Journal of Burn Care & Research最新文献_第6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 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf066

Dr Alan Rogers, Dr David Wallace

引用次数: 0

A National Multi-Center Analysis of the Epidemiology of Pediatric Facial Injuries from Fireworks. 儿童烟花面部损伤流行病学的全国多中心分析。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-26 DOI: 10.1093/jbcr/iraf065

Aidin Gharavi, Chase Lueder, Andy Tom, Sergio M Navarro

{"title":"A National Multi-Center Analysis of the Epidemiology of Pediatric Facial Injuries from Fireworks.","authors":"Aidin Gharavi, Chase Lueder, Andy Tom, Sergio M Navarro","doi":"10.1093/jbcr/iraf065","DOIUrl":"https://doi.org/10.1093/jbcr/iraf065","url":null,"abstract":"Firework injuries remain a significant public health concern, with an estimated 9,700 injuries reported in 2023. This study examines trends in pediatric facial injuries from fireworks over the past decade using the National Electronic Injury Surveillance System (NEISS). Pediatric cases from 2014-2023 were identified using the fireworks consumer code (1313) and filtered for facial injuries (body part code 76). Data was analyzed using chi-square tests to assess significance and logistic regression to evaluate trends. An estimated 4,625 pediatric facial injuries from fireworks presented to emergency departments (ED) nationwide from 2014-2023. Among cases (n = 177), 68.4% were male and 31.6% were female. Thermal burns (60.5%), lacerations (15.3%), and contusions/abrasions (11.9%) were the most common injuries. Males were more likely to be injured than females (p-value: < 0.001). Overall, 17.5% of injuries required hospitalization or transfer. Older children were significantly more likely to sustain injuries requiring hospitalization (Odds Ratio [OR]: 1.13, 95% CI: 1.04-1.23, p = 0.005). Younger children had higher odds of sparkler-related injuries, although the risk rapidly decreased with age (OR: 0.76, 95% CI: 0.68-0.86, p < 0.001). Our results show fireworks continue to cause significant pediatric facial injuries, with thermal burns being the most common diagnosis, and nearly one in five facial injuries from fireworks requiring hospitalization. Efforts to reduce facial injuries from fireworks should focus on minimizing the risk of injury in younger children while ensuring safety protocols are in place to address more significant injuries in older children.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982347","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

Response to Letter to the Editor Concerning "Caregivers and Clinic Providers View Soft Casts for Pediatric Hand Burns as Acceptable and Feasible: A Mixed Methods Survey". 关于“护理人员和诊所提供者认为小儿手部烧伤软石膏是可接受和可行的：一项混合方法调查”的致编辑的回复。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-24 DOI: 10.1093/jbcr/iraf036

Jennifer M Schuh, Leanna L Shaman, Katherine T Flynn-O'Brien

引用次数: 0

Time to Thrombolytics and Tissue Salvage: Assessing Response Following Severe Frostbite Injury. 到溶栓和组织挽救的时间：评估严重冻伤后的反应。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-22 DOI: 10.1093/jbcr/iraf051

Rachel M Nygaard, Emily Colonna, Rediat A Tilahun, Charly Vang, Gopal Punjabi, Alexandra Lacey, Kyle Schmitz, Derek C Lumbard

{"title":"Time to Thrombolytics and Tissue Salvage: Assessing Response Following Severe Frostbite Injury.","authors":"Rachel M Nygaard, Emily Colonna, Rediat A Tilahun, Charly Vang, Gopal Punjabi, Alexandra Lacey, Kyle Schmitz, Derek C Lumbard","doi":"10.1093/jbcr/iraf051","DOIUrl":"https://doi.org/10.1093/jbcr/iraf051","url":null,"abstract":"Approximately 30% of severe frostbite injuries result in amputation. Thrombolytic therapy is used to reduce tissue loss following severe frostbite injury. This study evaluates factors impacting effectiveness of thrombolytics using post-treatment perfusion imaging and amputation level as outcome measures. We hypothesize that categorizing thrombolytic-treated patients into full, partial, and non-responders enables a nuanced evaluation of treatment effectiveness. A prospectively maintained frostbite database was reviewed for patients with post-rewarming perfusion deficits measured by Tc99 scans who received IV thrombolytics. Of 131 patients, 71% were full responders, 23.7% partial responders, and 5.3% non-responders for surgical outcome. The median time to thrombolytics was 5.5 hours (range 1-14.5) for full responder; 7 hours (range 3.5-14) for partial responder; and 10 hours (range 1.5-11.5) for non-responders. Full responders exhibited smaller initial perfusion deficits. Psychosocial or comorbid factors were not significantly different across groups. Non-response was associated with longer time to thrombolytics, larger perfusion deficits, and cellulitis/infection. Using imaging outcomes to reduce confounding by infection, 93 patients were evaluated: 28% were full responders, 57% partial responders, and 15% non-responders. Full responders for imaging outcome corresponded with surgical outcomes and had no amputations, while 37.7% of partial responders and 42.9% of non-responders on imaging outcome had amputations. This study is the largest to evaluate thrombolytic outcomes in severe frostbite injured patients, proving new insight into thrombolytics responses and a novel assessment of thrombolytic treatment efficacy. These findings underscore the importance of timely thrombolytic administration and demonstrate benefits for patients treated outside the standard thrombolytics treatment windows.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001719","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 Process to add Long Term Outcomes into the American Burn Association's Burn Registry - Feasibility to Bridge the Gap. 将长期结果加入美国烧伤协会烧伤登记的过程-弥合差距的可行性。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-20 DOI: 10.1093/jbcr/iraf053

Claudia C Malic, Plastic Surgeon, Thereasa Abrams, Adam J Singer, Joan Webber, Heidi Altamirano, Farrah Parker, David T Harrington

{"title":"A Process to add Long Term Outcomes into the American Burn Association's Burn Registry - Feasibility to Bridge the Gap.","authors":"Claudia C Malic, Plastic Surgeon, Thereasa Abrams, Adam J Singer, Joan Webber, Heidi Altamirano, Farrah Parker, David T Harrington","doi":"10.1093/jbcr/iraf053","DOIUrl":"https://doi.org/10.1093/jbcr/iraf053","url":null,"abstract":"Background: Burn registries play a crucial role in enhancing the understanding of burn epidemiology and improving clinical care. However, they often lack comprehensive data on post-discharge outcomes when patients transition to outpatient care. This study aimed to initiate the expansion of the American Burn Association's registry to include long-term outcomes for patients receiving outpatient follow-up post-discharge.Materials and methods: The Quality of Burn Registry (QBR) Outpatient Work Group identified nine key long-term outcomes-five clinical and four psychosocial-to track after discharge from burn centers. An alpha pilot study was conducted with seven verified burn centers, collecting data on enrolled patients over 12 months in three-month intervals. A subsequent beta pilot involved ten centers, each monitoring five patients across five predefined cohorts.Results: The alpha pilot enrolled 29 patients, revealing variable documentation and data retrieval times of up to 15 minutes per patient. The beta pilot encompassed 200 patients and recorded 1,417 appointments, averaging 7.1 visits per patient. Notably, 25% of patients were lost to follow-up, and 22% were discharged from care within 12 months. Follow-up visits were most concentrated in the first three months (53.6%).Discussion: This study represents a pioneering effort to systematically collect long-term outcomes for major burn injury survivors during the first year post-discharge. The findings will support ongoing improvements in best practices for burn care and enhance continuity between inpatient and outpatient monitoring, ultimately benefiting quality improvement initiatives for burn-injured patients in the future.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965706","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

Physical and Psychosocial Outcome Comparisons in Similar Groups of Pediatric Burn Patients in the US 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 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-20 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 US 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":"https://doi.org/10.1093/jbcr/iraf052","url":null,"abstract":"Previous research has shown that 20 percent of pediatric massive burn survivors experience impairment in long-term physical function and psychosocial distress.1 Pediatric patients from the United States and Mexico with major burns likely receive similar care during the initial hospitalization given that many US burn centers treat children with injuries from Mexico. However, follow-up care may differ, possibly impacting physical and psychosocial outcomes. This retrospective cohort study investigated differences in psychological and physical outcomes between pediatric burn patients residing in the US and those residing in Mexico. Analysis included 100 patients, aged 8-17 years, residents of the US 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 greater total surface area of burn and increased likelihood of amputation. Differences in 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=0.012) 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":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-20","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 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-18 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":"https://doi.org/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% TBSA 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 = 0.020) 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":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","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

Early Post-Operative Mobilization After Treatment of Burn Wounds with Autologous Skin Cell Suspension is Safe. 自体皮肤细胞悬浮液治疗烧伤创面术后早期活动是安全的。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-15 DOI: 10.1093/jbcr/iraf038

Rohit Mittal, Jenna Kelly, Steven Alexander Kahn

{"title":"Early Post-Operative Mobilization After Treatment of Burn Wounds with Autologous Skin Cell Suspension is Safe.","authors":"Rohit Mittal, Jenna Kelly, Steven Alexander Kahn","doi":"10.1093/jbcr/iraf038","DOIUrl":"https://doi.org/10.1093/jbcr/iraf038","url":null,"abstract":"Standardized criteria for mobilization of the post-operative burn patient do not currently exist. Even the term \"early mobilization\" is not well defined. Use of autologous skin cell suspension (ASCS) with or without split-thickness skin grafts (STSG) has improved patient outcomes. The purpose of this study is to evaluate the safety of early post-operative mobilization, defined as mobilization with rehabilitation team within 48h of surgical treatment, in patients who were treated with ASCS and a polylactic acid dressing. This is a single-center, retrospective review over a 10-month period of patients who presented with deep partial thickness and full-thickness burns. All burn wounds included in the study underwent surgical treatment of their burns with ASCS or ASCS+STSG. After surgical treatment, any patients/areas with post-operative restrictions were noted. All patients without restrictions were allowed active and/or passive range of motion (AROM or PROM) of the treated area and out of bed (OOB) mobilization starting on POD0. In total, 29 patients were treated with 77 separate areas undergoing surgical treatment with ASCS or ASCS + STSG; 79% of these areas involved joints. All patients underwent either AROM or PROM with the burn therapy team by POD2. Of the wounds treated with ASCS alone, 5% required patch grafting, and no graft loss was noted in those treated with STSG+ASCS. This study serves as a proof of concept that early post-operative mobilization in burn patients undergoing grafting and ASCS is safe and is not associated with graft loss, including areas involving joints.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008326","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

Identification of shared genes and immune profiling for pathological scar. 病理性瘢痕的共享基因鉴定和免疫谱分析。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-12 DOI: 10.1093/jbcr/iraf046

Shuqian Dou, Yue Deng, Di Wang, Wenjun Liu

{"title":"Identification of shared genes and immune profiling for pathological scar.","authors":"Shuqian Dou, Yue Deng, Di Wang, Wenjun Liu","doi":"10.1093/jbcr/iraf046","DOIUrl":"https://doi.org/10.1093/jbcr/iraf046","url":null,"abstract":"Pathological scar (PS), encompassing hypertrophic scars (HS) and keloids, significantly impacts skin morphology and functions. Evidence suggests both exhibit hyperactive immune-inflammatory responses, yet research remains limited. This study used bioinformatics to explore shared genes and immune response characteristics in PS. Transcriptomic datasets (GSE181540 and GSE158395) were explored to investigate differentially expressed genes (DEGs) between normal skin and HS/ keloids using the \"limma\" package. Overlapping up- and downregulated genes were visualized via a Venn diagram and subjected to GO and KEGG enrichment to highlight immune-related processes, particularly in chemotaxis, indicating immune response abnormalities in both scar types. Differentially expressed immune-associated genes (DEIGs) were identified by overlapping DEGs with immune-associated genes. Seventy-eight DEIGs were mapped to protein-protein interaction (PPI) networks, revealing VCAM1, THBS1, and SERPINE1 as the key hub genes. Immunohistochemical staining showed these genes were highly expressed in keloid and HS tissues but expressed at lower levels in normal skin. Ultimately, immune cell infiltration analysis unveiled increased immune cell proportions in HS and keloids, with keloid tissue displaying higher immune cell abundance.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009457","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

Experiences from Burn Registry Pilot Study in Northern India: Patient Profile and Implementation Perspectives. 印度北部烧伤登记试点研究的经验：患者概况和实施观点。

IF 1.5 4区医学

Journal of Burn Care & Research Pub Date : 2025-04-10 DOI: 10.1093/jbcr/iraf042

Vikash Ranjan Keshri, Santosh Kumar Sharma, Pratishtha Singh, Shivangi Saha, Brijesh Mishra, Mohammed Fahud Khurram, Mohit Jain, Pranay Singh Chakotiya, Manoj Kumar Jha, Maneesh Singhal, Tanu Jain, Jagnoor Jagnoor

{"title":"Experiences from Burn Registry Pilot Study in Northern India: Patient Profile and Implementation Perspectives.","authors":"Vikash Ranjan Keshri, Santosh Kumar Sharma, Pratishtha Singh, Shivangi Saha, Brijesh Mishra, Mohammed Fahud Khurram, Mohit Jain, Pranay Singh Chakotiya, Manoj Kumar Jha, Maneesh Singhal, Tanu Jain, Jagnoor Jagnoor","doi":"10.1093/jbcr/iraf042","DOIUrl":"https://doi.org/10.1093/jbcr/iraf042","url":null,"abstract":"In India, burns represent a serious public health concern due to high death and disability rates. A national burn registry was proposed under the National Program on Prevention and Management of Burn Injuries. This study reports experiences from the first pilot burn registry in India, presenting patient profiles and implementation perspectives. Five burn centres were selected to implement a prospective, multicentric burn registry in northern India. Every burn patient at the study sites who met the inclusion criteria was recruited. Patients' sociodemographic and burn injury profiles, determinants of mortality, and predictors of poor recovery outcome (death or discharge with disability) are presented based on descriptive, bivariate and binary logistic regression analyses. From August 2020 to March 2022, a total of 908 patients were enrolled, with 61% being male and 39% female. Approximately 43% of acute burn patients were referred from other health facilities. The most frequent causes of burns were flame (37%), hot liquid (28%), and electric (28%). Accidental burns accounted for 88% of cases, with 73% occurring at patients' homes, and 48% being classified as major burns (≥20% Total Body Surface Area [TBSA]). Mortality was significantly higher among female patients with TBSA higher than 40% and non-accidental burns. The odds of poor recovery were higher for TBSA >40%, electric burns, and non-accidental burns. The implementation experience highlights the need to broaden the scope of the burn registry to include more comprehensive data, which can enhance the planning and delivery of burn care services.","PeriodicalId":15205,"journal":{"name":"Journal of Burn Care & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025720","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