Journal of Burn Care & Research最新文献_第5页

Concerns Regarding the Use of Negative Pressure Wound Therapy After Fasciotomy for Compartment Syndrome. 筋膜切开术后负压伤口治疗筋膜间室综合征的关注。

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf066

Alan D Rogers, David L Wallace

引用次数: 0

The Rare Use of Glabrous Donor for Palmar and Ventral Foot Burns Should Not Be So Rare: Recognition of a Seldom-Used Technique That Should Be in the Armamentarium of Every Burn, Plastic, Hand, and Foot Surgeon. 罕见地使用无毛供体治疗足掌和足腹部烧伤的情况不应如此罕见：认识到烧伤、整形、手部和足部外科医生都应掌握的罕用技术。

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf020

Peter Sienko, Amir Dehdashtian, Gary A Vercruysse

引用次数: 0

Physical and Psychosocial Outcome Comparisons in Similar Groups of Pediatric Burn Patients in the United States and Mexico: A National Institute on Disability, Independent Living, and Rehabilitation Research Burn Model System Study. 美国和墨西哥儿童烧伤患者相似组的生理和心理结局比较：国家残疾、独立生活和康复研究所烧伤模型系统研究

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf052

Alexander Kowalske, Amanda Stubbs, Kimberly Roaten, Sarah Stoycos, Kara McMullen, Karen Kowalske

{"title":"Physical and Psychosocial Outcome Comparisons in Similar Groups of Pediatric Burn Patients in the United States and Mexico: A National Institute on Disability, Independent Living, and Rehabilitation Research Burn Model System Study.","authors":"Alexander Kowalske, Amanda Stubbs, Kimberly Roaten, Sarah Stoycos, Kara McMullen, Karen Kowalske","doi":"10.1093/jbcr/iraf052","DOIUrl":"10.1093/jbcr/iraf052","url":null,"abstract":"Pediatric massive burn survivors experience significant impairment in long-term physical function and psychosocial distress. Pediatric patients from the United States and Mexico with major burns likely receive similar care during the initial hospitalization given that many U.S. burn centers treat children with injuries from Mexico. However, follow-up care may differ, possibly affecting physical and psychosocial outcomes. This retrospective cohort study investigated differences in psychological and physical outcomes between pediatric burn patients residing in the United States and those residing in Mexico. Analysis included 100 patients, aged 8-17 years, residents of the United States or Mexico, who were hospitalized for burn injuries between 2015 and 2023 and enrolled in the Burn Model System database. Patient-Reported Outcomes Measures Information System measures of physical and psychological functioning were analyzed. Using univariate analyses, there was a significant difference in severity of burns, with the patients from Mexico having a greater total surface area of burn and an increased likelihood of amputation. Differences in the mechanism of burn, length of hospital stay, and ventilator days were not statistically significant when controlled for TBSA. Linear regression analyses examining the association between physical outcomes and country of residence (controlling for age, sex, TBSA, etiology of burn, and amputation) showed a significant difference in physical function outcomes at 6 months (P = .012) but no difference in fatigue, pain interference, or pain intensity. Analysis of psychosocial outcomes showed no significant difference in anger, depression, anxiety, or peer relationships at 6 months.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1059-1064"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016197","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

Obesity's Impact on Pediatric Scald Burns: How Much Weight Does It Carry? 肥胖对儿童烫伤的影响：它承载了多少重量？

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf054

Christian Hudson-Bradford, Rachael M Galvin, Elika Ridelman, Darina N Malinova, Justin D Klein, Christina M Shanti

{"title":"Obesity's Impact on Pediatric Scald Burns: How Much Weight Does It Carry?","authors":"Christian Hudson-Bradford, Rachael M Galvin, Elika Ridelman, Darina N Malinova, Justin D Klein, Christina M Shanti","doi":"10.1093/jbcr/iraf054","DOIUrl":"10.1093/jbcr/iraf054","url":null,"abstract":"Childhood obesity is a growing public health concern in the United States, yet its impact on wound healing and surgical outcomes in pediatric burn patients remains understudied. This study investigates the relationship between obesity and clinical outcomes in pediatric patients with scald burns. A retrospective review of 389 pediatric patients (aged 1 month to 18 years) admitted to a regional burn center with ≥5% total burn surface area scald burns from 2015 to 2024 was conducted. Patients were categorized by weight-for-length (WFL) or body mass index (BMI) percentiles using the Centers for Disease Control and Prevention (CDC)/World Health Organization (WHO) growth charts. ANOVA and chi-square analyses found no significant differences in wound healing time across BMI or WFL categories. Similarly, no significant associations were observed between BMI/WFL groups and scar management or late grafting. However, a moderate relationship (P = .020) was identified between higher BMI and grafting during index admissions in older children. These findings suggest that obesity does not significantly impair wound healing but may influence surgical decisions in pediatric burn care. Further research is needed to explore these trends and guide tailored treatment protocols for obese pediatric patients.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"947-953"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008327","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

Home Oxygen Safety in an Urban Population: A Multipronged Approach. 城市人口家庭氧气安全：多管齐下的方法。

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf076

Wanda Horn, Janice Korenblatt, Elizabeth A Duthie, Lauren Huber, Iby Thomas, Daniel G Fein, Amy R Ehrlich

{"title":"Home Oxygen Safety in an Urban Population: A Multipronged 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":"10.1093/jbcr/iraf076","url":null,"abstract":"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, and 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, 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.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1080-1084"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","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}

引用次数: 0

Early Versus Late Tracheostomy in Critically Injured Burn Survivors: A National, Multi-Database Analysis. 危重烧伤幸存者早期与晚期气管切开术：一项全国多数据库分析。

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf086

Jennifer K Shah, Eloise W Stanton, Daniel Najafali, Rahim Nazerali, Clifford C Sheckter

{"title":"Early Versus Late Tracheostomy in Critically Injured Burn Survivors: A National, Multi-Database Analysis.","authors":"Jennifer K Shah, Eloise W Stanton, Daniel Najafali, Rahim Nazerali, Clifford C Sheckter","doi":"10.1093/jbcr/iraf086","DOIUrl":"10.1093/jbcr/iraf086","url":null,"abstract":"Tracheostomy is indicated in critically ill patients when prolonged mechanical ventilation is anticipated. We leveraged national data to evaluate tracheostomy timing in burn patients, hypothesizing that early tracheostomy would be associated with reduced length of stay (LOS) and ventilator-associated pneumonia (VAP). Surviving burn encounters undergoing tracheostomy in 3 national databases-Nationwide Inpatient Sample (NIS), 2016-2021, National Trauma Data Bank (NTDB), 2007-2014, and Burn Care Quality Platform (BCQP), 2015-2022-were stratified by tracheostomy timing relative to admission: early: ≤10 days versus late: >10 days. Early tracheostomy encounters were propensity-score-matched with late tracheostomy encounters on age, sex, and total body surface area (TBSA) of burns to evaluate the impact of tracheostomy timing on LOS, ICU LOS, ventilator days, VAP, discharge to inpatient rehabilitation, and discharge to long-term acute care (LTAC). In total, 9173 burn encounters underwent tracheostomy (6255 in NIS, 1332 in NTDB, and 1586 in BCQP), of which 51.1% were early. Within matched cohorts, early tracheostomy was associated with shorter LOS, reported as average treatment effect, in days (95% confidence interval): NIS: -22.9 (-32.8 to -13.1), P < .01; NTDB: -12.7 (-18.7 to -6.8), P < .01; BCQP: -7.0 (-12.5 to -1.5), P < .01. Early tracheostomy was associated with shorter ICU LOS and fewer ventilator days in NTDB and BCQP (P < .04). Early tracheostomy was not associated with discharge to inpatient rehabilitation or VAP. Early tracheostomy decreased discharge to LTAC in NTDB and BCQP (P ≤ .02). Our multi-database analysis supports early tracheostomy in critically injured burn patients requiring prolonged mechanical ventilation.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1017-1024"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078246","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}

引用次数: 0

Burn Injuries Among Migrants Crossing the Mediterranean Sea: A Ten-Year Experience from a Single Center. 穿越地中海的移民烧伤：来自单一中心的十年经验。

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf179

Walter Raffaele Milia, Emanuele Gervasi, Giovanni Alessandro, Monica Rizzo, Roberto Pirrello

{"title":"Burn Injuries Among Migrants Crossing the Mediterranean Sea: A Ten-Year Experience from a Single Center.","authors":"Walter Raffaele Milia, Emanuele Gervasi, Giovanni Alessandro, Monica Rizzo, Roberto Pirrello","doi":"10.1093/jbcr/iraf179","DOIUrl":"https://doi.org/10.1093/jbcr/iraf179","url":null,"abstract":"Burn injuries among migrants crossing the Mediterranean are increasingly representing a serious health issue, particularly in southern Europe. We retrospectively reviewed 91 migrant patients admitted to the Burn Center of ARNAS Civico Hospital in Palermo between 2015 and 2025: 65 (71.4%) were chemical burns from seawater-fuel mixtures, 25 (27.5%) flame burns due to vessel explosions or torture and 1 (1.1%) other etiology of burn injury. Mean age was 25 ± 9.84 years, and mean TBSA was 16.09 ± 11.06%. Chemical burns healed faster than flame burns (p=.0043). Split-thickness grafting was required in 40.0% of flame burns versus 3.07% of chemical burns (p=.000026). Inhalation pneumonia occurred in 20% of flame burns versus 3.07% of chemical burns (p=.0164), and sepsis developed in 28.0% of flame burns versus 0% of chemical burns (p=.000064). Among the 7 septic patients, mean burn surface area was 32.14 ± 16.54% TBSA, and two patients (28.57%) died. Predominant isolates included Acinetobacter baumannii and Klebsiella pneumoniae. These findings highlight the elevated risk of surgical, pulmonary, and infectious complications following flame burns in resource-limited maritime settings. Optimized burn care protocols, rapid microbiological diagnostics, and improved post-rescue coordination are critical to reducing morbidity and mortality in this high-risk group.","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":"145091776","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

Characteristics of Verified and Designated Burn Centers. 认证和指定烧伤中心的特点。

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf035

Anastasiya Ivanko, Elle Lovick, Victoria P Miles, Denise Danos, Jonathan E Schoen, Randy Kearns, Bart Phillips, Erica Murata, John B Holcomb, Herb A Phelan, Jeffrey E Carter

{"title":"Characteristics of Verified and Designated Burn Centers.","authors":"Anastasiya Ivanko, Elle Lovick, Victoria P Miles, Denise Danos, Jonathan E Schoen, Randy Kearns, Bart Phillips, Erica Murata, John B Holcomb, Herb A Phelan, Jeffrey E Carter","doi":"10.1093/jbcr/iraf035","DOIUrl":"10.1093/jbcr/iraf035","url":null,"abstract":"Burn Center (BC) verification is a rigorous process designed to ensure optimal care for burn injury patients. The American Burn Association (ABA) lists 135 verification criteria, yet only 50%-60% of BCs are verified. This study assesses the operational, financial, and clinical disparities between verified burn centers (VBCs) and nonverified burn centers (nVBCs) in the United States. The study was conducted using The Databases for Optimal Resources for Injury Care (DORIC), a centralized database developed from the American Hospital Association (AHA), American College of Surgeons Committee on Trauma, ABA, all fifty United States' Departments of Health, the National Injury Resource Database (NIRD), and claims databases, through collaboration with BData, Louisiana State University Health Sciences Center (LSUHSC), and University of New Orleans (UNO). Data were analyzed for quality and statistical rigor by a data analyst and a biostatistician. The study demonstrated no significant differences in hospital size, location (urban/rural), hospital bed number, or burn intensive care unit bed number between VBCs and nVBCs. However, significant differences were identified in total hospital discharges and revenue. VBCs had more patient discharges (median 22 212 vs 15 639; P = .019) and generated significantly more total revenue (median $994 945 750 vs $652 390 948; P = .014), Medicare revenue (median $171 016 940 vs $83 739 527; P = .0023), and inpatient revenue (median $2 070 789 977 vs $1 347 440 093; P = .0125) compared to nVBCs. These disparities in discharges and revenue underline the financial and operational benefits of BC verification. Our findings provide valuable insights to guide policy and decision-making in burn care, aiming to improve care quality, accessibility, and equity.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1053-1058"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730230","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 Violence Against Women in Australia: The Tip of the Iceberg From Australian Burn Centers. 澳大利亚针对妇女的烧伤暴力：来自澳大利亚烧伤中心的冰山一角。

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf081

Yvonne Singer, Lincoln M Tracy, Claudia Malic, Lisa Martin, Belinda Gabbe, Heather Douglas

{"title":"Burn Violence Against Women in Australia: The Tip of the Iceberg From Australian Burn Centers.","authors":"Yvonne Singer, Lincoln M Tracy, Claudia Malic, Lisa Martin, Belinda Gabbe, Heather Douglas","doi":"10.1093/jbcr/iraf081","DOIUrl":"10.1093/jbcr/iraf081","url":null,"abstract":"Violence against women is pervasive. An estimated 25% of Australian women (≥15 years) have experienced intimate partner violence. Recent cases of homicidal burn violence perpetrated against Australian women have shocked the nation. However, little evidence exists about the burden of burn violence against Australian women. This study describes and compares the frequency, sociodemographic profile, injuries, and outcomes of women admitted to Australian burn centers with burns from suspected violence with women with unintentional burns. Data were extracted from the Burns Registry of Australia and New Zealand for women (≥18 years) admitted to Australian burn centers between 2009 and 2022, with burns from suspected violence or unintentional burns. Sociodemographic profiles, injury, and in-hospital outcomes were compared. To further explore group differences, 155 women from each group were propensity score matched (one-to-one basis), with subsequent group comparisons made. Of 6262 women meeting inclusion criteria, few reported burns from suspected violence (2.5% vs 97.5%). Women with burns from suspected violence were younger (median 36 vs 43 years), greater proportions sustained flame burns (38.1% vs 25.3%) involving petrol (80.0% vs 38.0%), their injuries more likely involved their head (42.3% vs 16.4%), and a greater proportion died (4.5% vs 1.5%). Perpetrators were most often intimate partners. Our study contributes to emerging international literature demonstrating the confronting nature and consequences of burn violence against women. Building capacity among burn center teams to identify and respond to suspected burn violence will better protect Australian women and align with national plans to end violence against women.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1091-1098"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970579","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 Disasters in North Carolina: An Analysis of Four Major Incidents With a Look to the Future. 北卡罗来纳州的火灾：四起重大事故的分析与展望。

IF 1.8 4区医学

Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf095

Booker T King, Felicia N Williams, Alexandra Coward, Lori Chrisco, Christopher Derek Miller, Erin R Hanlin, Cynthia Laurer, Kevin Bailey, James Holmes, Randy D Kearns

{"title":"Burn Disasters in North Carolina: An Analysis of Four Major Incidents With a Look to the Future.","authors":"Booker T King, Felicia N Williams, Alexandra Coward, Lori Chrisco, Christopher Derek Miller, Erin R Hanlin, Cynthia Laurer, Kevin Bailey, James Holmes, Randy D Kearns","doi":"10.1093/jbcr/iraf095","DOIUrl":"10.1093/jbcr/iraf095","url":null,"abstract":"This article examines the medical response to 4 significant burn disasters in North Carolina: the Pope Air Force Base disaster, the ConAgra/Garner food plant fire, the Imperial Foods/Hamlet chicken plant fire, and the West Pharmaceutical/Kinston fire. Each incident resulted in substantial injuries and fatalities, necessitating a coordinated medical response that involved local hospitals, emergency medical services, and burn and trauma centers. This analysis highlights the effectiveness of triage, mobilization of resources, medical transport, and the role of specialized centers in managing burn casualties. Furthermore, the article discusses the existing local, state, regional, and national burn disaster response plans, emphasizing the importance of collaboration among various agencies. In the context of North Carolina, the state's disaster preparedness strategies are evaluated, revealing strengths in outreach and training but also identifying gaps in resource allocation and inter-agency communication. Opportunities exist for improvements in communication with use of telemedicine and refining training with the utilization of artificial intelligence. This comprehensive review underscores the critical need for ongoing assessment and refinement of disaster response frameworks to better protect communities from the devastating impacts of burn incidents.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1105-1112"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142710","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