk patients prior to an SIB occurring.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019734","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":"Home Oxygen Safety in an Urban Population: A Multi-Pronged Approach.","authors":"Wanda Horn, Janice Korenblatt, Elizabeth A Duthie, Lauren Huber, Iby Thomas, Daniel G Fein, Amy R Ehrlich","doi":"10.1093/jbcr/iraf076","DOIUrl":"https://doi.org/10.1093/jbcr/iraf076","url":null,"abstract":"<p><p>Home oxygen improves the survival of patients with severe chronic hypoxic lung disease, but is associated with an increased risk of burns, fires, and fatalities. There is minimal data about potential risk factors for fires and burns in an urban population discharged from the hospital to the community on oxygen. This is a 7-year retrospective chart review of patients discharged on oxygen to a Certified Home Health Agency. The highest-risk patients were defined as those believed by a nurse to be at imminent danger of causing a burn or fire and requiring review by an Emergency Committee; these are analyzed in more detail. A total of 1,301 patients were discharged on home oxygen. Twenty-six patients were identified as highest- risk and required emergency interventions. Risk factors for burns and fires included: 85% active smokers, 46% substance use disorder, 19 % unstable psychiatric disease or an unreliable caregiver. The primary care physician in the community was unaware that the patient had oxygen in the home in 35% of these cases. A Home Oxygen Safety Committee was convened to address improvements in the Electronic Health Record (EHR), hospital infrastructure, and patient and caregiver education to improve home oxygen safety. Burns and fires related to home oxygen are rare events but can be devastating to the patient, caregivers, and community. Establishing a regulatory requirement that oxygen be included on the medication list at hospital discharge, and in the ambulatory setting, has the potential to improve transitions of care for this vulnerable population.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063957","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 proof-of-concept for a continuous-temperature circulating water bath in frostbite limb rewarming.","authors":"Robert McKenzie, Zoë Anderson, Sebastian Kilcommons, Joshua N Wong, Alexis Armour","doi":"10.1093/jbcr/iraf073","DOIUrl":"https://doi.org/10.1093/jbcr/iraf073","url":null,"abstract":"<p><p>Frostbite is a thermal tissue injury that can occur following prolonged exposure to freezing temperatures, often resulting in tissue ischemia and sometimes requiring amputation. The American Burn Association recommends rapid rewarming of frostbite injuries in 38-42℃ water for 15-30 minutes, but clinical application of this recommendation is often inconsistent. Our objective was to find a method to better facilitate frostbite treatment by creating a continuous-temperature circulating water bath and demonstrating its effectiveness with a proof-of-concept, descriptive study. We hypothesized that this design would effectively rewarm chilled extremities within 30 minutes without healthcare workers being required to continually monitor and maintain water temperature. We constructed a continuous-temperature circulating water bath system using a reservoir and an Anova Precision Cooker NANO. Pig feet were chilled and then immersed in 39.0℃ water with or without the Anova Precision Cooker NANO. Without the Anova Precision Cooker NANO, tissue warmed from 3.2 ± 0.3℃ to 34.2 ± 0.2℃ over 30 minutes (final water temperature of 36.5 ± 0.1℃). With it, tissue warmed from 2.7 ± 0.2℃ to 36.7 ± 0.2℃ (final water temperature of 39.1 ± 0.1℃). The continuous-temperature circulating water bath offers a standardized, reliable, and effective method for rewarming hypothermic tissue. Our approach could provide a solution to inconsistent and impractical frostbite rewarming methods in clinical settings to better promote rewarming compliance. Further studies are ongoing to validate the feasibility of using the continuous-temperature circulating water bath in clinical practice.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972791","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":"How to assess scar quality in pediatric burn patients: a systematic review on the type and content of outcome measurement instruments.","authors":"Frederique M Kemme, Adinda Mieras, Johannes C F Ket, Annebeth Meij-de Vries, Paul P M van Zuijlen, Anouk Pijpe","doi":"10.1093/jbcr/iraf048","DOIUrl":"https://doi.org/10.1093/jbcr/iraf048","url":null,"abstract":"<p><p>Measuring scar quality is important for monitoring scar development and evaluating treatment outcomes. Given the substantial representation of children within the burn population and their susceptibility to lifelong scarring, evaluating scar quality is particularly important in this group. This study provides an overview of outcome measurement instruments used to assess scar quality in pediatric burn patients. A systematic literature search was conducted in PubMed, EMBASE and Web of Science covering studies published up to March 25, 2024. We included original research studies in English that measured at least one scar quality characteristic in pediatric burn patients. We included 328 studies and identified 585 outcome measurement instruments: clinician-reported outcome measures (CROMs) (53%), measurement devices (25%), and patient-reported outcome measures (PROMs) (22%). The most frequently used instruments were the (modified) Vancouver Scar Scale (m)(VSS), ultrasound, and the Patient and Observer Scar Assessment Scale (POSAS) Patient scale, respectively. Thickness and itch were the most frequently assessed scar characteristics. The use of PROMs has increased over the past decade, particularly after 2016, highlighting their growing attention. Among the studies using PROMs, 42% reported age-related conditions, with thresholds for independent completion ranging from 5 to 16 years. However, CROMs are the most frequently used instruments. While PROMs, CROMs and measurement devices are valuable, they are often not specifically designed for or validated in pediatric burn patients, and therefore they could benefit from further development or validation to better address the specific needs of pediatric burn patients.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992403","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 Impacting Delayed Return to School Among Children Living with Burn Injury: A Burn Model System Study.","authors":"Geun-Woo Oh, Gretchen J Carrougher, Xinyao deGrauw, Rachel Field, Stephanie Lillybridge, Caitlin M Orton, Deja Nicholas, Carly Marincasiu, Shelley A Wiechman, Sarah Stoycos, Karen Kowalske, Colleen M Ryan, Barclay T Stewart","doi":"10.1093/jbcr/iraf059","DOIUrl":"https://doi.org/10.1093/jbcr/iraf059","url":null,"abstract":"<p><p>Return to school is a key indicator of rehabilitation effectiveness for school-age children with burn injury. Previous studies reported on the timing of return to school but have not delineated how individual and injury characteristics impact RTS due to single-center analyses and limited sample sizes. Our goal is to provide factors to consider when providing guidance and benchmarking days to RTS and allocating rehabilitation resources after burn injury. We analyzed data from a multicenter, longitudinal cohort study of US school-age children between the ages 5-17 years who required operation for wound closure and their parents/guardians. Days from index hospital discharge to return to school by self- or parent/guardian-report were recorded via surveys. The associations between days to return to school and age, sex, burn size, body region of injury, inhalation injury, number of operations, and month of discharge were examined using multivariable mixed-effects Poisson regression analyses with robust standard error estimates. Data from 266 participants were analyzed. The median days to return to school after hospital discharge were 43 (IQR 21.5-81 days). Days to return to school after discharge in school-age children with burn injuries were significantly longer among 12-14-year-olds, boys, and children who fire/flame injury had had ≥ 5% TBSA, inhalation injury, head/neck injury, more operations, and were discharged during the school year months. Future research should explore children's experiences with barriers in school settings and develop mitigation strategies addressing both clinical and non-clinical aspects of burn aftercare to enhance care for children with burn injuries.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026171","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}