Journal of Burn Care & Research最新文献

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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":"<p><p>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.</p>","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":"<p><p>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.</p>","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
Alternative Resting Ankle-Foot Orthosis for Patients With Impaired Heel Integrity Postburn Injury. 烧伤后足跟完整性受损患者的替代休息踝足矫形器。
IF 1.8 4区 医学
Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf100
Kelsey Ziegler
{"title":"Alternative Resting Ankle-Foot Orthosis for Patients With Impaired Heel Integrity Postburn Injury.","authors":"Kelsey Ziegler","doi":"10.1093/jbcr/iraf100","DOIUrl":"10.1093/jbcr/iraf100","url":null,"abstract":"<p><p>The purpose of this case series was to describe an alternative resting ankle-foot orthosis for range of motion maintenance in patients who were intolerant or inappropriate for traditional heel-relief ankle-foot orthoses due to impaired soft tissue integrity of the posterior lower leg or heel post major burn injury. Anterior panel ankle-foot orthoses were fabricated on 2 pediatric patients aged 8 and 11 years with major burn injuries. Both patients experienced improvements in dorsiflexion range of motion to at least 0°. Neither patient experienced adverse effects that could be attributed to the ankle-foot orthoses. The anterior panel ankle-foot orthosis described in this case series appeared to be safe and effective for the included patients. Clinicians can use this information to assist with fabrication of alternative resting ankle-foot orthoses for patients who are inappropriate for traditional methods of ankle contracture prevention and management.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1137-1140"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173304","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
Racial and Ethnic Disparities in Complications Following Pediatric Burn Injuries. 儿童烧伤并发症的种族差异。
IF 1.8 4区 医学
Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf097
Mecklin V Ragan, Sibelle Aurelie Yemele Kitio, Samantha J Wala, Kelli N Patterson, Olubukola O Nafiu, Dana M Schwartz, Rajan K Thakkar
{"title":"Racial and Ethnic Disparities in Complications Following Pediatric Burn Injuries.","authors":"Mecklin V Ragan, Sibelle Aurelie Yemele Kitio, Samantha J Wala, Kelli N Patterson, Olubukola O Nafiu, Dana M Schwartz, Rajan K Thakkar","doi":"10.1093/jbcr/iraf097","DOIUrl":"10.1093/jbcr/iraf097","url":null,"abstract":"<p><p>Pediatric burn injuries are common and carry a high rate of morbidity. Given the well-established literature on racial and ethnic disparities in healthcare, we sought to define the extent to which these disparities exist in complications following burn injury in pediatric patients. We reviewed the American Burn Association's (ABA) National Burn Repository (NBR) data from 2010 to 2018. Demographic data, burn mechanism and severity, complications, and clinical outcomes were recorded. Analysis included 1:1 propensity score matching and logistic regression. Among 67 837 children aged 0-14 years, racial distribution was as follows: 44.7% White, 28.2% Black, 3.4% Asian, and 23.8% other. Scald injuries were the most common cause of burns across all races (52.6%). All comparisons were made in reference to the White population. Black patients had higher mortality (adjusted odds ratio [aOR]: 1.80, 95% CI, 1.23-2.64), and Black and other patients were more likely to sustain any complication (aOR: 1.25, 95% CI, 1.12-1.41; aOR: 1.28, 95% CI, 1.15-1.43, respectively). Black, Asian, and other patients were more likely to sustain electrolyte/other complications (aOR: 1.86, 95% CI, 1.42-2.43; aOR: 2.66, 95% CI, 1.28-5.54; aOR: 1.47, 95% CI, 1.15-1.87, respectively). Black, Asian, and other patients had longer length of hospital stay (aOR: 1.15, 95% CI, 1.09-1.21; aOR: 1.49, 95% CI, 1.29-1.72; aOR: 1.58, 95% CI, 1.50-1.66, respectively). These data show ongoing disparities in the clinical outcomes of pediatric burn patients. These findings highlight the need for further work to determine the etiology of these inequalities and to improve burn care for all children.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1119-1127"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181696","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
Developing and Consumer Testing Fire and Burn and Cold Injury Prevention Education With People Who Are Unhoused: Equity in Injury Prevention Toolkit. 针对无家可归者开展火灾、烧伤和冷伤预防教育并对其进行消费者测试:EQUIP工具包。
IF 1.8 4区 医学
Journal of Burn Care & Research Pub Date : 2025-09-19 DOI: 10.1093/jbcr/iraf082
Caitlin M Orton, Maiya I Pacleb, Tony Machacha, Carly Marincasiu, Megan Moore, Barclay T Stewart
{"title":"Developing and Consumer Testing Fire and Burn and Cold Injury Prevention Education With People Who Are Unhoused: Equity in Injury Prevention Toolkit.","authors":"Caitlin M Orton, Maiya I Pacleb, Tony Machacha, Carly Marincasiu, Megan Moore, Barclay T Stewart","doi":"10.1093/jbcr/iraf082","DOIUrl":"10.1093/jbcr/iraf082","url":null,"abstract":"<p><p>Fifteen percent of people receiving care for major burn injuries in urban burn centers across North America were homeless pre-injury. The number and risk of such injuries are increasing due to greater numbers of people experiencing homelessness (PEH) and the frequency of extreme climate events. Prevention education, along with passive and active fire and cold weather protections, is critical for preventing these injuries. To increase acceptability, understandability, and actionability, prevention education needs to be in plain language, contextualized, and consumer-tested. We aimed to test newly developed fire and burn and cold injury prevention education materials with PEH and gain insights for preferred prevention strategies to address and mitigate related risks and hazards. Forty cognitive interviews with PEH were conducted. The Model System Knowledge Translation Center's consumer-testing toolkit was used to evaluate the understandability and actionability of the education materials. Transcripts were analyzed using a harm reduction framework and deductive and inductive thematic coding. Themes were: (1) engage-being approachable and accessible, (2) use context-specific design to enhance relatability-reflect the lived experiences of PEH and their environments, (3) reduce harm-focus on mitigating rather than eliminating hazards, (4) empower-incorporate prevention guidance, guided by PEH in combination with conventional prevention strategies, and (5) integrate-disseminate prevention education and PEH preferred safety equipment within services and locations utilized by PEH. The process of consumer testing with PEH generated acceptable fire and burn and cold injury prevention and mitigation strategies. These strategies were used to develop actionable prevention education materials.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":"1001-1011"},"PeriodicalIF":1.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026166","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
Scar contracture recurrence after axillary burn reconstruction in adults: a single Institution's 14-year experience. 成人腋窝烧伤重建术后瘢痕挛缩复发:一个机构14年的经验。
IF 1.8 4区 医学
Journal of Burn Care & Research Pub Date : 2025-09-17 DOI: 10.1093/jbcr/iraf176
Hilary Y Liu, Mario Alessandri Bonetti, Hakan Orbay, José Antonio Arellano, Tiffany Jeong, Sumaarg Pandya, Guy M Stofman, Francesco M Egro
{"title":"Scar contracture recurrence after axillary burn reconstruction in adults: a single Institution's 14-year experience.","authors":"Hilary Y Liu, Mario Alessandri Bonetti, Hakan Orbay, José Antonio Arellano, Tiffany Jeong, Sumaarg Pandya, Guy M Stofman, Francesco M Egro","doi":"10.1093/jbcr/iraf176","DOIUrl":"https://doi.org/10.1093/jbcr/iraf176","url":null,"abstract":"<p><p>Axillary burn contractures impair upper limb function and can reoccur after initial reconstruction. The risk factors for recurrence remain unclear. This study aims to evaluate the recurrence rate of axillary burn contractures and identify associated risk factors. A retrospective chart review was conducted on patients who underwent reconstructive surgery for axillary burn contracture at a single institution between 2009 and 2022. Data collected included demographic information, injury details, reconstruction type, follow-up, re-operations, and complications. There were 30 axillary burn scar contractures in 27 patients (74.1% male, 25.9% female; mean age of 36.8 ± 15.2 years). Almost all burns were thermal (n = 24; 88.9%) and partial thickness (n = 22; 81.5%). The mean time between injury and reconstructive surgery was 10.3 ± 8.5 months, and the mean follow-up period was 18.1 ± 26.4 months. Z-plasty was the most frequently employed reconstructive procedure (n = 12; 40%), followed by split-thickness skin graft (STSG) only (n = 5; 16.7%), and a two-stage procedure with the application of a dermal substitute followed by STSG in two weeks (n = 4; 13.3%). The overall recurrence rate was 30.0% (n = 9). The Z-plasty group (n = 2; 16.7%) demonstrated relatively low rates of contracture recurrence. In contrast, the STSG only (n = 3; 60%) and latissimus dorsi flap with STSG (n = 2; 66.7%) groups had the highest rates of recurrence. Re-operation was performed in 77.8% of recurrent contractures (n = 7). The recurrence rate following axillary burn reconstruction is high, often requiring multiple re-operations. Given the impact of procedure type on contracture recurrence rate, reconstructive surgeons should consider using local flaps over skin grafts to release axillary burn contractures.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091758","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
Autologous Skin Cell Suspension (ASCS) in Pediatric Burn Injuries: A Systematic Review and Meta-Analysis. 自体皮肤细胞悬浮液(ASCS)在儿童烧伤中的应用:一项系统综述和荟萃分析。
IF 1.8 4区 医学
Journal of Burn Care & Research Pub Date : 2025-09-15 DOI: 10.1093/jbcr/iraf177
Antoinette Nguyen, Rishika Chikoti, Carolyn Cafro, Derek Bell
{"title":"Autologous Skin Cell Suspension (ASCS) in Pediatric Burn Injuries: A Systematic Review and Meta-Analysis.","authors":"Antoinette Nguyen, Rishika Chikoti, Carolyn Cafro, Derek Bell","doi":"10.1093/jbcr/iraf177","DOIUrl":"https://doi.org/10.1093/jbcr/iraf177","url":null,"abstract":"<p><p>Autologous Skin Cell Suspension (ASCS) technology has emerged as a promising advancement in pediatric burn care, offering potential benefits in wound healing, aesthetic outcomes, and resource utilization. This systematic review and meta-analysis evaluated eight studies encompassing 135 pediatric patients with burns ranging from 0.3% to 90% total body surface area (TBSA). ASCS demonstrated significant efficacy in promoting rapid reepithelialization, with mean times to >90% reepithelialization ranging from 7 to 81 days. A sensitivity analysis excluding high-TBSA outliers confirmed improved precision in pooled healing time (13.2 days, 95% CI: 0.2-26.2), suggesting ASCS may be particularly effective in moderate burns. Aesthetic outcomes were favorable, particularly in facial burns, where ASCS minimized visible scarring and reduced complications. Resource utilization findings highlighted reduced hospital length of stay (LOS) by 2.9 days for small burns and a 60% reduction in autograft needs in full-thickness burns. However, substantial heterogeneity was noted in healing and LOS outcomes, as evidenced by high I2 values in meta-analyses, indicating variability in study populations and protocols. Limitations included small sample sizes, single-center designs, and variability in follow-up durations. Despite these challenges, ASCS shows promise in pediatric burn care, emphasizing the need for standardized protocols and further research to optimize its application. These findings suggest that ASCS could enhance both clinical outcomes and patient quality of life, making it a valuable addition to pediatric burn management strategies.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091795","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
A Scoping Review of Fluorescence Imaging: A Promising New Technology for Bacterial Detection in Burn Wounds. 荧光成像:一种有前途的烧伤创面细菌检测新技术综述。
IF 1.8 4区 医学
Journal of Burn Care & Research Pub Date : 2025-09-13 DOI: 10.1093/jbcr/iraf173
Steven L A Jeffery, Erik Hanson-Viana
{"title":"A Scoping Review of Fluorescence Imaging: A Promising New Technology for Bacterial Detection in Burn Wounds.","authors":"Steven L A Jeffery, Erik Hanson-Viana","doi":"10.1093/jbcr/iraf173","DOIUrl":"https://doi.org/10.1093/jbcr/iraf173","url":null,"abstract":"<p><p>Burns are complex injuries with devastating long-term impacts. Despite advancements in burn care, infections remain the leading cause of morbidity and mortality. Early and accurate detection of bacterial burden is critical for effective intervention, yet traditional diagnostic methods have limitations. Fluorescence imaging has emerged as an effective tool to enhance bacterial detection and guide infection management in burn wound management. This scoping review summarizes current evidence on fluorescence imaging-guided detection of bacterial loads in burn wounds and explores its potential role across different stages of burn care. A comprehensive literature search was conducted in PubMed using the inclusion and exclusion terms (\"fluorescence\" OR \"autofluorescence\") AND (\"burn\" OR \"burns\") AND \"imaging\" AND \"bacteria\" NOT \"microscopy\". This search yielded 30 publications, which were further filtered to exclude pre-clinical studies, review articles, or articles that were not specific to burns. A total of 6 articles investigating the diagnostic accuracy of fluorescence imaging (MolecuLight) in burn patients were identified. This evidence suggests that fluorescence imaging improves the accuracy of bacterial detection in burns compared to clinical assessment alone, facilitating targeted wound sampling and debridement, enhancing antimicrobial stewardship, and guiding timely interventions. Additionally, burn wound surgical planning may be optimized by fluorescence imaging-guided identification of areas requiring excision and grafting. Fluorescence imaging shows promise in enhancing bacterial detection in burn wounds, aiding clinical decision-making and infection management. However, further statistically powered studies are needed to evaluate its impact on burn patient outcomes.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091545","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
Laser-assisted drug delivery for hypertrophic scar treatment: a scoping review. 激光辅助给药治疗增生性瘢痕:范围综述。
IF 1.8 4区 医学
Journal of Burn Care & Research Pub Date : 2025-09-13 DOI: 10.1093/jbcr/iraf167
Shilova Maria, Plummer Karin, Ware Robert, Kimble Roy, Clark Justin, Cho Esther, McMillan Lucinda, Kimble Laura, Meikle Brandon, Kunde Lauren, Griffin Bronwyn
{"title":"Laser-assisted drug delivery for hypertrophic scar treatment: a scoping review.","authors":"Shilova Maria, Plummer Karin, Ware Robert, Kimble Roy, Clark Justin, Cho Esther, McMillan Lucinda, Kimble Laura, Meikle Brandon, Kunde Lauren, Griffin Bronwyn","doi":"10.1093/jbcr/iraf167","DOIUrl":"https://doi.org/10.1093/jbcr/iraf167","url":null,"abstract":"<p><p>Fractional ablative laser is a minimally invasive method of hypertrophic scar management first introduced in 2004. Laser technologies and techniques have continued to evolve since that time and have included the addition of laser-assisted drug delivery to augment the effects of the laser on scars. Laser-assisted drug delivery is increasingly reported in the literature and standard treatment protocols, underscoring the popularity of this technique among clinicians. Given this popularity, it is important to scrutinise evidence relating to the clinical outcomes laser-assisted drug delivery may achieve for patients. This scoping review examined literature relating to laser-assisted drug delivery for the treatment of hypertrophic scars in humans, aiming to clarify what clinical outcomes are achieved with its use and examining how these outcomes were studied and measured. PubMed, EMBASE, Cochrane, theWHO International Clinical Trials Registry and ClinicalTrials.gov were systematically searched, and data about study methodology, outcome measurement tools and results were extracted. Fifty-five publications that discussed laser-assisted drug delivery for the treatment of hypertrophic scars in humans were identified. Sixteen different substances, most frequently corticosteroids, were used for laser-assisted drug delivery treatment of hypertrophic scars, most often in conjunction with a carbon dioxide fractional ablative laser. Study designs, outcome measurement strategies and follow-up time-frames were highly variable, as were the patient outcomes achieved. The clinical outcomes achieved with laser-assisted drug delivery are unclear, largely due to the variability of study methodology and outcome measurement. The efficacy of this technique requires further investigation with robustly designed, large trials which have comparison groups and use validated scar outcome measurement tools.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091733","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
Beyond the Burn: The Long-Term Effects of Pain, Body Image, and Physical Function in Pediatric Rehabilitation. A Burn Model System Study. 超越烧伤:儿童康复中疼痛、身体形象和身体功能的长期影响。燃烧模型系统研究。
IF 1.8 4区 医学
Journal of Burn Care & Research Pub Date : 2025-09-13 DOI: 10.1093/jbcr/iraf178
Mashal Ali, Kara McMullen, Kimberly Roaten, Colleen M Ryan, Elizabeth Fores, Karen Kowalske
{"title":"Beyond the Burn: The Long-Term Effects of Pain, Body Image, and Physical Function in Pediatric Rehabilitation. A Burn Model System Study.","authors":"Mashal Ali, Kara McMullen, Kimberly Roaten, Colleen M Ryan, Elizabeth Fores, Karen Kowalske","doi":"10.1093/jbcr/iraf178","DOIUrl":"https://doi.org/10.1093/jbcr/iraf178","url":null,"abstract":"<p><p>Childhood burn injuries can lead to physical and psychosocial challenges that linger well beyond the initial phases of the trauma. This study explores the interrelated roles of pain, body image, and physical function in children living with burn injuries using data from the Burn Model System National Longitudinal Database. A cohort of 110 children aged 8-17 was assessed six months post-injury. Descriptive and regression analyses revealed that, on average, pediatric burn survivors reported significantly lower pain interference compared to the general pediatric population. However, higher pain interference and number of surgical operations were negatively associated with physical function. Body image was not significantly associated with clinical variables, suggesting a more multifaceted nature of psychosocial recovery. These findings underscore the importance of comprehensive pain management and family-centered rehabilitation to foster resilience and enhance functional and emotional outcomes in pediatric burn survivors.</p>","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091786","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
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